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Bibliotherapy-based Dry Bed Training: A Pilot Study

Published online by Cambridge University Press:  16 June 2009

Stephen Hunt  and
Malcolm Adams
Stephen Hunt
Affiliation:
Petersfield Family Centre, Huntingdon East Anglian RHA, Cambridge
Malcolm Adams
Affiliation:
Petersfield Family Centre, Huntingdon East Anglian RHA, Cambridge
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Abstract

Dry Bed Training is an effective and rapid method for the elimination of primary nocturnal enuresis. However, like the urine alarm the approach demands very close clinical supervision. This is a Pilot Study to evaluate the effectiveness of a self-help approach (based on Dry Bed Training), administered using a minimum contact self-help manual, and a video in which a young mother and son demonstrated treatment techniques. Ten severe primary nocturnal enuretics, acting as their own controls, were treated using this approach. Results show initial remission in 80% of the cases, with 20% of the subjects dropping out. Of those who completed treatment 25% relapsed. These results were obtained with a significant reduction in staff time. The role of clinical supervision is critically examined. Elements of a cost-benefit analysis are identified in order to highlight the strengths and weaknesses of this approach.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 17 , Issue 3 , July 1989 , pp. 290 - 301
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1989

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References

Azrin, N. H., Sneed, T. J. and Foxx, R. M. (1974). Dry bed training: Rapid elimination of childhood enuresis. Behaviour Research and Therapy 12, 147–156.CrossRefGoogle ScholarPubMed
Azrin, N. H. and Thienes, P. M. (1978). Rapid elimination of enuresis by intensive learning without a conditioning apparatus. Behaviour Therapy 9, 342–354.CrossRefGoogle Scholar
Azrin, N. H., Thienes, P. M. and Besalel-Azrin, U. A. (1979). Elimination of enuresis without a conditioning apparatus: An extension by office instruction of the child and parents. Behaviour Therapy 10, 14–17.CrossRefGoogle Scholar
Bandura, A. (1977). Social Learning Theory. New Jersey: Prentice Hall.Google Scholar
Berg, I., Forsythe, I. and McGuire, R. (1982). Response of bedwetting to the enuresis alarm. Archives of Disease in Childhood 57, 394–396.CrossRefGoogle Scholar
Besalel, U. A., Azrin, N. H., Thienes-Hontos, P. and McMorrow, M. (1980). Evaluation of a parent manual for training enuretic children. Behaviour Research and Therapy 18, 358–360.CrossRefGoogle Scholar
Bollard, J. (1982). A two year follow-up of bedwetters treated by dry bed training and standard conditioning. Behaviour Research and Therapy 20, 571–580.CrossRefGoogle Scholar
Bollard, J. and Woodroofe, P. (1977). The effect of parent administered dry bed training on nocturnal enuresis in children. Behaviour Research and Therapy 15, 159–165.CrossRefGoogle ScholarPubMed
Bollard, J. and Nettlebeck, T. (1981). A comparison of dry bed training and standard urine alarm conditioning treatment of childhood bedwetting. Behaviour Research and Therapy 19, 215–226.CrossRefGoogle ScholarPubMed
Bollard, J. and Nettlebeck, T. (1982). A component analysis of dry bed training for treatment for bedwetting. Behaviour Research and Therapy 20, 383–390.CrossRefGoogle ScholarPubMed
Caceres, J. (1983). Enuresis: Cortical control or social reinforcement. Behaviour Therapist 5, 65–67.Google Scholar
De Jonge, G. A. (1973). Epidemiology of enuresis: a survey of the literatures. In Bladder Control & Enuresis, Kolvin et al. London: Heinemann.Google Scholar
D.H.S.S. (1969). Safety code for electro-mechanical apparatus. Hospital Technical Memorandum No. 8 RE/1004/03.Google Scholar
