Parental Stress and Parental Ratings of Behavioral Problems of Enuretic Children

Giuseppe Quatrosi, Michele Roccella, Daniela Smirni, Francesco Precenzano, Valentina Lanzara, Giuseppe Quatrosi, Francesca Felicia Operto, Pietro Smirni, Marco Carotenuto, Pietro Smirni

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)


Background: Primary monosymptomatic nocturnal enuresis (PMNE) may have a stressful impact on the everyday life of children and parents, and it may represent a cumulative stress factor increasing feelings of “learned helplessness.”Methods: The current study investigated parental stress in a group of parents (n = 330) of children affected by PMNE, compared to a group of parents (n = 330) of typical developing children (TDC). In addition, the study evaluated whether parents of PMNEchildren experience more emotional, social, and behavioral problems in their children, compared to parents of TDC. Finally, the study correlated frequency of enuresis with stress values and Child Behavior Checklist (CBCL) subscales and total stress with CBCL.Both groups were given The Parental Stress Inventory-Short Form (PSI-SF) and the Child Behavior Checklist (CBCL).Results: Parents of PMNE children showed significantly higher stress level than parents of TDC. Nocturnal enuresis, as a demanding clinical condition difficult to control, represents a relevant stress factor. Mothers appeared as more vulnerableto stress than fathers. Parents of PMNE children reported higher behavioral and emotional problems, compared to reports of parents of TDC. PMNE children appeared to their parents as having lower competency in social activities, school performance,and social relationships than TDC. Moreover, they were rated as more withdrawn, anxious-depressed,more aggressive, inattentive, and withmore somatic complaints than healthy children. It was always the mother who rated a significantly higher number ofemotional, social, and behavioral problems compared to fathers. Correlational analysis showed that the higher the frequency of enuresis, the greater the parental stress level, the lower the social activities, school performance and relational competenciesand the higher the emotional, social and behavioral problems in children, according to the parents’ evaluations. The greater the parental stress level, the lower the competencies rated and the higher the behavioral problems detected by parents.
Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalFrontiers in Neurology
Publication statusPublished - 2019

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology


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