Q / Does primary nocturnal enuresis affect childrens' self-esteem?

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Abstract

EVIDENCE-BASED ANSWER

A / YES. Children with primary nocturnal enuresis often, but not always, score about 10% lower on standardized rating scales for selfesteem, or scores for symptoms similar to low self-esteem (sadness, anxiety, social fears, distress) than children without enuresis (strength of recommendation [SOR]: B, systematic review of cohort and case-control studies with some heterogenous results).

EVIDENCE-BASED ANSWER

Enuretic children 8 to 9 years of age are less likely to have lower self-esteem than older children, ages 10 to 12 years (SOR: B, case-control study).

EVIDENCE-BASED ANSWER

Successful treatment of primary nocturnal enuresis improves self-esteem ratings, probably to normal (SOR: B, randomized, controlled trial, prospective cohort, and case-control studies).

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