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.
Confronting fear using exposure and response prevention for anorexia nervosa: A randomized controlled pilot study
OBJECTIVE: Anorexia nervosa (AN) is a severe illness with high rates of relapse.Read more
The effectiveness of contingency management in the treatment of patients with anorexia nervosa: A systematic review.
Contingency management in stipulating weight gain is routinely used in the treatment of anorexia nervosa, however, empirical investigations concerning its effectiveness have been scarce.Read more
Puberty as a critical risk period for eating disorders: A review of human and animal studies
This article is part of a Special Issue “Puberty and Adolescence”.Read more
Renal complications in anorexia nervosa
Purpose: Anorexia nervosa is a malady with possible long-lasting physiological consequences.Read more