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No Difference in Relationship Satisfaction Between Parents of Children with Enuresis and Normative Data

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Abstract

The aim of this cross-sectional study was to evaluate relationship satisfaction in parents of children with nocturnal enuresis and put it in context by comparisons with normative data. The secondary aim was to investigate the potential differences in feelings of incompetence in the parenting role and parental conflict among parents of children with enuresis of varying severity. Parents (n = 52) of 41 children with enuresis aged between 6 and 12 years participated. The questionnaire consisted of five components: demographic background, The Dyadic Adjustment Scale, The Swedish Parent Stress Questionnaire, The Parent Problem Checklist, and The Depression, Anxiety, and Stress Scale. Normative data was used to provide an age- and gender-stratified sample, with adequate distribution and representation of both sexes and all ages. This sample consisted 1411 parents of 1411 children aged 6–9 years. Parents of children with enuresis reported similar relationship quality as a representative sample of parents with children of the same age. The parents’ report of feeling of incompetence and parental conflict were similar among children with enuresis of varying frequency. Mothers reported more problematic areas related to child rearing than fathers. This study shows that to have a child with enuresis doesn’t necessarily affect the parents’ feeling of competence or the quality of the intra-parental relationship.

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References

  • Abidin, R. R. (1990). Parenting Stress Index (PSI)—Manual. Odessa: FL Psychological Assessment Resources Inc.

    Google Scholar 

  • Austin, P. F., Bauer, S. B., Bower, W., Chase, J., Franco, I., Hoebeke, P., & Neveus, T. (2014). The standardization of terminology of lower urinary tract function in children and adolescents: update report from the Standardization Committee of the International Children’s Continence Society. The Journal of Urology, 191(6), 1863–1865.e1813. doi:10.1016/j.juro.2014.01.110.

    Article  PubMed  Google Scholar 

  • Bauer, S. B., Neveus, T., von Gontard, A., Hoebeke, P., Bower, W., Jorgensen, T. M., & Djurhuus, J. C. (2007). Standardizing terminology in pediatric urology. Journal of Pediatric Urology. doi:10.1016/j.jpurol.2006.10.002.

    PubMed  Google Scholar 

  • Braver, S. L., & Bay, R. C. (1992). Assessing and compensating for self-selection bias (non-representativeness) of the family research sample. Journal of Marriage and Family, 54, 925–939. doi:10.2307/353173.

    Article  Google Scholar 

  • Butler, R. J., Brewin, C. R., & Forsythe, W. I. (1986). Maternal attributions and tolerance for nocturnal enuresis. Behaviour Research and Therapy, 24, 307–312. doi:10.1016/0005-7967(86)90190-7.

    Article  PubMed  Google Scholar 

  • Butler, R. J., Golding, J., & Heron, J. (2005). Nocturnal enuresis: A survey of parental coping strategies at 7 1/2 years. Child: Care Health and Development, 31, 659–667. doi:10.1111/j.1365-2214.2005.00556.x.

    Google Scholar 

  • Butler, R. J., & Heron, J. (2008). The prevalence of infrequent bedwetting and nocturnal enuresis in childhood. A large British cohort. Scandinavian Journal of Urology and Nephrology, 42, 257–264. doi:10.1080/00365590701748054.

    Article  PubMed  Google Scholar 

  • Camisasca, E., Miragoli, S., & Di Blasio, P. (2014). Is the relationship between marital adjustment and parenting stress mediated or moderated by parenting alliance? Europe’s Journal of Psychology,. doi:10.5964/ejop.v10i2.724.

    Google Scholar 

  • Can, G., Topbas, M., Okten, A., & Kizil, M. (2004). Child abuse as a result of enuresis. Pediatrics International, 46, 64–66. doi:10.1111/j.1442-200X.2004.01829.x.

    Article  PubMed  Google Scholar 

  • Cederblad, M., Neveus, T., Ahman, A., Efraimsson, E. O., & Sarkadi, A. (2014a). “Nobody asked us if we needed help”: Swedish parents experiences of enuresis. Journal of Pediatric Urology, 10, 74–79. doi:10.1016/j.jpurol.2013.06.006.

    Article  PubMed  Google Scholar 

  • Cederblad, M., Sarkadi, A., Engvall, G., & Neveus, T. (2014b). Infrequent enuresis, the uninvestigated majority comparisons between children with enuresis of varying severity. Journal of Pediatric Urology. doi:10.1016/j.jpurol.2014.06.026.

    Google Scholar 

  • Chang, S. S., Ng, C. F., & Wong, S. N. (2002). Behavioural problems in children and parenting stress associated with primary nocturnal enuresis in Hong Kong. Acta Paediatrica, 98, 475–479. doi:10.1111/j.1651-2227.2002.tb01673.x.

    Article  Google Scholar 

  • Cousino, M. K., & Hazen, R. A. (2013). Parenting stress among caregivers of children with chronic illness: A systematic review. Journal of Pediatric Psychology, 38, 809–828. doi:10.1093/jpepsy/jst049.

    Article  PubMed  Google Scholar 

  • Dunlop, A. (2005). Meeting the needs of parents and pediatric patients: Results of a survey on primary nocturnal enuresis. Clinical Pediatrics, 44, 297–303. doi:10.1177/000992280504400403.

    Article  PubMed  Google Scholar 

  • Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. doi:10.3758/BF03193146.

    Article  PubMed  Google Scholar 

  • Franco, I., von Gontard, A., & De Gennaro, M. (2013). Evaluation and treatment of nonmonosymptomatic nocturnal enuresis: A standardization document from the International Children’s Continence Society. Journal of Pediatric Urology, 9, 234–243. doi:10.1016/j.jpurol.2012.10.026.

