Case study: relapse prevention with recently continent enuretic child and adolescent
DOI:
https://doi.org/10.5380/psi.v10i1.5706Keywords:
nocturnal enuresis, relapse prevention, overlearningAbstract
Behavioral treatment for enuresis using urine alarm is the most efficient way to treat bedwetting, according to the literature. Using an additional behavioral procedure such as overlearning can reduce the relapse rate to 10%. This procedure implies a gradual increase of water ingestion few moments before bedtime. Possibly the better control was obtained due to combined results of increased vasopressin levels and increased bladder functional capacity. The case studies described are enuretics who have recently achieved nocturnal bladder control, whose families demanded treatment for relapse prevention. Urine alarm and overlearning were used from the beginning of treatment. In the first case, of an eighteen year-old female, there were no more bedwetting episodes during the treatment. In the second case, of an eight year-old boy, relapsed when overlearning was inserted and reached dryness later even with fluid ingestion, suggesting a stronger control. We believe that this procedure can be useful for prevention in cases where children recently became dry or their bedwetting frequency does not fit enuresis criteria.
Keywords: nocturnal enuresis; relapse prevention; overlearning.
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