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Adhd and bedwetting

Kazuhiro Tajima-Pozo, Gonzalo Ruiz-Manrique, Francisco Montañes
We report the case of a 6-year-old patient diagnosed with attention-deficit hyperactivity disorder (ADHD) and comorbid enuresis disorder, who was treated with methylphenidate for the past 3 months and a novel behavioural modification therapy by using an application called 'Enuresis Trainer'. This therapeutic application is basically an interactive 'Bedwetting Calendar', based on traditional cognitive behavioural modification therapies and positive reinforcement systems. Enuresis is defined as the failure of voluntary control of the urethral sphincter...
2014: BMJ Case Reports
Ana Allen Gomes, Carla Parchão, Anabela Almeida, Vanda Clemente, Maria Helena Pinto de Azevedo
This study aimed primarily to compare the parent-reported sleep of children with ICD-10 hyperkinetic disorder (HKD) versus community children. Thirty children aged 5-13 years (83.3% boys) diagnosed with HKD by their child and adolescent psychiatrists took part in this study, plus 30 community children, matched for sex, age, and school year. Compared to the controls, the HKD children showed significantly later bedtimes, stronger bedtime resistance, longer sleep latency, shorter sleep; more frequent behaviors and symptoms concerning falling asleep into parents bed, needing something special to initiate sleep, nightmares, sleep talking, sleep bruxism, fear from darkness, bedwetting, and, most notably, loud snoring (26...
October 2014: Child Psychiatry and Human Development
Dieter Baeyens, Herbert Roeyers, Sofie Van Erdeghem, Piet Hoebeke, Johan Vande Walle
PURPOSE: The prevalence of attention deficit-hyperactivity disorder was increased in a predominantly nonmonosymptomatic nocturnal enuresis population reported on previously. At 2 years after onset of treatment for enuresis attention deficit-hyperactivity disorder seemed to be a risk factor for continuing enuresis. In the current 4-year followup study we sought to determine whether the original attention deficit-hyperactivity disorder diagnosis could be reconfirmed, thereby reflecting the presence of a psychiatric syndrome rather than a coping behavior to deal with the negative consequences of enuresis...
December 2007: Journal of Urology
Susan Shur-Fen Gau, Gau Susan Shur-Fen
This study investigated the 6-month prevalence rates of sleep-related problems and their association with daytime inadvertent napping, inattention, hyperactivity/impulsivity, and oppositional symptoms in children and adolescents. A representative school-based sample of 2463 first to ninth graders was recruited using a multistage sampling method. The instruments included the Sleep Habits Questionnaire (including dyssomnia, parasomnia, sleep schedules, and sleep-disordered breathing), the Chinese Health Questionnaire, and the Chinese versions of the Conners' Parent and Teacher Rating Scales-Revised: Short forms...
December 2006: Journal of Sleep Research
Paz Toren, Sharon Ratner, Nathaniel Laor, Dana Lerer-Amisar, Abraham Weizman
UNLABELLED: Reboxetine is a selective norepinephrine reuptake inhibitor. OBJECTIVES: To evaluate the antienuretic effect of reboxetine in children with attention deficit and mood disorders. METHODS: Six children aged 12-15 years with primary nocturnal enuresis and with attention deficit/hyperactivity disorder with or without other comorbid disorders were treated with reboxetine (4-8 mg/day). Monitoring of enuretic frequency was recorded at baseline and once a week for 6 weeks...
2005: Neuropsychobiology
H Smedje, J E Broman, J Hetta
Parents' reports on 1844 five to seven year olds from the general population were used to provide a detailed update about prevalence and correlates of sleep disturbances in children. Five different sleep disturbances were focused on: difficulty falling asleep, reported in 5.6% of the children; night waking in 15.5%; snoring in 7.7%; nightmares in 3.1%, and bedwetting in 5.3% of the children. Coexisting sleep disturbances were frequent in children with difficulties falling asleep, night waking and nightmares, but bedwetting usually emerged as a singular sleep disturbance...
August 1999: Acta Paediatrica
J M Rey, K D Bird, V R Hensley
OBJECTIVE: To ascertain whether nocturnal enuresis in adolescents is associated with depression, hyperactivity, oppositionality, conduct and peer problems. METHODOLOGY: This was investigated cross-sectionally in adolescents aged 12-16 years from a community sample (n = 528) and a clinically referred cohort (n = 2325) using parents' reports. RESULTS: Referred adolescents were 7 times more likely to wet the bed than their community counterparts...
December 1995: Journal of Paediatrics and Child Health
R G Barr
To summarize, it has been argued that: 1. The assessment of complaints about crying and colic present particular diagnostic problems. 2. The crying brought as a complaint seldom indicates disease. 3. Once clinical disease has been ruled out, the clinical meanings of normality and abnormality no longer apply. 4. At that point, one should not try to determine a "cut-off" point for abnormal crying, because (a) it is unhelpful clinically, (b) it is wrong in principle, and (c) it is not likely that any specific amount of crying is normal or abnormal, independent of context...
August 1993: Journal of Developmental and Behavioral Pediatrics: JDBP
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