Dische, S., Yule, W., Corbett, J. and Hand, D. (1983). Childhood nocturnal enuresis: factors associated with outcome of treatment with an enuresis alarm. Developmental Medicine and Child Neurology 25, 67–80.CrossRefGoogle ScholarPubMed
Doleys, D. M. (1977). Behavioural treatments for nocturnal enuresis in children: A review of the recent literature. Psychological Bulletin 84, 30–54.CrossRefGoogle ScholarPubMed
Fielding, D. (1982). An analysis of the behaviour of day and night wetting children: Towards a model of mictuation control. Behaviour Research and Therapy 49–60.CrossRefGoogle Scholar
Fielding, D. (1985). Factors associated with drop-out, relapse and failure in the conditioning treatment of nocturnal enuresis. Behaviour Psychotherapy 73(3), 174–186.Google Scholar
Fincham, F. D. and Spettell, C. (1984). The acceptability of dry bed training and urine alarm training as treatment of nocturnal enuresis. Behavioural Therapy 15, 388–394.CrossRefGoogle Scholar
Flesch, R. (1948). A new readability yardstick. Journal of Applied Psychology 32, 221.CrossRefGoogle ScholarPubMed
Forsythe, W. I. and Redmond, A. (1972). Enuresis and the electric alarm: study of 200 cases. British Medical Journal 1, 201–211.Google Scholar
Foxman, B., Valdez, R. B. and Brooke, R. H. (1986). Childhood enuresis. Prevalence, perceived impact and prescribed treatments. Paediatrics 77(4), 482–487.CrossRefGoogle ScholarPubMed
Goldstein, S. and Book, R. (1983). A functional model for the treatment of primary enuresis. School Psychology Review 12, 97–101.CrossRefGoogle Scholar
Griffiths, P., Meldrum, C. and McWilliam, R. (1982). Dry bed training in the treatment of nocturnal enuresis in childhood: A research report. Journal of Child Psychology and Psychiatry 23, 485–495.CrossRefGoogle ScholarPubMed
Griffiths, P. (1984). A Training Method for the Prevention of Bedwetting in Childhood: Parents Manual. Unpublished.Google Scholar
Hartley, J. (1984). Current research on text design. Bulletin of the British Psychological Society 37, 116–119.Google Scholar
Houts, A. C., Liebert, R. M. and Padewer, W. (1983). A delivery system for the treatment of primary enuresis. Journal of Abnormal Child Psychology 11, 513–520.CrossRefGoogle ScholarPubMed
Kolvin, I., McKeith, R. C. and Meadow, S. R. (1973). Bladder Control and Enuresis. London: Heinemann.Google Scholar
McMahon, R. J. and Forehand, R. (1981). Suggestions for evaluating self-administered materials in parent trainings. Child Behaviour Therapy 3, 65–68.CrossRefGoogle Scholar
Morgan, R. T. T. (1978). Relapse and therapeutic response in the conditioning treatment of enuresis: A review of recent findings on intermittent reinforcement, overlearning and stimulus intensity. Behaviour Research and Therapy 16, 273–279.CrossRefGoogle ScholarPubMed
Morgan, R. T. T. and Young, G. C. (1972). The treatment of childhood enuresis. British Journal of Social Work 2, 503–509.Google Scholar
Nettlebeck, T. and Langeluddecke, P. (1979). Dry bed training without an alarm. Behaviour Research and Therapy 17, 403–404.CrossRefGoogle Scholar
Sorotzkin, B. (1984). Nocturnal enuresis: Current perspectives. Clinical Psychology Review. 4, 293–316.CrossRefGoogle Scholar
Taylor, P. D. and Turner, R. K. (1975). A clinical trial of spontaneous and intermittent reinforcement and overlearning in bell and pad treatment for nocturnal enuresis. Behaviour Research and Therapy 2, 567–572.Google Scholar
Yates, B. T. (1981). The theory and practice of cost utility, cost effectiveness and cost benefit analysis in behavioural medicine: Towards delivering more health care for less money. In The Comprehensive Handbook of Behavioural Medicine. Fergusson, M. and Taylor, C. B. (Eds). New York: S. D. Books.Google Scholar
Young, G. C. and Morgan, R. T. T. (1972). Overlearning and the treatment of enuresis. Behaviour Research and Therapy 10, 147–151.CrossRefGoogle ScholarPubMed
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