Previous studies have shown a significant reduction of prepulse inhibition
of startle in boys with primary nocturnal enuresis. Those enuretic boys who
had higher IQs showed less prepulse inhibition. This study evaluates the a
ssociation of prepulse inhibition and IQ in primary nocturnal enuresis in r
espect to family history of primary nocturnal enuresis. Prepulse inhibition
of startle was studied in 83 boys with primary nocturnal enuresis and 57 n
on-enuretic boys using an interval of 120 ms between the onset of a 75 dB 1
000 Hz tone and a 104 dB noise burst. Of the boys with primary nocturnal en
uresis, 56 had a family history of primary nocturnal enuresis and 27 had no
family history (no first-degree relative). Of the 57 non-enuretic boys, 42
also had no family history (no first-degree relative) of primary nocturnal
enuresis, while 15 did have a positive family history. Associations betwee
n prepulse inhibition and IQ scores were compared among these four groups.
Strong and significant associations between prepulse inhibition deficit and
higher IQ scores in the enuretic group with familial primary nocturnal enu
resis were unique in comparison to the other groups.
Conclusions: The strong heritabilities of primary nocturnal enuresis. intel
ligence and prepulse inhibition suggest genetic mediation of the associatio
n of prepulse inhibition With intelligence in familial primary nocturnal en
uresis.