Cognitive-behavioral stress management training for boys with functional urinary incontinence

Stauber, Tatiana; Petermann, Franz; Bachmann, Hannsjörg; Bachmann, Christian; Hampel, Petra

doi:10.1016/j.jpurol.2006.11.005

« Previous Next »Journal of Pediatric Urology
Volume 3, Issue 4 , Pages 276-281, August 2007

Cognitive-behavioral stress management training for boys with functional urinary incontinence

Tatiana Stauber
- Center of Clinical Psychology and Rehabilitation, University of Bremen, Grazer Str. 6, 28359 Bremen, Germany
Franz Petermann
- Center of Clinical Psychology and Rehabilitation, University of Bremen, Grazer Str. 6, 28359 Bremen, Germany
Hannsjörg Bachmann
- Department of Pediatrics, Klinikum Links der Weser, Bremen, Senator-Weßling-Str. 1, 28277 Bremen, Germany
Christian Bachmann
- Department of Pediatrics, Klinikum Links der Weser, Bremen, Senator-Weßling-Str. 1, 28277 Bremen, Germany
- Present address: Department of Child and Adolescent Psychiatry, University Hospital Giessen and Marburg, Hans-Sachs-Str. 4-6, 35039 Marburg, Germany.
Petra Hampel
- Center of Clinical Psychology and Rehabilitation, University of Bremen, Grazer Str. 6, 28359 Bremen, Germany
- Corresponding author. Tel.: +49 421 218 7075; fax: +49 421 218 4614.

Received 10 March 2006; accepted 21 November 2006. published online 17 January 2007.

Abstract

Objective

To evaluate an inpatient education program involving cognitive-behavioral stress management training of boys (aged 8–12years) with functional urinary incontinence.

Methods

The short- and long-term intervention effects of the new program on incontinence frequency, quality of life, and coping with daily and illness-related stressors were investigated in 15 boys, compared to 10 boys on a more knowledge-oriented education program without stress management. The efficacy was evaluated by non-parametric methods.

Results

In both groups daytime wetting decreased while adaptive coping with daily stressors increased. Only the boys in the experimental group improved their wetting frequency during the night, maladaptive coping with illness-related stressors, and self-esteem.

Conclusions

Stress management training should be incorporated in patient education programs to enhance coping of children with illness-related stressors and low self-esteem.

Keywords: Urinary incontinence, Coping, Quality of life, Children, Adolescents