首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献,搜索用时 25 毫秒
1.
Thirty nocturnally enuretic children and their parents took part in this study which examined the effectiveness of Dry-Bed Training (DBT) with and without the adjunct of a urine-alarm device. Parents administered all treatment, following initial instruction in small group settings and supported by regular group meetings with a professional therapist. Ten children were treated by DBT without an alarm. Results showed this method to be effective in significantly reducing bedwetting frequency but not in effecting complete arrest of bedwetting symptoms. Ultimately all 30 children were treated by DBT with an alarm and this method led to 29 children reaching the success criterion of 14 consecutive dry nights. The average time taken to the last wet night was 30 days. There were 10 relapses at a 3-month follow-up. These results were virtually the same as those from a previous study involving 60 subjects who were treated by DBT with an alarm, either under the direction of a professional therapist, or of the child's parents who had been previously trained in the procedure on an individual basis (Bollard and Nettelbeck, 1981). Instructing parents in a group to administer DBT with an alarm is therefore an economical large-scale method of treating nocturnal enuresis because of savings in therapist time and effort in administering the demanding procedure.  相似文献   

2.
In this study, two substantial modifications were made to the Dry-Bed training procedure described by Azrin, Sneed and Foxx (Behav. Res. and Therapy, 12, 147–156 (1974). The first modification was to have parents administer the intensive all-night training programme rather than an outside trainer. With fourteen children treated in this manner, nocturnal enuresis was eliminated in all cases. The median time taken to the last night of wetting was only 12 days. There were two relapses in a 6-month follow-up. The second modification involved administering the Dry-Bed procedure without the adjunct of an enuresis machine. This resulted in significantly reduced frequency of bedwetting, although nocturnal enuresis was not completely arrested in any of the ten children treated. The implications of these findings are discussed.  相似文献   

3.
The major components of Dry-Bed Training (DBT) (Azrin et al., 1974), in addition to the urine-alarm device, were identified as; (i) the waking schedule; (ii) retention control training; and (iii) positive practice and cleanliness training. Combinations of these components yielded six treatment groups. Together with an alarm-only group and a DBT group from a previous study (Bollard and Nettelbeck, 1981) these groups were compared for effectiveness in arresting bedwetting. Bedwetting frequency was reduced slightly below levels achieved with alarm-only treatment, by the addition of either retention control training, or positive practice and cleanliness training. A more substantial decrease in bedwetting resulted from the addition of the waking schedule, although none of the effects of the single components was statistically significant. The effects of the three components were cumulative, so that the more components added to the alarm-only procedure, the better the therapeutic response. Thus, the combination of waking, positive practice and cleanliness training with the alarm and the combination of all three components with the alarm (i.e. the complete DBT programme) did result in a significant reduction in bedwetting frequency compared with the alarm-only procedure. The practical and theoretical implications of these results are discussed.  相似文献   

4.
Sixty nocturnally-enuretic children treated by Dry-Bed Training (DBT) and 35 children treated by standard conditioning were followed-up over a 2-yr period. Results showed that after achieving the initial success criterion of 14 consecutive dry nights, 39% of the DBT group and 41% of the standard-conditioning group relapsed during the follow-up period. Renewed bedwetting was arrested in 14 out of 15 cases re-treated by DBT and in all 10 cases re-treated by standard conditioning. Children who relapsed following initial treatment were compared with those who remained dry in respect of the child's age and sex, bedwetting frequency prior to treatment, the number of bedwets (and consequent conditioning trials) during treatments, a history of primary or secondary enuresis and a history of diurnal micturitional difficulty. Children who had a history of day-time wetting accidents beyond the age of 4 were found to be more likely to suffer a relapse in bedwetting following either DBT or standard conditioning. None of the other variables examined was found to be significantly associated with proneness to relapse.  相似文献   

5.
Dry-bed training: rapid elimination of childhood enuresis   总被引:3,自引:0,他引:3  
Enuresis has been treated with moderate effectiveness by the urine-alarm method which requires many weeks of training. The present procedure used a urine-alarm apparatus but added such features as training in inhibiting urination, positive reinforcement for correct urinations, training in rapid awakening, increased fluid intake, increased social motivation to be nonenuretic, self-correction of accidents, and practice in toileting. After one all-night training session, the 24 enuretic children averaged only two bedwettings before achieving fourteen consecutive dry nights and had no major relapses. Little or no reduction in bedwetting occurred within the first two weeks for matched-control enuretics who were given the standard urine-alarm training. The results of a control-procedure showed that the new procedure did not involve Pavlovian conditioning. The new method appears to be a more rapid, effective and different type of treatment for enuresis.  相似文献   

