The influence of the sleep-wake cycle on primary monosymptomatic nocturnal enuresis: A non-randomized comparative study

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dc.authorid0000-0002-6299-7067
dc.contributor.authorErdoğan, Fırat
dc.contributor.authorKadak, Muhammed Tayyip
dc.contributor.authorSelvi, Yavuz
dc.contributor.authorKartal, Vural
dc.contributor.authorŞenkal, Evrim
dc.contributor.authorAteş, Burçin
dc.contributor.authorAkgül, Murat
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:38Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:38Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBackround: Enuresis implies severe stress in affected children, and impairs quality of life and sleep. Children with enuresis experience difficulties in their arousal from sleep, possibly associated with disturbances of the circadian rhythm. In this study, we aimed to evaluate the sleep-wake cycle and sleep disturbances in children with monosymptomatic enuresis nocturna (MEN). Method: The study comprised 70 children with MEN who were admitted to the pediatrics and urology outpatients department and 94 age-matched healthy controls. Parents completed "Strengths and Difficulties Questionnaire," Children's Sleep Habits Questionnaire (CSHQ), Children's Chronotype Questionnaire scale. Results: Children with enuresis had significantly more sleep and psychological problem. Enuresis group reported higher bedtime resistance, parasomnias, breathing-related problems, and daytime sleepiness in CHSQ (p < 0.05). Although circadian preference did not differ statistically between the groups (p > 0.05), sleep duration on school days and awakening and mid-sleep points, both on scheduled and free days, were found to be significantly different in the enuretic group (p < 0.05). In logistic regression analysis, age, sleep period on scheduled days, sleep inertia on scheduled and free days were significant predictor for enuresis. Discussion: Children with enuresis were more likely to experience problematic sleep. This may reflect that enuretic children have impaired sleep-wake cycles, leading to dysregulation of daily functional changes of bladder capacity and related hormones such as ADH. These findings might imply a sleep-wake disturbance in enuresis.
dc.identifier.citationErdoğan, F., Kadak, M. T., Selvi, Y., Kartal, V., Şenkal, E., Ateş, B. ve Akgül, M. (2016). The influence of the sleep-wake cycle on primary monosymptomatic nocturnal enuresis: A non-randomized comparative study. Biological Rhythm Research, 47(3), 437-445. https://dx.doi.org/10.1080/09291016.2015.1130944
dc.identifier.doi10.1080/09291016.2015.1130944
dc.identifier.endpage445
dc.identifier.issn0929-1016
dc.identifier.issn1744-4179
dc.identifier.issue3
dc.identifier.scopusqualityQ4
dc.identifier.startpage437
dc.identifier.urihttps://hdl.handle.net/20.500.12511/881
dc.identifier.urihttps://dx.doi.org/10.1080/09291016.2015.1130944
dc.identifier.volume47
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherTaylor and Francis Ltd.
dc.relation.ispartofBiological Rhythm Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectBiological Rhythm
dc.subjectCircadian Preferences
dc.subjectEnuresis
dc.subjectSleep-Wake Cycle
dc.titleThe influence of the sleep-wake cycle on primary monosymptomatic nocturnal enuresis: A non-randomized comparative study
dc.typeArticle

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