Dry-bed training: Rapid elimination of childhood enuresis

Enuresis has been treated with moderate effectiveness by the urine-alarm method which requires many weeks of training. The present procedure used a urine-alarm apparatus but added such features as training in inhibiting urination, positive reinforcement for correct urinations, training in rapid awak...

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Bibliographic Details
Published in:Behaviour research and therapy 1974-09, Vol.12 (3), p.147-156
Main Authors: Azrin, N.H., Sneed, T.J., Foxx, R.M.
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Conditioning, Operant
Electronics, Medical
Enuresis - therapy
Female
Humans
Hygiene
Male
Methods
Parents
Practice (Psychology)
Reinforcement, Verbal
Toilet Training
Urination
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Summary:Enuresis has been treated with moderate effectiveness by the urine-alarm method which requires many weeks of training. The present procedure used a urine-alarm apparatus but added such features as training in inhibiting urination, positive reinforcement for correct urinations, training in rapid awakening, increased fluid intake, increased social motivation to be nonenuretic, self-correction of accidents, and practice in toileting. After one all-night training session, the 24 enuretic children averaged only two bedwettings before achieving fourteen consecutive dry nights and had no major relapses. Little or no reduction in bedwetting occurred within the first two weeks for matched-control enuretics who were given the standard urine-alarm training. The results of a control-procedure showed that the new procedure did not involve Pavlovian conditioning. The new method appears to be a more rapid, effective and different type of treatment for enuresis.
ISSN:0005-7967
1873-622X
DOI:10.1016/0005-7967(74)90111-9