The three systems: a conceptual way of understanding nocturnal enuresis

被引:80
作者
Butler, RJ
Holland, P
机构
[1] Leeds Community & Mental Hlth Trust, Dept Clin Psychol, Leeds, W Yorkshire, England
[2] Leeds Acute Hosp Trust, Dept Paediat, Leeds, W Yorkshire, England
来源
SCANDINAVIAN JOURNAL OF UROLOGY AND NEPHROLOGY | 2000年 / 34卷 / 04期
关键词
nocturnal enuresis; three systems model; vasopressin; bladder instability; arousability; treatment;
D O I
10.1080/003655900750042022
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Childhood nocturnal enuresis has traditionally been regarded as a multifaceted problem with a variety of treatment interventions. This paper proposes a model based on the notion that nocturnal enuresis arises through the ill functioning of one or more of the following three systems - a tack of vasopressin release during sleep; bladder instability; and/or an inability to arouse from sleep to bladder sensations. Clinical signs of each system are outlined and the appropriate treatment intervention for each is discussed, it is argued that addressing nocturnal enuresis in this way will enhance overall treatment effectiveness.
引用
收藏
页码:270 / 277
页数:8
相关论文
共 86 条
[1]   DRY-BED TRAINING - RAPID ELIMINATION OF CHILDHOOD ENURESIS [J].
AZRIN, NH ;
SNEED, TJ ;
FOXX, RM .
BEHAVIOUR RESEARCH AND THERAPY, 1974, 12 (03) :147-156
[2]   A COMPONENT ANALYSIS OF DRY-BED TRAINING FOR TREATMENT FOR BEDWETTING [J].
BOLLARD, J ;
NETTELBECK, T .
BEHAVIOUR RESEARCH AND THERAPY, 1982, 20 (04) :383-390
[3]   The epidemiology of childhood enuresis in Australia [J].
Bower, WF ;
Moore, KH ;
Shepherd, RB ;
Adams, RD .
BRITISH JOURNAL OF UROLOGY, 1996, 78 (04) :602-606
[4]   The effectiveness of desmopressin in the treatment of childhood nocturnal enuresis: predicting response using pretreatment variables [J].
Butler, R ;
Holland, P ;
Devitt, H ;
Hiley, E ;
Roberts, G ;
Redfern, E .
BRITISH JOURNAL OF UROLOGY, 1998, 81 :29-36
[5]  
BUTLER RJ, 1988, J CHILD PSYCHOL PSYC, V29, P501
[6]   THE CHILDS CONSTRUING OF NOCTURNAL ENURESIS - A METHOD OF INQUIRY AND PREDICTION OF OUTCOME [J].
BUTLER, RJ ;
REDFERN, EJ ;
FORSYTHE, WI .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, 1990, 31 (03) :447-454
[7]   Night wetting in children: Psychological aspects [J].
Butler, RJ .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 1998, 39 (04) :453-463
[8]  
BUTLER RJ, 1994, SCAND J UROL NEPHROL, P39
[9]   ESTABLISHING A DRY RUN - A CASE-STUDY IN SECURING BLADDER CONTROL [J].
BUTLER, RJ .
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 1993, 32 :215-217
[10]   THE MATERNAL TOLERANCE SCALE AND NOCTURNAL ENURESIS [J].
BUTLER, RJ ;
REDFERN, EJ ;
FORSYTHE, I .
BEHAVIOUR RESEARCH AND THERAPY, 1993, 31 (04) :433-436