Last reviewed 01/2018 Show Enuresis alarms are the most effective treatment of nocturnal enuresis - children are 13 times more likely to achieve 14 consecutive dry nights with alarm treatments as compared to placebos (1).
Situations where enuresis alarms are less successful include in families where parents are intolerant or unenthusiastic, in families where there are psychological stresses or social turmoil, when there are also daytime symptoms, or, where there is severe nocturnal enuresis (1). Some evidence suggests that alarms may be more effective than dry bed training, desmopressin and imipramine (2,3). ‘Over-learning’ may supplement successful alarm treatment and help reduce relapse rates. After achieving 14 consecutive dry nights, the child is encouraged to drink extra fluids to ‘over-condition’ the bladder. Alarm treatment is then continued until 14 consecutive dry nights are achieved once again (4). Other alarms available include body-worn alarms (where the tiny sensor is attached to the child’s pants and the alarm is worn on the pyjamas or placed remotely) and vibrating alarms (4). NICE state that (5):
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nocturnal enuresis How did the bell and pad device solve the problem of bed wetting in terms of conditioning quizlet?When the pad becomes wet with urine, the bell rings and the child wakes up. The child turns off the alarm and goes to the toilet to finish urinating. Then the child goes back to sleep. Eventually, the child learns to wake up when he has a full bladder instead of wetting the bed.
How does the bell and pad method work?The most common treatment for nighttime enuresis is the bell and pad technique, also known as a bedwetting alarm. This method consists of a device kids wear at night that has a sensor, making a noise when it becomes wet and ideally waking up the child in time for him to stop the stream and go to the bathroom.
How was classical conditioning used to help stop bed wetting?Classical conditioning
Initially the individual experiences the alarm sounding (activated by urination) (US) eliciting the awakening response and sphincter contraction (UR) to wake up, stop urinating, and travel to the bathroom.
Who invented bed wetting alarm?The first enuresis alarm was developed by Hobart and Willie Mowrer in 1938—76 years ago! It became one of the most common treatments for bedwetting.
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