The response of day and night wetting children and children who wet only at night to retention control training and the enuresis alarm

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.     

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Volume Contents

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An analysis of the behaviour of day- and night-wetting children: Towards a model of micturition control

Recent research has suggested that features of daytime bladder control are of importance in predicting the treatment response of nocturnal enuretics to the enuresis alarm. This paper suggests that a detailed analysis of daytime toileting behaviour should be carried out. A study is described where 22 children with day and night wetting and 22 matched normal controls were observed after they had consumed a considerable amount of fluid. The limb movements and postures were reliably rated by two observers and wetting events and visits to the toilet were recorded. Various deficits in bladder control were shown by the enuretic children. A working model of daytime bladder control is described which draws attention to significant components which may be disturbed in abnormal bladder control. The models implies that treatment regimes should be based upon a behavioural analysis of the particular dysfunction shown by the enuretic child.     

Motivation, attitudes and experience of donation: a follow-up of women donating eggs in assisted conception treatment

This paper reports a follow-up of 39 women who had donated eggs to an assisted conception unit. Their experience of donation and their motivation and attitudes were assessed. Comparisons were made with a group of semen donors who were attending a second unit. Female and male donors donated for altruistic reasons and neither group wished to have contact with recipients or donor offspring or have their identity revealed. Female donors were more involved in the donation process and more interested in the outcome of donation. They also appeared to be more motivated by 'helping' than male donors. The sample of female donors contained a small group of women who were donating to sisters and friends. In comparison with anonymous donors, these women reported more effects upon the family and issues of secrecy and openness were more apparent. The results are discussed in the light of previous studies and the legal framework for donation in the UK. Attention is drawn to the lack of social psychological analyses in this controversial medical area.     

An interview with a child to assess psychiatric disturbance: A note on its reliability and validity

Forty-six children with enuresis were given a psychiatric interview. The two writers made independent ratings of 10 behavioral variables. Seven of these showed satisfactory interrater reliability. No relationship was established between child psychiatric disturbance assessed in this way and estimates of disorder obtained from information given by mothers and teachers.Professor Max Hamilton, Department of Psychiatry, University of Leeds, kindly provided computing facilities. The work was supported by a grant from the Yorkshire Regional Health Authority.