6.
Bedwetting has been a major and unsolved problem for the severely retarded. To solve this problem, an intensive training program was designed similar to a recently developed program for daytime toilet training of the retarded. Some distinctive features of the new procedure were frequent positive reinforcement for correct toileting, a negative reinforcer for accidents, positive practice in night time toileting, increased level of urination by forcing drinking, immediate detection of correct and incorrect toileting, and Positive Practice for accidents. Of twelve retarded adult bedwetters, the average bedwetter required only one night of intensive training. Several days of apparatus monitoring were used following the training but proved unnecessary for two-thirds of the trainees. Accidents were reduced by about 85 % during the first week after training, and almost entirely (95%) during the fifth week with no relapse during a 3 month follow-up. No reduction of accidents resulted when the same bedwetters were given a control procedure that provided no positive or negative reactions other than the sounding of an alarm upon bedwetting. The Dry-Bed procedure appears to be a very rapid solution to the problem of enuresis among the retarded and may be applicable to other difficult populations and also to normals.  相似文献   

7.
To illustrate how to deliver underutilized psychological treatments, a comprehensive, low-cost treatment for primary enuresis was developed consisting of bell-and-pad training, cleanliness training, retention control, and overlearning. Sixty primary enuretic children and their parents attended 1-hour group training sessions and implemented treatment in the home. Each case required 15 minutes of professional time, and net cost to each family was $50. Forty-eight (81%) achieved initial arrest of bedwetting and only 11 (24%) relapsed at 1-year follow-up. Significant association between relapse and prior treatment failure with imipramine was noted. The outcome was found to compare favorably with previous treatments that required more professional time.  相似文献   

8.
Twenty-two disturbed enuretic children were treated for their bedwetting with training procedures. Eighteen of 22 (81.8%) reached the initial success criterion in an average of 57.5 days. Ten of the 18 (55.6%) met the retraining criteria of relapse, and 9 of the relapses were successfully retrained, while I stopped wetting spontaneously. As compared to non-relapsed children, relapsed children had a significantly higher number of initial symptoms checked. The results indicate that a training approach is effective for the treatment of enuresis in disturbed children, but the more disturbed have a greater likelihood of relapse.  相似文献   

9.
Forty-five children with night wetting only (NW) and 30 children with day and night wetting (DNW) were randomly assigned to 2 treatment groups: alarm only and alarm preceded by 4 weeks of retention control training (R.C.T.). Fewer children became dry at night in the DNW group than the NW group and DNW children relapsed earlier following treatment. The enuresis alarm was far superior to R.C.T. in reducing night wetting in both enuretic groups. It also reduced day wetting in some of the DNW children. Children who became dry in the NW group did not show significant changes in functional bladder capacity. Although changes in functional bladder capacity were seen in the DNW children who became dry, changes were only noticeable once dryness had been achieved.  相似文献   

10.
Enuresis was investigated in the context of different styles of training for bladder control among three Israeli ethnic groups (Jews of Moroccan, Kurdish or Eastern European descent). Semistructured interviews were conducted in ethnically homogeneous agricultural villages with 46 mothers of 248 children between the ages of 3 and 18 years. In contrast to previous British and American studies, no sex differences were found, but there were higher rates of primary enuresis and lower rates of secondary (regressive) enuresis. Enuresis was correlated among siblings in the Kurdish group only and with disorderly sleeping arrangements in the Moroccan group. The Moroccan and Kurdish groups had higher rates of enuresis than the Ashkenazi group. The higher rates appear to be related to differences in the age of onset of training and a lack of age-appropriate changes in the parent-child interaction, which led to chronic enuresis and the inability to seek effective assistance. These results are discussed in terms of a proposed typology for training: an early symbiotic style, a strict toddler style, and a communicative partnership.  相似文献   

11.
The present study investigated the hypothesis that efficient oculomotor behaviours can be acquired through practice on a series of simple tasks and can be transferred subsequently to a complex visuomotor task, such as a video game. Each of two groups of subjects were exposed to a different set of simple tasks, or drills. One group, the efficient eye movement experimental group, received training designed to minimize eye movements and optimize scan path behaviours, whereas a second group of subjects, the inefficient eye movement experimental group, received training designed to increase the frequency of eye movements. Oculomotor training was interspersed with practice on the video game. Performance of these two experimental groups in the video game was compared to a control group playing the video game but receiving no specific training and matched for total time in the experiment. The group receiving efficient oculomotor training exhibited significantly superior performance in the video game and fewer foveations than either the inefficient or control groups, which did not differ from each other. Overall there was a significant inverse correlation between the number of foveations in the game and game score. The results of this study are discussed in terms of their implications for the importance of oculomotor training in the acquisition of any complex perceptual motor task.  相似文献   

