Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Enuresis: comparison of two treatments. Arch Phys Med Rehabil 1984 Feb;65(2):98-100 PMID: 6696610

Pubmed ID



Despite long-standing claims that the conditioning method of treating enuresis is based on the classic conditioning paradigm, research explicitly investigating this claim has been limited. This study compares two conditioning methods of treating enuresis, both using the bell and pad, one in a classic conditioning paradigm and the other in an operant paradigm with an unconditioned stimulus delay of 3 minutes together with an operant reinforcement for wet or dry behavior. Sixty children were randomly assigned to one of the 2 treatment groups or a control group. Using Dunn's procedure, a planned comparison showed the control group and delay group did not differ significantly, but both differed significantly from the classic conditioning group (p less than 0.05). Fifty percent of the classic conditioning group reached criterion of 14 consecutive dry nights while 17% of the delay group reached criterion. None of the control group reached criterion. Results suggest that the operant procedures are a much weaker form of treatment than the bell and pad. This study indicates that enuresis in children can be successfully managed with a short duration outpatient program.

Author List

Lynch NT, Grunert BK, Vasudevan SV, Severson RA


Brad K. Grunert PhD Professor in the Plastic Surgery department at Medical College of Wisconsin


2-s2.0-0021334136   1 Citations

MESH terms used to index this publication - Major topics in bold

Behavior Therapy
Child, Preschool
Conditioning, Classical
Conditioning, Operant
Evaluation Studies as Topic
jenkins-FCD Prod-310 bff9d975ec7f2d302586822146c2801dd4449aad