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11–14 APRIL, 2018, HELSINKI, FINLAND
10:30–10:40
S1-6 (LO)
STUDY OF ENURESIS IN CHILDREN WITH CLINICALLY
SIGNIFICANT EMOTIONAL AND BEHAVIORAL PROBLEMS
Yoonhye JI
1
, Sanghee SHIN
1
, Ju Hee CHON
2
, Sang Woon KIM
2
, Young Seung
LEE
2
and Sang Won HAN
2
1) Severance Children's Hospital, Yonsei University, Pediatric Bladder-Urethral Rehabilitation Clinic(Department
of Pediatric Urology), Seoul, REPUBLIC OF KOREA - 2) Severance Children's Hospital, Yonsei University, Department
of Pediatric Urology, Seoul, REPUBLIC OF KOREA
PURPOSE
Previously, we concluded that incidences of internalizing, externalizing, and physical problems are
high in the enuresis group than comparison group (non-enuresis). Specific purpose of this study is
to research characteristics of enuresis in children with confirmed clinically significant emotional and
behavioral problems.
MATERIAL AND METHODS
We retrospectively analyzed the cases of 279 children with nocturnal enuresis. We assessed their
symptoms, emotional and behavior problems using a self-administered questionnaire including
CPSQ (Child Problem-behavior Screening Questionnaire). As a comparison, we used a CPSQ
result of 681 children (who are not diagnosed with enuresis) collected and analyzed by Jin[i].
[i]Jin HS, Journal of emotional & behavioral disabilities, 2013;12:89–119
RESULTS
We named the group of children who exceed the cut-off line of the CPSQ (>13) as ‘clinical group’.
Incidence of clinical group is statistically high in the enuresis group (26.2 %:11.6 %,p=0.000). And
when we compared each clinical groups of enuresis and comparison group, the clinical group of en-
uresis group showed significantly higher response rates and higher scores in the physical problems
(Urine/fecal problems, Not eat well and Tic) and the clinical group of the comparison group showed
significantly higher response rates and higher scores in the internalizing problems (Anxiety, Lack of
socializing and Letharic). When we classified enuresis group according to its characteristics,nMNE
group showed a higher incidence of clinical problem than MNE group (p=0.003).
Enuresis(n=73)
Comparison(n=79)
p-value
physical health problem
number of response(%)
obese
56(76.7 %)
47(59.5 %)
0.023
fanting
1(1.4 %)
3(3.8 %)
0.350
voiding/defecation
57(78.1 %)
3(3.8 %)
0.000
sick often
36(49.3)
39(38)
0.159
not eat well
38(49.3 %)
23(29.1 %)
0.004
CONCLUSIONS
Incidence of clinically significant emotional and behavioral problems is statistically high in the enu-
resis group especially when they have daytime symptoms, and enuresis group with clinical problem
tends to show physical symptoms besides urine/fecal problem when the comparison group with
same problem tends to show internalizing symptoms.