| Full text | |
| Author(s): |
Guilherme Jorge Sousa e Silva
[1]
;
Simone Nascimento Fagundes Sammour
[2]
;
Alexandre Archanjo Ferraro
[3]
;
Vera Hermina Kalika Koch
[4]
Total Authors: 4
|
| Affiliation: | [1] Universidade de São Paulo. Faculdade de Medicina - Brasil
[2] Universidade de São Paulo. Faculdade de Medicina. Departamento de Pediatria - Brasil
[3] Universidade de São Paulo. Faculdade de Medicina - Brasil
[4] Universidade de São Paulo. Faculdade de Medicina. Departamento de Pediatria - Brasil
Total Affiliations: 4
|
| Document type: | Journal article |
| Source: | Jornal de Pediatria; v. 95, n. 2, p. 188-193, 2019-04-11. |
| Abstract | |
Abstract Objective: To evaluate and correlate, before and after the therapeutic intervention, the behavioral problem scores evaluated by the CBCL/6-18 questionnaire and the quality of life indexes evaluated by the PedsQL™ 4.0 in patients with monosymptomatic nocturnal enuresis. Method: After the initial evaluation and completion of the CBCL/6-18 questionnaire, a multidisciplinary evaluation and completion of the PedsQL™ 4.0 questionnaire was performed. Of the initially evaluated 140 children and adolescents aged 6-16 years, 58 were excluded due to non-monosymptomatic enuresis or associated comorbidities. Of the initially included 82 patients, who were randomized to three treatment groups, 59 completed the CBCL/6-18 and PedsQL™ 4.0 questionnaires at the end of the treatment and were included in this study. The α error was set at 5% for ruling out the null hypothesis. Results: Of the total of 59 participants, 45.8% responded with total success, 23.7% were partially successful, 23.7% did not reach the improvement criteria, and 6.8% gave up the treatment. There was a significant increase in quality of life indexes and a reduction of post-intervention behavioral problem scores, in the three proposed modalities, in patients who had a total or partial response to treatment. There was no correlation between higher scores of pre-treatment behavior problems and therapeutic failure. Conclusions: Only the participants who successfully responded to interventions showed improvement in quality of life and behavioral problems, which indicates that enuresis is a primary problem that has a negative impact on these parameters. The authors suggest that it is possible to achieve success in the treatment of monosymptomatic enuresis, even in patients with high pre-intervention behavioral problem scores. (AU) | |
| FAPESP's process: | 11/17589-1 - Pediastric monosymptomatic nocturnal eEuresis: transdisciplinary evaluation and study of intervention-related changes in polysomnography |
| Grantee: | Vera Hermina Kalika Koch |
| Support Opportunities: | Regular Research Grants |