PEDIATRICS Vol. 67 No. 5 May 1981, pp. 707-710
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Enuresis: A Contrast of Attitudes of Parents and Physicians

Ambulatory Pediatric Association Collaborative Research Workshop:

Steven P. Shelov MD, John Gundy MD, Jeffrey C. Weiss MD, Matilda S. Mclntire MD, Karen Olness MD, Henry P. Staub MD, Dorothy J. Jones MD, Malika Haque MD, Norman S. Ellerstein MD, Margaret C. Heagarty MD, and Barbara Starfield MD

Questionnaires were used to survey 1,435 parents and 446 physicians in order to determine and compare attitudes and beliefs about enuresis. Although both groups thought that bed-wetting is a maturational problem, the parent group thought emotional causes were important and were less likely to accept small bladder size as an etiology. Parents thought that children should be dry at a much younger age than did the physicians (2.75 vs 5.13 years, respectively). Only 63% of parents thought that medical intervention is a good way to deal with a child's bed-wetting, yet 87% of the physicians suggested medical evaluation. A comparison of the various methods used to stop bed-wetting indicated that parents use waking the child, reassurance and talking with the child, restricting fluids, and punishment significantly more often than physicians. Although many physicians prescribe medication, only 6.6% of the parents thought that medicines are a "very good way" to treat enuresis. When developing a treatment plan for a child with enuresis, the physician should recognize the wide differences between parental and physician attitudes toward this common problem of childhood.

Submitted on June 19, 1980
Accepted on August 19, 1980




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