Understanding bed-wetting (Enuresis) in childhood

Dr Malebo Mashaba
October 19 2020

Bed-wetting refers to the loss or passing of urine during sleep, and can be considered as one  of the critical challenges in childhood stages. Mostly when a child has accomplished toilet  training by the age of four, many children have a brief period of wetting during the daytime  or at night. Whenever the child continues bed-wetting post six years of age, that alarms for  medical attention as this may be a sign of a more serious problem, and as a parent one would  consider a paediatrician consultation. This is for the reason that, bed-wetting may be also  related to a urinary infection, thus the child needs medical attention.

In this article we take a closer look at the underlying psychological factors that also play a  major role in childhood bed-wetting. According to studies and clinical practice Psychological  factors are clearly contributory in most cases reported in children with bed-wetting problems.  These children have experienced life stressors such as domestic violence, trauma, abuse, or  loss of attachment among others. Bed-wetting in such cases is considered as a regressive  symptom in response to the stress, that is the child tend to loose previously well-developed  functions and milestones. Bed-wetting is also a symptom of the coping style most children  adopt of Internalizing the stressor without being able to easily express or vent it out.  Therefore it is important to pay more attention on early development milestones, the social  environment, and the growth progression from one stage to another to facilitate healthy and  functional coping. This is also a critical point to consider early intervention by consulting a  Psychologist or Socialworker with the aim of understanding the underlying factors  surrounding the bed-wetting. In conclusion, note that the psychological process and  development of a child is as much important as their physical development, none is more  superior than the other.