Nocturnal enuresis in adolescents with anorexia nervosa: Prevalence, potential causes, and pathophysiology
About this resource
OBJECTIVE: The aim of this study was to determine the prevalence and potential causes of secondary nocturnal enuresis (NE) in adolescents with anorexia nervosa (AN). METHOD: Adolescents with AN completed the Incontinence Symptom Index-Pediatric (ISI-P), a self-report urinary incontinence survey. Those who had NE associated with the onset of AN on the ISI-P completed a comprehensive clinical and laboratory evaluation, including urinary flow measurements. RESULTS: The prevalence of NE in adolescents with AN was 17.0% (10 of 59). The overall frequency of day- and night-time urinary incontinence symptoms in adolescents with AN was 62.7%; urgency incontinence, 57.6%; stress incontinence, 32.2%; and insensate incontinence, 17.0%. Nine of the 10 adolescents with NE had secondary NE and confirmed that bedwetting ceased after weight restoration. DISCUSSION: Decreased functional bladder capacity and detrusor instability may contribute to the NE observed in this population. The high prevalence of NE in adolescents with AN warrants further study to determine the potential causative pathways. Clinicians who work with adolescents with AN should assess for this problem.
The Effects of Childhood Maltreatment on Brain Structure in Adults with Eating Disorders
Objectives: Childhood maltreatment is a non-specific risk factor for eating disorders (EDs).Read more
The interaction between perinatal factors and childhood abuse in the risk of developing anorexia nervosa.
BACKGROUND: Perinatal factors seem to be implicated in the pathogenesis of anorexia nervosa (AN) and may be involved in the programming of stress response systems in humans.Read more
Late onset eating disorders in Spain: Clinical characteristics and therapeutic implications
OBJECTIVE: The literature on later age of onset (LAO) in women with eating disorders is scarce.Read more
High prevalence of eating disorders not otherwise specified in northwestern Spain: Population-based study
PURPOSE: To determine the incidence and prevalence of eating disorder and its clinical forms. METHODS: All new ED cases of both genders, ¥15 years old, diagnosed from January 2005 to December 2009 were included.Read more