The aim of the study is to investigate if alarm treatment in combination with EMDR is a better method for persistent enuresis nocturna than only alarm treatment.Subquestions: 1. What is the success percentage of EMDR with alarm treatment? 2. If EMDR…
ID
Source
Brief title
Condition
- Other condition
- Urinary tract signs and symptoms
Synonym
Health condition
enuresis nocturna
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Wet versus dry
Number of EMDR sessions
Number of training days before being dry
Secondary outcome
Wet versus dry after follow-up
Relapse
Mono-symptomatic versus non mono-symptomatic
Bladder capacity
Arousability
Background summary
Enuresis is a common problem of childhood. Alarm treatment is the most
effective method, but treatment can be expanded with bladder training and
medication. In a Dutch survey of primary enuresis patients treated in primary
care 85.5% of the patients was dry after alarm treatment, after 2 years of
follow up 76.7% was still dry. (Leerdam, 2005). So 15% of the patients remain
wet and 10 percent have a relaps. Spontaneous resolution of bedwetting is
described as 15% per year (Neveus, 2006). Self esteem and confidence are
decreased in enuretic patients. Persisting enuresis can have a large
psychosocial impact.
The aim of this study are patients who are not treated successfully with the
accepted methods. The method to investigate in this research is a combination
of alarm treatment and EMDR. EMDR is added to the treatment for processing the
traumatic memories of being wet and for visualizing being dry to increase
self-confidence.
Study objective
The aim of the study is to investigate if alarm treatment in combination with
EMDR is a better method for persistent enuresis nocturna than only alarm
treatment.
Subquestions:
1. What is the success percentage of EMDR with alarm treatment?
2. If EMDR is added to alarm treatment do children with persistent enuresis
nocturna become more rapidly dry compared with only alarm treatment?
3. If EMDR is added to alarm treatment is there less relapse?
4. Is there a difference in the success percentage of EMDR in combination with
alarm treatment between children with mono - and non mono-symptomatic enuresis?
5. If EMDR is added to alarm treatment does this influence bladder capacity or
arousability?
Study design
It is an open randomized intervention study.
Intervention
The intervention group receives 1-2 sessions EMDR, subsequently standard alarm
treatment starts. The first 10 days of the alarm treatment before going to bed
they listen to mp3 with a story to visualize awakening at night from the alarm
and visualize how it looks and feels to awake dry in the morning. The control
group only receives alarm treatment.
Study burden and risks
The treatment consists of 1-2 sessions EMDR and during the alarm treatment on
10 consecutive days listening to a mp3 for approximately 6 minuts. There are no
risks.
Postbus 5001
7400 GC Deventer
NL
Postbus 5001
7400 GC Deventer
NL
Listed location countries
Age
Inclusion criteria
persistent nocturnal enuresis: no effect of earlier alarm treatment
age: 8-18 year
no abnormalities in day/night variation of urinary osmol.
Exclusion criteria
Disturbance of osmol test
Primary Family problems
No motivation
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL18618.075.07 |