12.
Study participants were fifty 5- to 13-year-old children (33 boys and 17 girls) with nocturnal enuresis of at least 3 months duration. All wet their beds at least twice per week, were of normal intelligence, and were without demonstrable organic cause for their enuresis. Each youngster's pretreatment maximum functional bladder capacity (MFBC) was used to classify the child as having small or large MFBC based on available norms. Youngsters were then randomly assigned to treatment with the urine alarm (UA) alone or with the urine alarm supplemented with retention control training (UA plus RCT). Of the 40 youngsters who completed treatment, 37 (92.5%) achieved the treatment goal of 14 consecutive dry nights. Two additional children became dry during follow-up, leaving only one child who failed to stop wetting. Sixteen children (41%) subsequently relapsed, but all who reentered treatment became dry. Because treatment outcome was uniformly excellent across all groups, treatment progress was evaluated by analyzing wetting frequency and arising at night to use the bathroom during treatment, as well as prechange and postchange in MFBC For both wetting frequency and arising at night, there was a significant interaction between bladder capacity and treatment. Small MFBC children treated with the UA plus RCT and large MFBC youngsters treated with the UA alone had the fewest wetting episodes and got up at night to use the bathroom less often; these youngsters took less time to be successfully treated. Prechanges and postchanges in MFBC indicated that RCT did not lead to consistent increases in bladder capacity in the sample studies. The 10 children who terminated treatment prematurely had lower self-esteem and more parent-reported conduct problems than the 40 children who completed treatment.  相似文献   

13.
The first aim of this study was to provide further evidence regarding the effects of short retention training (RCT) on the treatment of enuresis. A second aim was to examine the effectiveness of adding specific and differential contingencies for wet and dry beds (DCDWB) when children's bladder size had acquired the capacity of normals. Two enuretic boys, aged 11-12 years, participated in this study. An ABC design with 4 months follow-up was used. The RCT consisted of required drinking, practice in urine retention and exercises to increase control over actual urine flow. The DCDWB involved the addition of either a unique period of over correction or reinforcing consequences when having a wet or dry bed in the morning. Results with RCT alone replicated previous studies. RCT is an effective method for normalizing enuretic bladder capacity, but not sufficient for eliminating enuresis, entirely. However, enuresis was totally eliminated when specific and explicit contingencies were implemented. All the components were faded out. Three months after the last intervention, follow-up data were collected for a period of 1 month. No subject relapsed. The implications of these findings are discussed.  相似文献   

14.
Two teaching strategies, delayed-prompting (Touchette, 1971) and fading (Egeland, 1975), were compared for teaching the most easily confused letters and numbers to preschoolers. One group of children received training using delayed prompting with a fixed delay, a second group with a fading procedure; third served as the control group that received no training. A derived progress score on the training stimuli was calculated by subtracting errors on a pretest from errors on the post-test Analysis of these results indicated a significant difference between the delayed-prompting group and the control group only. The delayed-prompting group showed greater progress. During training, subjects in the fading group met criterion on an average of 4.33 stimuli and the subjects in the delayed-prompting group met criterion on an average of 3.23 stimuli. However, on a criterion test and a posttest given 1 week later, the fading group made significantly more errors than the delayed-prompting group.  相似文献   

15.
认知行为干预防治个体晕船发生的实验研究   总被引:2,自引:0,他引:2  
乐燕  刘晓虹 《心理科学》2007,30(2):305-307
从心理学角度探讨晕船防治的有效方法,以降低出海作业人员的晕船发生率。本研究对某部门出海作业人员进行了认知行为干预的实验对照研究,研究对象先在陆地模拟抗晕训练,后出海航行进行检验;两组陆地训练内容均有平衡功能适应性训练,实验组外加认知行为干预。研究采用Graybiel晕动病症状和体征的评分标准进行晕船反应评估。结果表明:海训中实验组的晕船发生率、Graybiel平均年导分及其等级均显著低于对照组(P〈0.05),初步显示:认知行为干预对晕船防治有一定效用,可作为综合防治晕船的辅助手段。  相似文献   

