A Prospective Study to Explore the Association Between Psychogenic Causes and Nocturnal Enuresis in Paediatric Age Group, Using Perceived Stress Scale - Children

Abstract

Nocturnal enuresis is diagnosed when there is bedwetting after 5 years of age or anytime after 1 year of attaining nocturnal bladder control. It's a regressive behaviour. Regressive behaviours are a psychological defence mechanism in individuals going through trauma or stressful life situations. The purpose of this study is to establish the cause-effect relationship between psychogenic stress and nocturnal enuresis. Methods: 40 patients of both sexes, between 6-18 years of age were chosen, screened for nocturnal enuresis through the Nocturnal enuresis parent questionnaire and then the children were asked to fill Perceived Stress Scale - Children(PSS-C) and severity of stress was assessed in all the children, with and without enuresis. Result: 14 of the 40 cases, i.e., 35% with nocturnal enuresis also had a psychogenic stress factor. 17.5% had psychogenic stress factors but didn’t have nocturnal enuresis. 15% with enuresis didn't have any stress factors. Conclusion: This study proves that psychogenic causes play a major role in nocturnal enuresis and other regressive behaviour. Keywords: Nocturnal Enuresis, Stress, Regressive behaviour, Pediatrics, Homoeopathy, Psychology