Journals / Selçuk Tıp Dergisi / 2017 / Cilt: 33 - Sayı: 4

Primer Enürezis Nokturnalı Çocukların Babalarında Depresyon İndeksi: Buz Dağının İhmal Edilen Kısmı

Depression Index in Fathers of Children with Primary Nocturnal Enuresis: The Invisible Part of Iceberg

Pages
75–77
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Treatment modalities could develop BDI scores in fathers who have children with pNE.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim of this study was to evaluate depression level of fathers whose children have monosymptomatic primary nocturnal enuresis (pNE).
📊
Key Findings & Data:The multicentre study was conducted between April 2014 and August 2016, in family medicine, urology, and paediatric nephrology outpatient clinics and fathers of children with pNE were evaluated.
💡
Conclusion & Impact:Treatment modalities could develop BDI scores in fathers who have children with pNE.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim of this study was to evaluate depression level of fathers whose children have monosymptomatic primary nocturnal enuresis (pNE). Present study was a retrospective view of prospective recorded data. The multicentre study was conducted between April 2014 and August 2016, in family medicine, urology, and paediatric nephrology outpatient clinics and fathers of children with pNE were evaluated. We administered behavioural therapy with alarm device, first. Children who did not respond behavioural therapy were given oral/nasal desmopressin. World Health Organization quality of life (QoL) forms and Beck Depression inventory (BDI) were used for determining QoL and depression index of parents, respectively. A total of parents of 47 children including 21 (45%) girls and 26 (55%) boys with pNE were enrolled and evaluated before and at 6th month of the treatment. The mean age of children was 7. 4±2 .5 years. The behavioural therapy with alarm devices was successful in 29 children (61.7%). Additionally, 18 children (38.3%) received oral/nasal desmopressin. Only 3 boys were refractor to all treatments . Mean age of fathers was 29.0±2.2 years. Fathers’ BDI scores before and after children’s treatment were 17.3±9.8 and 15 .7±9.2, respectively, (p<0.001). As a conclusion, anxiety scores were high in fathers of children with pNE. Treatment modalities could develop BDI scores in fathers who have children with pNE.

Özet

Bu çalışmanın amacı, monosemptomatik primer nokturnal enürezis’li (pNE) çocukların babalarında depresyon düzeylerini değerlendirmektir. Prospektif kaydedilen verilerin retrospektif incelemesini içeren çok merkezli bu çalışma Nisan 2014 ile Ağustos 2016 tarihleri arasında aile hekimliği, üroloji ve pediyatrik nefroloji polikliniklerinde gerçekleştirildi. pNE’li çocukların babalarında tedavi öncesi ve sonrası depresyon ölçekleri değerlendirildi. pNE’li çocuklara ilk önce alarm cihazı ile davranış terapisi uygulandı. Davranış terapisine cevap vermeyen çocuklara desmopressin içeren oral ilaç veya burun spreyi verildi. pNE’li çocukların babalarının hayat kalite skorları (QoL) ve depresyon indekslerini belirlemek için Dünya Sağlık Örgütü QoL formları ve Beck Depresyon envanteri (BDE) kullanıldı. Toplam 47 pNE’li çocuğun [21 (%45) kız, 26 (%55) erkek] ebeveynleri kayıt altına alındı; tedavi öncesi ve tedavinin 6. ayında değerlendirildi. Çocukların yaş ortalaması 7. 4±2.5 yıldı. Alarm cihazları ile davranış tedavisi 29 çocukta (%61.7) başarılı oldu. Ayrıca, 18 çocuğa (%38.3) oral/nazal desmopressin verildi. Tüm tedavilere refrakter olan sadece 3 erkek vardı. Babaların yaş ortalaması 29 .0±2.2 yıldı. Babaların BDI puanları çocuk tedavisinden önce ve sonra sırasıyla 17.3±9.8 ve 15.7±9. 2 idi (p<0. 001). Sonuç olarak, pNE’li çocukların babalarında depresyon skorları yüksekti. Tedavi yöntemleri ile pNE’li çocuk babalarında BDE skorları geliştirebileceği sonucuna varıldı.

🔖

Cite This Article

AKIN, Y., KÖSE, O., GÜLMEZ, H., DOĞAN, Ç. S., UÇAR, M., GÖRGEL, S. N., YILMAZ, Y., YENİ, E. (2017). Primer Enürezis Nokturnalı Çocukların Babalarında Depresyon İndeksi: Buz Dağının İhmal Edilen Kısmı. Selçuk Tıp Dergisi, Cilt: 33 - Sayı: 4, 75–77. https://ajindex.com/articles/319082

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Ferrara P, Di Giuseppe M, Fabrizio GC, et al. Enuresis and punishment: The adverse effects on child development and on treatment. Urol Int 2016
  2. van Oers HA, Haverman L, Limperg PF, van Dijk-Lokkart EM, Maurice-Stam H, Grootenhuis MA. Anxiety and depression in mothers and fathers of a chronically ill child. Matern Child Health J 2014
  3. Goldbeck L. The impact of newly diagnosed chronic paediatric conditions on parental quality of life. Qual Life Res 2006
  4. Sharifiaghdas F, Sharifiaghdas S, Taheri M. Primary monosymptomatic nocturnal enuresis: Monotherapy vs combination therapy. Urology 2016
  5. Hjalmas K, Arnold T, Bower W, et al. Nocturnal enuresis: an international evidence based management strategy. J Urol 2004
  6. Glazener CM, Evans JH. Desmopressin for nocturnal enuresis in children. Cochrane Database Syst Rev 2002
  7. :CD002112. 15. Dehoorne JL, Raes AM, van Laecke E, Hoebeke P, Vande Walle JG. Desmopressin toxicity due to prolonged half-life in 18 patients with nocturnal enuresis. J Urol 2006
  8. Hofmeester I, Brinker AE, Steffens MG, et al. Reference values for frequency volume chart and uroflowmetry parameters in adolescent and adultenuresis patients. Neurourol Urodyn 2017
  9. Läckgren G, Hjälmås K, van Gool J, et al. Nocturnal enuresis: a suggestion for a European treatment strategy. Acta Paediatr 1999
  10. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988
  11. WHOQOL Group The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med 1998
  12. 1569–85. 10. Naitoh Y, Kawauchi A, Soh J, Kamoi K, Miki T. Health related quality of life for monosymptomatic enuretic children and their mothers. J Urol 2012
  13. Durmaz O, Kemer S, Mutluer T, Butun E. Psychiatric dimensions in mothers of children with primary nocturnal enuresis: A controlled study. J Pediatr Urol 2017
  14. e1-62.e6. 8. Kilicoglu AG, Mutlu C, Bahali MK, et al. Impact of enuresis nocturna on health-related quality of life in children and their mothers. J Pediatr Urol 2014
  15. Meydan EA, Civilibal M, Elevli M, Duru NS, Civilibal N. The quality of life of mothers of children with monosymptomatic enuresis nocturna. Int Urol Nephrol 2012
  16. Haslam C, Brown S, Atkinson S, Haslam R. Patients’ experiences of me