Early Childhood Psycho-trauma and Psychological Immunity among Children with Nocturnal Enuresis | ||||
Egyptian Journal of Health Care | ||||
Article 44, Volume 14, Issue 1, March 2023, Page 611-623 PDF (647.62 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2023.286170 | ||||
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Authors | ||||
Saida El Sayed Hassan Ibrahim El-Azzab* 1; Sahar Elsayed Gaber Behilak2; Abeer Taha Ahmed3 | ||||
1Assistant Professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt | ||||
2Assistant Professor of Psychiatric Mental Health Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
3Lecturer of Psychiatric Mental Health Nursing, Faculty of Nursing, Cairo University, Egypt. | ||||
Abstract | ||||
Background: Nocturnal enuresis is a frequent urologic pediatric disorder. Early childhood stressors and their psychological immunity may play a crucial role in the etiology of nocturnal enuresis. Aim: To study relationships between early childhood psycho-trauma and psychological immunity among children with nocturnal enuresis. Design: Descriptive correlational design with quantitative methodology was used. Sample: A purposive sampling technique of two hundred and sixty children with nocturnal enuresis. Settings: This study was carried out in the outpatient clinics of two hospitals; Psychiatry and Addiction Prevention Hospital-Cairo University Hospitals (Children’s and Adolescents Clinic) and Preventive Medicine Hospital in Abo El-Rish hospital (Nocturnal Enuresis and Psychiatric Clinic). Tools: Personal and clinical data sheet, Childhood Trauma History Questionnaire-Short Form and Psychological Immunity Scale were utilized. Results: The majority of sample had low level of psychological immunity scores (85.4 and 82.3%) respectively in adaptive confrontation and self-regulation dimensions. As the majority of sample experienced moderate levels of emotional abuse and neglect (100% and 72.3%) respectively, (76.2%) had moderate levels of physical abuse, while 23.8% were suffering high levels of physical abuse score. As that, there were significant negative relationship between all dimensions of psychological immunity and three dimensions of early childhood trauma as emotional, physical and sexual abuse (P-value = 0.004, 0.002 and 0.0001 respectively). Conclusion: There were moderate and high levels of early childhood trauma history among the children with nocturnal enuresis while there were low levels of psychological immunity among those children. There was a significant negative correlation between the total score of early childhood trauma history and psychological immunity. Recommendations: A nursing intervention program for children with nocturnal enuresis to enhance their psychological immunity and reduce early child maltreatment levels. | ||||
Keywords | ||||
Psycho-trauma; Psychological Immunity; and Nocturnal Enuresis | ||||
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