16.
In behavior change literature, little attention has been paid to the systematic study of variables affecting transfer of training. The present study employed a skill-training method known as Structured Learning Therapy (SLT) for the dual purpose of testing the effectiveness of this method and to identify variables that will promote transfer of training. Forty-three disruptive male adolescents were assigned to three experimental and two control conditions. One experimental group received SLT plus an additional transfer-enhancing procedure referred to as Transfer Programming (TP) which consisted of in vivo practice of treatment gains and peer reinforcement. Another group received only SLT, and a third group received only TP. One control group received only brief instructions pertaining to the nature of the skill, while the second group served as an attention control. Consistent with predictions, the results were that the two groups receiving the SLT performed significantly better than the three groups not receiving SLT on all dependent measures at posttest. These differences generally maintained at follow-up. Contrary to expectations, the implementation of TP did not prove to promote transfer of training beyond that found with SLT alone.  相似文献   

17.
The present study was undertaken to evaluate the practicability and efficacy of treating enuretic children in residential Children's Homes by means of the enuresis alarm. A control group design was employed with 19 and 20 subjects in the treatment and control groups respectively. Eighteen of the nineteen treatment group children achieved initial arrest of enuresis in a mean of 11.9 weeks of treatment (range 5–28 weeks). Over the initial 12-week period, the treatment group showed a statistically significant reduction in mean wetting frequency, both over time and in comparison with the control group. After a follow-up period of at least 20 months. 17 of the 19 children were known to be dry. The results of an independent evaluation are reported, and it is concluded that alarm treatment is as effective and practicable in Children's Homes as it is in family situations.  相似文献   

18.
Two children, a boy aged six and a girl aged five-and-one half, were treated for diurnal enuresis. The boy was also treated for bedwetting and the girl for encopresis. The treatment program was conducted by the children's parents and featured daily, weekly, and monthly rewards, a feedback "star chart" and nonexclusionary timeout for accidents. The girl's daytime wetting and soiling were treated simultaneously with soiling being eliminated first. After the boy's daytime wetting had been eliminated, he was given dry-bed training (Azrin, Sneed, & Foxx, 1974) with equal success. Long term follow-ups revealed that all forms of toileting accidents had been eliminated.  相似文献   

19.
The present experiment sought to provide unequivocal evidence of instrumental learning under omission training. Hungry rats received free food reinforcement while spontaneously running in a wheel. For an omission group, running postponed or cancelled reinforcers in the presence of a discriminative stimulus (SD) requiring subjects to reduce responding to earn food. Background food presentations were then yoked to reinforcement delivered in the presence of the discriminative stimulus. For a control group, which received the same stimulus presentations, reinforcement delivery was yoked to the experimental group at all times. The procedure allowed both within- and between-subject comparisons between omission and response-independent schedules. The response-reinforcer delay under the omission contingency was adjusted so as to equate reinforcement frequency in the presence and absence of the SD. As the SD was not correlated differentially with reinforcement and the running response did not involve approach or withdrawal to the site of food delivery, the successful discrimination performance observed in this experiment cannot be accounted for by appeal to implicit classical conditioning. Instead, it is suggested that decreased running in the presence of the discriminative stimulus was based on the animals' veridical representation of the negative contingency between the response and reinforcement.  相似文献   

20.
Auditory intensity in the conditioning treatment of enuresis nocturna was examined in a study by Young and Morgan (1973a). In their study of three alarm intensities, no significant differences either in terms of treatment efficacy or of subsequent relapse were found. For both theoretical and practical reasons, the finding of no differences in treatment parameters as a function of varying alarm intensities is puzzling. In learning theory terms, a very intense UCS (bell or buzzer) would be expected to lead to more rapid acquisition of dryness (conditioned response) than a less intense UCS. Learning theory notwithstanding, the depth of somnolence of the enuretic child is legend. Not only are testimonials from parents regarding difficulty in arousal of their bedwetting child commonly elicited, but the literature on causes and treatment of bedwetting is replete with evidence of a deep-sleep enuresis syndrome (Bostock, 1962). It has been demonstrated by Finley (1971) and Di Perri and Meduri (1972) that the arousal threshold of enuretic children is abnormally high compared to nonenuretic children. The failure of the enuretic to awaken to the presentation of a bell (UCS) is frequently cited as responsible for unsuccessful bell-and-pad conditioning (Browning, 1967). Young and Morgan (1973b) in their study on rapidity of response to the conditioning treatment for enuresis found that one treatment problem most significantly related to slow responders was failure of the alarm stimulus to awaken the child. For those unfamiliar with the literature, the Young and Morgan (1973b) finding appears particularly surprising when one considers that they employed as their alarm UCS “...a powerful auditory stimulus...” (p. 490).Because of these important theoretical as well as practical concerns, an attempt was made to examine the effect of two auditory intensities on treatment and relapse parameters in the conditioning of enuresis nocturna.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号