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Childhood EnuresisI. Sleep Patterns and Psychopathology
Edwin J. Mikkelsen, MD;
Judith L. Rapoport, MD;
Linda Nee, MSW;
Cynthia Gruenau;
Wallace Mendelson, MD;
J. Christian Gillin, MD
Arch Gen Psychiatry. 1980;37(10):1139-1144.
Abstract
Forty severely enuretic boys (mean age, 10.8 years) were selected; 20 had associated psychiatric disturbance and 20 had enuresis as an isolated symptom. Psychiatrically disturbed enuretics had both slightly higher scores on a neurological examination for "soft signs" and more "stressful" background events. Enuretic events were not associated with a particular sleep stage; disturbed and nondisturbed enuretics did not differ from each other with respect to the distribution of enuretic events by sleep stage. The results do not support the concepts of enuresis as an arousal disorder or of there being different sleep profiles of enuresis in relation to behavioral pathology.
Author Affiliations
From the Biological Psychiatry Branch (Drs Mikkelsen, Rapoport, Mendelson, and Gillin and Ms Gruenau) and the Laboratory of Clinical Science (Ms Nee), National Institute of Mental Health, Bethesda, Md; and the Laboratory of Clinical Psychopharmacology, National Institute of Mental Health, St Elizabeth's Hospital, Washington, DC (Ms Gruenau and Drs Mendelson and Gillin).
Footnotes
Accepted for publication March 30, 1979.
Reprint requests to Biological Psychiatry Branch, Bldg 10, Room 3N204, National Institute of Mental Health, Bethesda, MD 20014 (Dr Rapoport).
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