Investigating the three systems approach to complex childhood nocturnal enuresis--medical treatment interventions

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Source:
    Scandinavian journal of urology and nephrology 2004 38 2, 117 (117-121)
  • Additional Information
    • Author(s):
      Butler RJ, Robinson JC, Holland P, Doherty-Williams D
    • Contact Information:
      Child & Adolescent Mental Health Service, East Leeds Primary Care Trust, UK. richard.butler@leedsmh.nhs.uk
    • Review Group(s):
      Cochrane Developmental, Psychosocial and Learning Problems Group Trials in the Group's Specialized Register
      Cochrane Child Health Field Trials in the Group's Specialized Register
    • Language:
      English
    • Publication Type:
      Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't
    • Record Status:
      This record is updated this issue.
    • Abstract:
      OBJECTIVE: Nocturnal enuresis is a heterogeneous condition with various treatment options of both pharmacological and psychological origin. The three systems model previously proposed by us suggests a framework to facilitate understanding, identify a child's needs and specify the appropriate treatment option. In this study we sought to investigate the model in clinical practice in a group of children with severe nocturnal enuresis, with particular reference to pharmacological treatment.MATERIAL AND METHODS: A total of 66 children were assessed using a schedule for identifying mono- and non-monosymptomatic nocturnal enuresis, and were administered either desmopressin (0.4 mg) or anticholinergic medication (5-10 mg), respectively. Children were assessed at 4 weeks, with those failing to meet the success criterion being offered combination treatment for a further 4 weeks.RESULTS: Success rates for monotherapy were 49% and 33% for desmopressin and anticholinergic medication, respectively, with an overall success rate of 74.5%, including those who went on to combination treatment. Good clinical signs were identified for those successfully treated with anticholinergic medication.CONCLUSIONS: This study endorses the three systems approach in clinical practice.
    • Medical Subject Headings (MeSH):
      Child
      Female
      Humans
      Male
      Adolescent
      Drug Therapy, Combination
      Enuresis/psychology
      Renal Agents/administration & dosage
      Treatment Outcome
      Cholinergic Antagonists/*administration & dosage
      Deamino Arginine Vasopressin/*administration & dosage
      Enuresis/*drug therapy
    • Source:
      This document should be cited as: Butler RJ Robinson JC Holland P Doherty-Williams D. Investigating the three systems approach to complex childhood nocturnal enuresis--medical treatment interventions 2004 (The Cochrane Controlled Trials Register (CCTR/CENTRAL). DOI: 10.1080/00365590410025371. Oxford: Update Software. Updated quarterly.
    • Accession Number:
      CN-00482621
  • Citations
    • ABNT:
      BUTLER RJ et al. Investigating the three systems approach to complex childhood nocturnal enuresis--medical treatment interventions. Scandinavian journal of urology and nephrology, [s. l.], v. 38, n. 2, p. 117–121, 2004. DOI 10.1080/00365590410025371. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-00482621. Acesso em: 30 set. 2020.
    • AMA:
      Butler RJ, Robinson JC, Holland P, Doherty-Williams D. Investigating the three systems approach to complex childhood nocturnal enuresis--medical treatment interventions. Scandinavian journal of urology and nephrology. 2004;38(2):117-121. doi:10.1080/00365590410025371
    • APA:
      Butler RJ, Robinson JC, Holland P, & Doherty-Williams D. (2004). Investigating the three systems approach to complex childhood nocturnal enuresis--medical treatment interventions. Scandinavian Journal of Urology and Nephrology, 38(2), 117–121. https://doi.org/10.1080/00365590410025371
    • Chicago/Turabian: Author-Date:
      Butler RJ, Robinson JC, Holland P, and Doherty-Williams D. 2004. “Investigating the Three Systems Approach to Complex Childhood Nocturnal Enuresis--Medical Treatment Interventions.” Scandinavian Journal of Urology and Nephrology 38 (2): 117–21. doi:10.1080/00365590410025371.
    • Harvard:
      Butler RJ et al. (2004) ‘Investigating the three systems approach to complex childhood nocturnal enuresis--medical treatment interventions’, Scandinavian journal of urology and nephrology, 38(2), pp. 117–121. doi: 10.1080/00365590410025371.
    • Harvard: Australian:
      Butler RJ, Robinson JC, Holland P & Doherty-Williams D 2004, ‘Investigating the three systems approach to complex childhood nocturnal enuresis--medical treatment interventions’, Scandinavian journal of urology and nephrology, vol. 38, no. 2, pp. 117–121, viewed 30 September 2020, .
    • MLA:
      Butler RJ, et al. “Investigating the Three Systems Approach to Complex Childhood Nocturnal Enuresis--Medical Treatment Interventions.” Scandinavian Journal of Urology and Nephrology, vol. 38, no. 2, Jan. 2004, pp. 117–121. EBSCOhost, doi:10.1080/00365590410025371.
    • Chicago/Turabian: Humanities:
      Butler RJ, Robinson JC, Holland P, and Doherty-Williams D. “Investigating the Three Systems Approach to Complex Childhood Nocturnal Enuresis--Medical Treatment Interventions.” Scandinavian Journal of Urology and Nephrology 38, no. 2 (January 1, 2004): 117–21. doi:10.1080/00365590410025371.
    • Vancouver/ICMJE:
      Butler RJ, Robinson JC, Holland P, Doherty-Williams D. Investigating the three systems approach to complex childhood nocturnal enuresis--medical treatment interventions. Scandinavian journal of urology and nephrology [Internet]. 2004 Jan 1 [cited 2020 Sep 30];38(2):117–21. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-00482621