    Article  PubMed  Google Scholar 

  • Ghaderi, A., Kadesjö, C., Kadesjö, B., & Enebrink, P. (2014). Föräldrarstödsprogrammet Glädje och Utmaningar—Forskningsrapport [Parenting support program Happyness and challenges—Research report] Statens folkhälsoinstitut.

  • Hagglof, B., Andren, O., Bergstrom, E., Marklund, L., & Wendelius, M. (1997). Self-esteem before and after treatment in children with nocturnal enuresis and urinary incontinence. Scandinavian Journal of Urology and Nephrology Supplement, 183, 79–82.

    PubMed  Google Scholar 

  • Hellstrom, A. L., Hanson, E., Hansson, S., Hjalmas, K., & Jodal, U. (1990). Micturition habits and incontinence in 7-year-old Swedish school entrants. European Journal of Pediatrics, 149, 434–437. doi:10.1007/BF02009667.

    Article  PubMed  Google Scholar 

  • Kilicoglu, A. G., Mutlu, C., Bahali, M. K., Adaletli, H., Gunes, H., Metin Duman, H., & Uneri, O. S. (2014). Impact of enuresis nocturna on health-related quality of life in children and their mothers. Journal of Pediatric Urology, 10, 1261–1266. doi:10.1016/j.jpurol.2014.07.005.

    Article  PubMed  Google Scholar 

  • Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335–343. doi:10.1016/0005-7967(94)00075-U.

    Article  PubMed  Google Scholar 

  • Morawska, A., & Thompson, E. (2009). Parent problem checklist: Measure of parent conflict. Australian and New Zealand Journal of Psychiatry, 43, 260–269. doi:10.1080/00048670802653281.

    Article  PubMed  Google Scholar 

  • Neveus, T. (2011). Nocturnal enuresis—Theoretic background and practical guidelines. Pediatric Nephrology, 26, 1207–1214. doi:10.1007/s00467-011-1762-8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Neveus, T., Eggert, P., Evans, J., Macedo, A., Rittig, S., Tekgül, S., & Robson, L. (2010). Evaluation of and treatment for monosymptomatic enuresis: A standardization document from the International Children’s Continence Society. The Journal of Urology, 183, 441–447. doi:10.1016/j.juro.2009.10.043.

    Article  PubMed  Google Scholar 

  • Niemczyk, J., Equit, M., Braun-Bither, K., Klein, A.-M., & von Gontard, A. (2015). Prevalence of incontinence, attention deficit/hyperactivity disorder and oppositional defiant disorder in preschool children. European Child and Adolescent Psychiatry, 24, 834–843. doi:10.1007/s00787-014-0628-6.

    Article  Google Scholar 

  • Östberg, M., Hagekull, B., & Wettergren, S. (1997). A measure of parental stress in mothers with small children; dimensionality, stability and validity. Scandinavian Journal of Psychology, 38, 199–208. doi:10.1111/1467-9450.00028.

    Article  PubMed  Google Scholar 

  • Sabourin, S., Valois, P., & Lussier, Y. (2005). Development and validation of a brief version of the Dyadic Adjustment Scale with a nonparametric item analysis model. Psychological Assessment, 17, 15–27. doi:10.1037/1040-3590.17.1.15.

    Article  PubMed  Google Scholar 

  • Schulpen, T. W. J. (1997). The burden of nocturnal enuresis. Acta Paediatrica, 86, 981–984. doi:10.1111/j.1651-2227.1997.tb15183.x.

    Article  PubMed  Google Scholar 

  • Shelton, T. L., & Stepanek, J. S. (1994). Family-centered care for children needing specialized health and developmental services (3rd ed.). Bethesda, MD: Association for the Care of Children’s Health.

    Google Scholar 

  • Skreden, M., Skari, H., Malt, U. F., Pripp, A. H., Björk, M. D., Faugli, A., & Emblem, R. (2012). Parenting stress and emotional wellbeing in mothers and fathers of preschool children. Scandinavian Journal of Public Health, 40, 596–604. doi:10.1177/1403494812460347.

    Article  PubMed  Google Scholar 

  • Spanier, G. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and Family, 38, 15–28.

    Article  Google Scholar 

  • Statistics Sweden. (2013). Högst utbildningsnivå i Stockholmsområdet [Highest education in Stockholm region]. Retrieved May 25, 2015

  • Wells, M. B., Varga, G., Kerstis, B., & Sarkadi, A. (2013). Swedish child health nurses’ views of early father involvement: A qualitative study. Acta Paediatrica, 102, 755–761. doi:10.1111/apa.12246.

    Article  PubMed  Google Scholar 

  • Widarsson, M., Engström, G., Berglund, A., Tydén, T., & Lundberg, P. (2013). Parental stress and dyadic consensus in early parenthood among mothers and fathers in Sweden. Scandinavian Journal of Caring Sciences. doi:10.1111/scs.12096.

    Google Scholar 

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Acknowledgments

We are very grateful to all the parents who participated in this study.

Funding

The first author was supported by the Gillbergska Foundation and the Aleris Foundation.

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Correspondence to Maria Cederblad.

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Cederblad, M., Engsheden, N., Ghaderi, A. et al. No Difference in Relationship Satisfaction Between Parents of Children with Enuresis and Normative Data. J Child Fam Stud 25, 1345–1351 (2016). https://doi.org/10.1007/s10826-015-0298-0

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