Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
State University of Feira de Santana, Feira de Santana, Bahia, Brazil.
J Urol. 2021 Feb;205(2):570-576. doi: 10.1097/JU.0000000000001351. Epub 2020 Sep 14.
This study aims to evaluate the impact of psychological intervention with parents of children with enuresis on treatment outcome.
A total of 66 children with enuresis were randomized into 2 groups. All children received urotherapy orientation and psychological counseling. Psychological intervention was performed with parents in the experimental group and not in the control group. All parents answered a questionnaire to evaluate violence against their children (Parent-Child Conflict Tactics Scale) and the Tolerance Scale. The Child Behavior Checklist was applied to evaluate behavior problems. Children responded to the Impact Scale and the Children and Youth Self-Concept Scale. Treatment results were assessed with a 14-day wet night diary.
Mean age and gender were similar in both groups. Parent-Child Conflict Tactics Scale showed less violence after the treatment in the experimental group (p=0.007). The Tolerance Scale indicated that parents of children with enuresis were intolerant and that, after treatment, intolerance had a greater decrease in the experimental group (p <0.001). The Impact Scale showed that children suffer some impact from enuresis, and that in those in the experimental group this impact was smaller after treatment (p=0.008). No differences were seen in the Child Behavior Checklist or Children and Youth Self-Concept Scale after intervention. After treatment the percentage of dry nights had a greater improvement in the experimental group (52%, range 30% to 91%) than in the control group (10%, range 3% to 22.5%; p <0.001). Children in the experimental group had a 6.75 times greater chance of having a complete response to treatment.
Psychological intervention with parents of children with enuresis during their treatment improved the percentage of dry nights and the impact of enuresis, while their parents started coping better with the problem and became more tolerant, reducing punishment toward their children.
本研究旨在评估对遗尿症患儿家长进行心理干预对治疗效果的影响。
将 66 例遗尿症患儿随机分为 2 组。所有患儿均接受尿动力学定向和心理辅导。实验组的父母接受心理干预，对照组的父母则不接受。所有父母均回答了一份问卷，以评估他们对孩子的暴力行为（父母-子女冲突策略量表）和容忍度（容忍量表）。应用儿童行为检查表评估行为问题。儿童则对影响量表和儿童青少年自我概念量表做出反应。采用 14 天湿夜日记评估治疗结果。
两组患儿的平均年龄和性别相似。实验组治疗后父母-子女冲突策略量表显示暴力行为减少（p=0.007）。容忍量表显示遗尿症患儿的父母不能容忍，治疗后实验组的容忍度下降幅度更大（p<0.001）。影响量表显示遗尿症对儿童有一定影响，治疗后实验组的影响较小（p=0.008）。干预后，儿童行为检查表或儿童青少年自我概念量表未见差异。治疗后实验组夜间干爽的比例改善幅度更大（52%，范围 30%至 91%），对照组为 10%（范围 3%至 22.5%；p<0.001）。实验组儿童完全缓解治疗的可能性增加了 6.75 倍。
在治疗期间对遗尿症患儿的家长进行心理干预，可提高夜间干爽的比例和遗尿症的影响，同时他们的父母能更好地应对问题，变得更宽容，减少对孩子的惩罚。
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