title: Evaluation of a cure process during alarm treatment for nocturnal enuresis.
abstract: Using a treatment package featuring the urine alarm, this study evaluated a treatment process for nocturnal enuresis. Children who received the training were classified into treatment successes (N = 38) and nonsuccesses (N = 19) according to a criterion (3-week continence). Their daily results were analyzed with four categories: dry with sleep (DS), dry with spontaneous awakening (DA), wet with spontaneous or alarm-forced awakening (WA), and wet with sleep (WS). In a trend analysis, an increase of DA over the treatment process was prominent for successes compared to nonsuccesses. Entering WA to a discriminant analysis, 86% of children were correctly classified into the two groups. The findings that awakening categories well distinguished successes from nonsuccesses provide support for an active avoidance model explaining the efficacy of urine-alarm treatment for nocturnal enuresis.
authors.affiliation: Center for the Research and Support of Educational Practice, Tokyo Gakugei University, Japan. kazunari@u-gakugei.ac.jp
authors.forename: Kazunari
authors.initials: K
authors.lastname: Ikeda
authors.forename: Aito
authors.initials: A
authors.lastname: Koga
authors.forename: Satoru
authors.initials: S
authors.lastname: Minami
mesh_terms: D002648:Child; D003216:Conditioning, Operant; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D053206:Nocturnal Enuresis / Q000517:prevention & control* / Q000652:urine*; D014851:Wakefulness