ABSTRACT
Nine enuretic adults who had been successfully treated by a minimal contact Dry Bed Training (DBT) were followed-up after 3, 5, and 6 years. During the follow-up period there has been substantial relapse: 5 out of 9 remaining continent throughout the whole period but 4 relapsing. However after 6 yr eight of them were continent: be it after pharmacological therapy (n = 1), after a booster training (n = 1). As most of the Ss were primary enuretics it is concluded that minimal intervention DBT is a significant contribution to the cure of nocturnal enuresis in adults.
Subject(s)
Behavior Therapy/methods , Enuresis/therapy , Adult , Enuresis/psychology , Female , Follow-Up Studies , Humans , Male , Recurrence , Treatment OutcomeABSTRACT
Results 2 1/2 years after an enuresis nocturna training are presented, including rate of success, percentage and duration of relapse for 113 children (mean age 11.6 year at the start of the training). The bibliotherapeutic treatment by parents did not require any intervention by a professional. Behaviour of parents in the event of a relapse differed between training conditions. Children in the Arousal condition recovered faster from a relapse, 90% of their parents used the Arousal training again at relapse or did not intervene at all and none of them consulted a professional. Clearly they had confidence in the method of Arousal training: combining the alarm device with reinforcement for correct behaviour at the time the alarm goes off. Parents in control conditions did not use the alarm device as often as the parents in the Arousal condition, but tried other means with less success, including consulting professionals.
Subject(s)
Behavior Therapy/methods , Bibliotherapy , Enuresis/therapy , Parent-Child Relations , Animals , Arousal , Child , Enuresis/psychology , Female , Follow-Up Studies , Humans , Male , Mice , Parenting/psychology , Personality Assessment , RecurrenceABSTRACT
Arousal Training is a fast, simple, and effective form of bibliotherapy for nocturnal enuresis with non-clinical children between 6 and 12 years of age. The parents act as therapists. They reward the operant behavior-pattern following the urine alarm. The success rate is 98% (N = 41), which is significantly high when compared to the control conditions (79%, N = 86). There was a response rate of 100% and no drop-out from therapy. All parents (N = 127) completed and returned the record. The results of a follow-up of this bibliotherapy (N = 113) 2 1/2 years later are presented. The success rate of Arousal Training was still significantly higher (92% continent) when compared to the urine device with specific instructions (77%) and urine alarm only (72%). Arousal Training is the treatment of choice for non-clinical enuretic children between 6 and 12 years of age.
Subject(s)
Arousal/physiology , Bibliotherapy , Enuresis/therapy , Adolescent , Behavior Therapy , Child , Conditioning, Operant , Female , Follow-Up Studies , Humans , Male , RecurrenceABSTRACT
Nine enuretic adults were successfully treated by the Dry Bed Training in a fairly short time (means = 15 weeks) including the retraining period for 3 Ss who relapsed after the therapy. There were no differences between primary and secondary (nocturnal) enuretics. The few relapses were neutralized by a short retraining. The study shows that this minimal intervention treatment is effective and efficient.
