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Pad-and-Buzzer Training, Dry-Bed Training, and Stop-Start Training in the Treatment of Primary Nocturnal Enuresis

Published online by Cambridge University Press:  16 June 2009

Gerald A. Bennett ,
Victoria J. Walkden ,
Roy H. Curtis ,
Laurence E. Burns ,
Janice Rees ,
Judith A. Gosling  and
Neil L. McQuire
Gerald A. Bennett
Affiliation:
Department of Clinical Psychology, Birch Hill Hospital, Rochdale
Victoria J. Walkden
Affiliation:
Department of Clinical Psychology, Birch Hill Hospital, Rochdale
Roy H. Curtis
Affiliation:
Department of Clinical Psychology, Birch Hill Hospital, Rochdale
Laurence E. Burns
Affiliation:
Department of Clinical Psychology, Birch Hill Hospital, Rochdale
Janice Rees
Affiliation:
Department of Clinical Psychology, Birch Hill Hospital, Rochdale
Judith A. Gosling
Affiliation:
Department of Clinical Psychology, Birch Hill Hospital, Rochdale
Neil L. McQuire
Affiliation:
Department of Clinical Psychology, Birch Hill Hospital, Rochdale
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Extract

Forty primary nocturnally enuretic children were randomly assigned to one of four experimental conditions over a ten week period. These were (a) standard Pad-and-Buzzer Training (PBT), (b) Stop—Start Training (SST), involving practice in interrupting the flow of urine during micturition, (c) Dry Bed Training (DBT) and (d) Waiting List Control (WLC). Numbers of dry nights were assessed during a 14 days pre-treatment baseline period, and again during 14 days at the end of treatment and at 12 weeks follow-up. At the end of treatment the proportions of subjects in each condition achieving 14 consecutive dry nights were: PBT 44.4%, SST 16.6%, DBT 50% and WLC 0%. Each of the three treatments produced more dry nights than the WLC, but did not significantly differ from one another. The results were discussed in terms of their generalizability and in the context of superior results previously reported for DBT.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 13 , Issue 4 , October 1985 , pp. 309 - 319
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1985

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References

Azrin, N. H. and Thienes, P. M. (1978). Rapid elimination of enuresis by intensive learning without a conditioning apparatus. Behavior Therapy 9, 342–354.CrossRefGoogle Scholar
Azrin, N. H., Sneed, T. J. and Foxx, R. M. (1974). Dry-Bed Training: rapid elimination of childhood enuresis. Behaviour Research and Therapy 12, 147–156.CrossRefGoogle ScholarPubMed
Azrin, N. H., Thienes-Hontos, P. and Besalel-Azrin, V. (1979). Elimination of enuresis without a conditioning apparatus: An extension by office instruction of the child and parents, Behavior Therapy 10, 14–19.CrossRefGoogle Scholar
Besalel, V. A., Azrin, N. H., Thienes-Hontos, P. and McMorrow, M. (1980). Evaluation of a parents manual for training enuretic children. Behaviour Research and Therapy 18, 358–360.CrossRefGoogle Scholar
Bollard, J. and Nettlebeck, T. (1981). A comparison of Dry-Bed Training and standard urine-alarm conditioning treatment of childhood bedwetting. Behaviour Research and Therapy 19, 215–226.CrossRefGoogle ScholarPubMed
Bollard, J. and Woodroffe, P. (1977). The effect of parent-administered Dry-Bed Training on nocturnal enuresis in children. Behaviour Research and Therapy 15, 159–165.CrossRefGoogle ScholarPubMed
Bollard, J., Nettlebeck, T. and Roxbee, L. (1982). Dry-Bed Training for childhood bedwetting: A comparison of group with individually administered parent instruction. Behaviour Research and Therapy 20, 209–217.CrossRefGoogle ScholarPubMed
Chapman, A. H. (1965). Management of Emotional Problems of Children and Adolescents. Philadelphia: J. B. Lippincott.Google Scholar
Doleys, D. M. (1977). Behavioral treatments for nocturnal enuresis in children: A review of the recent literature. Psychological Bulletin 84, 30–54.CrossRefGoogle ScholarPubMed
Engel, B. T. (1983). Fecal incontinence and encopresis. In Psychophysiology of the Gastrointestinal Tract Holzl, R. and Whitehead, W. E. (Eds), New York: Plenum Press.Google Scholar
Engel, B. T., Nikoomanesh, P. and Schuster, M. M. (1974). Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. New England Journal of Medicine 290, 646–649.CrossRefGoogle ScholarPubMed
Fielding, D. (1980). The response of day- and night-wetting children and children who wet only at night to retention control training and the enuresis alarm. Behaviour Research and Therapy 18, 305–317.CrossRefGoogle ScholarPubMed
Fielding, D. (1982). An analysis of the behaviour of day- and night-wetting children: Towards a model of micturition control. Behaviour Research and Therapy 20, 49–60.CrossRefGoogle Scholar
Harris, L. and Purohit, A. (1977). Bladder training and enuresis: A controlled trial. Behaviour Research and Therapy 15, 485–490.CrossRefGoogle ScholarPubMed
Kegel, A. H. (1952). Sexual functions of the pubococcygeus muscle. Western Journal of Surgeons 60, 521–524.Google ScholarPubMed
Kimmel, H. D. and Kimmel, E. (1970). An instrumental conditioning method for the treatment of enuresis. Journal of Behavior Therapy and Experimental Psychiatry 1, 121–123.CrossRefGoogle Scholar
Miller, M. P. (1973). An experimental analysis of retention control training in the treatment of nocturnal enuresis in two institutionalised adolescents. Behaviour Research and Therapy 4, 288–294.CrossRefGoogle Scholar
Mowrer, O. and Mowrer, W. M. (1938). Enuresis: A method for its study and treatment. American Journal of Orthopsychiatry 8, 436–447.CrossRefGoogle Scholar
Paschalis, A., Kimmel, H. D. and Kimmel, E. (1972). Further study of diurnal instrumental conditioning in the treatment of enuresis nocturna. Journal of Behavior Therapy and Experimental Psychiatry 3, 253–256.CrossRefGoogle Scholar
Rocklin, N. and Tilker, H. (1973). Instrumental conditioning of nocturnal enuresis: A reappraisal of some previous findings.Proceedings of the American Psychological Association, 81st Annual Convention, 915–916.Google Scholar
Shelov, S. P., Gundy, J., Weiss, J. C., McIntire, M. S., Olness, K., Staub, H. P., Jones, D. J., Haque, M., Ellerstein, N. S., Heagarty, M. C. and Starfield, B. S. (1981). Enuresis: A contrast of attitudes of parents and physicians. Pediatrics 67, 707–710.CrossRefGoogle ScholarPubMed
Siegel, S. (1956). Nonparametric Statistics for the Behavioural Sciences. New York: McGraw Hill.Google Scholar
Whitehead, W. E. and Schuster, M. M. (1983). Manometric and electromyographic techniques for assessment of the anorectal mechanism for continence and defecation. In Psychophysiology of the Gastrointestinal Tract, Holzl, R. and Whitehead, W. E. (Eds), New York: Plenum Press.Google Scholar
Whitehead, W. E., Parker, L. H., Masek, B. J., Cataldo, M. F. and Freeman, J. M. (1981). Biofeedback treatment of fecal incontinence in meningomyelocele. Developmental Medicine and Child Neurology 23, 313–321.CrossRefGoogle Scholar
Young, G. C. and Morgan, R. T. (1972). Reasons for appointment failures among enuretic patients. Behaviour Research and Therapy 10, 147–151.CrossRefGoogle Scholar
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