Biomedical subjects

Piet Hoebeke

Publications and source records attributed to Piet Hoebeke.

21 records · Page 2Linked to original sources

PubMed2004

Attention deficit/hyperactivity disorder in children with nocturnal enuresis.

PURPOSE: Although the relationship between enuresis and psychopathology has been studied intensively, little is known about the prevalence of specific psychiatric disorders. We investigate the prevalence of attention deficit/hyperactivity disorder (ADHD) in children with nocturnal enuresis and correlate these data with clinical subtypes of enuresis/incontinence. MATERIALS AND METHODS: A total of 120 children with nocturnal enuresis 6 to 12 years old participated in a prevalence study. A diagnostic interview was conducted with parents, questionnaires were completed by parents and teachers, and medical files were consulted. RESULTS: Of all enuretic children 15% were diagnosed with the full syndrome of ADHD and 22.5% met the criteria of the ADHD inattentive subtype. Data revealed that the older the children (9 to 12 years), the higher prevalence of attention deficit disorder or ADHD. Nocturnal polyuria had a significantly higher incidence in hyperactive/impulsive children but there was no significant difference in bladder function between enuretic children with or without a comorbid diagnosis of ADHD. CONCLUSIONS: The prevalence of attention deficit disorder or ADHD in nocturnal enuresis is significantly increased, especially in older children. The incidence of nocturnal polyuria is slightly increased in children who meet at least the criteria of ADHD hyperactive/impulsive subtype. No other associations between enuresis and ADHD were found.

Attention Deficit Disorder with Hyperactivity↗

PubMed2004

An assessment of internalizing problems in children with enuresis.

PURPOSE: We examine the internalizing problems (anxiety and depression) and self-esteem among 9 to 12-year old children with enuresis to determine whether enuretic children are more in the clinical range, and to study the correlation between child and parent report questionnaires. MATERIALS AND METHODS: A total of 84 children with daytime and/or nighttime wetting were compared to 70 without enuresis using 5 psychometric instruments adjusted for gender and type of enuresis. Differences in mean scores, percentages of children beyond the clinical range, and correlations between child and parent report questionnaires were evaluated. RESULTS: Parental report revealed more internalizing problems ("withdrawn" and "anxious/ depressive") for children with enuresis compared to controls. A higher percentage of the study group were in the clinical range of the "total problem" scale of the Child Behavior Checklist. Child report inventories yielded no differences between groups. Moderate agreement was found between child and parent report. CONCLUSIONS: There is no evidence of internalizing problems (anxiety/depression) and low self-esteem in the self-report of enuretic children. In contrast parents rate enuretic children as having more internalizing problems. Different explanations for this contradictory data are offered. Further research is necessary to explain why parents report psychological symptoms in children with enuresis.

Anxiety↗

PubMed2003

Socioeconomic status as a common factor underlying the association between enuresis and psychopathology.

The association between enuresis and psychopathology (e.g., attention-deficit hyperactivity disorder) has been well studied. However, past research failed to adjust this relationship for the influence of sociodemographic variables underlying both problems. This study, using the Child Behavior Checklist and the Disruptive Behavior Disorder Rating Scale, compares 154 enuretic children with a control group of 153 children who had urinary control. The results reveal that enuretic children show significantly higher scores on both questionnaires. However, when sociodemographic variables are entered in the analysis, group differences disappear, and social class category, as a measure of socioeconomic status (SES), becomes a significant factor in explaining the variance in problem scores. Although children with enuresis have more internalizing, externalizing, and hyperactive/impulsive symptoms than continent children, when the analysis is performed controlling for SES, this relationship is no longer present.

Age Factors↗