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Correspondence

Indian Pediatr 2015;52: 995

Enuresis and Sleep Disorders in Children: Author’s Reply


Onyinye Uchenna Anyanwu

Department of Pediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi, Nigeria.
Email: [email protected] 

     


The main outcome for our study was to define the prevalence of nocturnal enuresis and assess its association with behavioral disorders, school performance and sleep disorders. BEARS is an acronym and incorporates five basic sleep domains: Bedtime problems, including difficulty going to bed and falling asleep; Excessive daytime sleepiness, which includes behaviors typically associated with daytime somnolence in children; Awakenings during the night; Regularity of sleep/wake cycles (bedtime, wake time) and average sleep duration; and Snoring [1]. These represent the most common sleep disorders in children. We used the BEARS pediatric sleep questionnaire. Though one of its domain is snoring, which is a sleep-related breathing-disorder, it does not describe other sleep-related breathing disorders as would the Pediatric Sleep-related breathing-disordered (SRBD). scale. It is however a screening tool which can be used in a busy outpatient department to identify persons who may require further assessment. It suffices in a resource-poor country like ours where polysomnography is not readily available. Moreover, SRBD scale was not readily available, and has not been validated in Nigeria. We however agree that it is important as children having nocturnal enuresis along with obstructive sleep apnea may require different therapeutic interventions.

References

1. Mohammadi M, Amintehran E, Ghaleh-bandi M, Reza AM, Shervan S, Babak G. Reliability and validity of Persian version of "BEARS" pediatric sleep questionnaire. Indian J Sleep Med. 2008;3:14-9. 

 

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