Mentalization and emotion regulation abilities in parents of children with nocturnal enuresis and its relationship with perceived caregiver burden.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI:10.14744/nci.2021.40225
Tuncay Toprak, Basar Ayribas, Recep Burak Degirmentepe, Mehmet Ozay Ozgur, Mehmet Yilmaz, Ayhan Verit
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Abstract

Objective: Various psychological factors play a role in the development of nocturnal enuresis (NE) which causes significant distress both on children and their parents. However, current studies cannot attribute a role to the psychiatric conditions that cause or result from NE. This study aims to reveal some psychiatric parameters related to the parents of patients with NE which may play a role in the etiopathogenesis of NE.

Methods: Seventy-nine parents of primary 53 NE children and 78 parents of 44 healthy children were enrolled to the study. Parents of children with daytime voiding symptoms, additional comorbidity, or secondary enuresis were excluded from the study. Age- and sex-matched parents of healthy children with the absence of voiding symptoms were included as the control group. Parental Reflective Functioning (RF) Questionnaire, Interpersonal Emotion Regulation (ER) Questionnaire, and Zarit Caregiver Burden Scale were recorded to measure psychiatric conditions.

Results: Parents of children with NE showed significantly poorer RF and ER abilities compared to the control group. Moreover, the perceived caregiver burden was also significantly higher in parents of NE patients. Correlation analyses also showed that RF and ER are negatively correlated with caregiver burden.

Conclusion: This study revealed that the parents of primary NE patients may have difficulty mentalizing and ER in interpersonal relationships. These difficulties may be a cause or a consequence of the NE. In addition, our findings showed that parents of NE patients perceive more caregiving burden. Therefore, it may be advisable for parents of NE patients to seek psychological counseling.

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夜遗尿患儿父母心智化、情绪调节能力及其与照顾者负担的关系。
目的:各种心理因素在夜间遗尿症(NE)的发展中起作用,给儿童和家长带来了巨大的痛苦。然而,目前的研究不能将其归因于NE引起或导致的精神状况。本研究旨在揭示与NE患者父母有关的一些可能在NE发病过程中起作用的精神病学参数。方法:对小学53名新生儿的79名家长和44名健康儿童的78名家长进行研究。有白天排尿症状、其他合并症或继发性遗尿的儿童的父母被排除在研究之外。没有排尿症状的健康儿童的父母年龄和性别匹配作为对照组。采用父母反思功能(RF)问卷、人际情绪调节(ER)问卷和Zarit照顾者负担量表测量精神状况。结果:与对照组相比,NE患儿的父母表现出明显较差的RF和ER能力。此外,新生儿脑梗死患者的父母对照顾者负担的感知也显著更高。相关分析还显示RF和ER与照顾者负担呈负相关。结论:本研究揭示原发性NE患者的父母在人际关系中存在心理化和ER障碍。这些困难可能是NE的原因,也可能是NE的结果。此外,我们的研究结果显示,新脑梗死患者的父母感受到更多的照顾负担。因此,NE患者的家长应寻求心理咨询。
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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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