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Treating enuresis in a patient with ADHD: application of a novel behavioural modification therapy.

Abstract
We report the case of a 6-year-old patient diagnosed with attention-deficit hyperactivity disorder (ADHD) and comorbid enuresis disorder, who was treated with methylphenidate for the past 3 months and a novel behavioural modification therapy by using an application called 'Enuresis Trainer'. This therapeutic application is basically an interactive 'Bedwetting Calendar', based on traditional cognitive behavioural modification therapies and positive reinforcement systems. Enuresis is defined as the failure of voluntary control of the urethral sphincter. The prevalence of enuresis is 15-20% in the child population; however, children with ADHD had a 2.7 times higher incidence of nocturnal enuresis. Bedwetting is a common cause of isolation in children as well as loss of self-esteem and other psychological distress for the child and the family.
AuthorsKazuhiro Tajima-Pozo, Gonzalo Ruiz-Manrique, Francisco Montañes
JournalBMJ case reports (BMJ Case Rep) Vol. 2014 (Jun 10 2014) ISSN: 1757-790X [Electronic] England
PMID24916977 (Publication Type: Case Reports, Journal Article)
Copyright2014 BMJ Publishing Group Ltd.
Chemical References
  • Central Nervous System Stimulants
  • Methylphenidate
Topics
  • Attention Deficit Disorder with Hyperactivity (drug therapy, psychology)
  • Behavior Therapy (methods)
  • Central Nervous System Stimulants (therapeutic use)
  • Child
  • Humans
  • Male
  • Methylphenidate (therapeutic use)
  • Mobile Applications
  • Nocturnal Enuresis (psychology, therapy)

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