Thursday, August 13, 2009

Enuresis and ADHD

Recent research in the Journal of Pediatrics reports on ADHD and enuresis (bedwetting). Enuresis in children with ADHD occurs at a higher rate but the cause for this is unknown. The researchers studied 344 children with ADHD ages 6-12 years old. Out of the 344 children, 16.9% had nocturnal enuresis. The 16.9% had more inattentive symptoms. These children also had decreased arousal levels with regards to night waking and the ability for children to wake themselves. The researchers conclude that nocturnal enuresis may be an endophenotype for ADHD - inattentive type.

Question to ponder for any sensory trained therapists or parents? For children with low arousal levels, do you notice any changes in enuresis following sensory integration therapy? Does anyone know of any research on this topic? Comment below.

Reference: Josephine Elia, MDab, Toshinobu Takeda, MD, PhDa, Rachel Deberardinisb, et al. Nocturnal Enuresis: A Suggestive Endophenotype Marker for a Subgroup of Inattentive Attention-Deficit/Hyperactivity Disorder
The Journal of Pediatrics
Volume 155, Issue 2, Pages 239-244.e5 (August 2009)

1 comment:

Leslie said...

I have reviewed your article and wanted to respond. I am a clinical psychologist and also work with the Enuresis Treatment Center, which deals only with bedwetting cases.

We have treated thousands of children, teenagers, and adult bedwetters, tracking all related symptoms. Our extensive research validates bedwetting as a problem caused by abnormally deep sleep, which doesn’t allow for the bedwetter’s brain and bladder to connect so they can effectively respond to each other.

In 99% of all bedwetting cases, (based upon our research of tens of thousands of documented cases) the root cause is sleeping so deeply. It is an inherited deep-sleep disorder that results in bedwetting and more importantly...a fragmented, non-restorative, sleep.

This compromised sleep can also result in daytime symptoms; difficulty awakening, fatigue, memory difficulty, irritability, difficulty concentrating, and hyperactivity.

I have an in-depth understanding about bedwetting and ADD and ADHD. Many bedwetters are misdiagnosed with ADD and/or ADHD. Symptoms of a bedwetter’s deep sleep disorder, such as the inability to stay focused or to concentrate, are almost identical to those of ADD and/or ADHD.

Our program focuses on the individual’s bedwetting and sleep disorder symptoms. Addressing the core of the problem will reduce or eliminate symptoms, so if the child/teenager does not have a true learning disability, the symptoms will disappear.

There is No guaranteed that someone will outgrow bedwetting, in fact after the age of seven, it is less likely. 1 in 50 teenagers, as well as 3.2 million reported cases of adults still wet the bed. More importantly, if someone were to outgrow this problem, they are then left with a sleep disorder, along with possible challenging symptoms that can no longer be treated.

Proper treatment is never simple. Bedwetting is a red flag of a deeper issue; a deep sleep problem in the brain. Unless the deep pattern of sleep is changed, the child or teenage will not reap all the benefits.

For 34 years, the Enuresis Treatment Center has been ending bedwetting by changing the sleep pattern for children, teenagers, and adults who thought there was no hope. Our research and experience has validated that bedwetting can be treated without drugs or invasive surgery.

Lyle Danuloff, Ph.D.

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