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

  • Tatiana Stauber
    Affiliations
    Center of Clinical Psychology and Rehabilitation, University of Bremen, Grazer Str. 6, 28359 Bremen, Germany
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  • Franz Petermann
    Affiliations
    Center of Clinical Psychology and Rehabilitation, University of Bremen, Grazer Str. 6, 28359 Bremen, Germany
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  • Hannsjörg Bachmann
    Affiliations
    Department of Pediatrics, Klinikum Links der Weser, Bremen, Senator-Weßling-Str. 1, 28277 Bremen, Germany
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  • Author Footnotes
    1 Present address: Department of Child and Adolescent Psychiatry, University Hospital Giessen and Marburg, Hans-Sachs-Str. 4-6, 35039 Marburg, Germany.
    Christian Bachmann
    Footnotes
    1 Present address: Department of Child and Adolescent Psychiatry, University Hospital Giessen and Marburg, Hans-Sachs-Str. 4-6, 35039 Marburg, Germany.
    Affiliations
    Department of Pediatrics, Klinikum Links der Weser, Bremen, Senator-Weßling-Str. 1, 28277 Bremen, Germany
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  • Petra Hampel
    Correspondence
    Corresponding author. Tel.: +49 421 218 7075; fax: +49 421 218 4614.
    Affiliations
    Center of Clinical Psychology and Rehabilitation, University of Bremen, Grazer Str. 6, 28359 Bremen, Germany
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  • Author Footnotes
    1 Present address: Department of Child and Adolescent Psychiatry, University Hospital Giessen and Marburg, Hans-Sachs-Str. 4-6, 35039 Marburg, Germany.
Published:January 17, 2007DOI:https://doi.org/10.1016/j.jpurol.2006.11.005

      Abstract

      Objective

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

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