Objective: To assess the link between enuresis nocturna and the severi
ty of behavioural and/or emotional problems in Dutch children and the
course of these problems. Setting: West-Mine Region in the Netherlands
. Subjects and methods: Prospective cohort study involving 66 of the 8
0 bedwetting children from all 1652 children born in 1983 in this regi
on. After 1 y, contact was still possible with 64 of the enuretics. We
used the Dutch version of the Child Behaviour Checklist (CBCL) and a
questionnaire about bedwetting. Results: The mean T-score for Total Pr
oblems (CBCL score) in 1992 (M1; mean age 8.6) was 52.1, and 1 y later
was 49.2 (M2). There was no significant difference in the CBCL scores
for M1, M2 and a matching group from the Dutch CBCL norm population,
either in the group who remained wet or in the group who became dry. T
here were no differences between the sexes. There was no link between
the severity of behavioural and emotional problems and the frequency o
f bedwetting. However, more children with bedwetting than expected wer
e in the clinical range. Conclusion: There was no difference in behavi
oural and/or emotional problems between the first and the second measu
rement and the matching group from the CBCL norm group. There were no
differences in behavioural and/or emotional problems between primary a
nd secondary bedwetters, nor were there any consequences related to th
e frequency of bedwetting.