Successful outcome of enuresis alarm treatment is associated with optimal motivation of the child and family, higher frequency of dry nights, and the absence of adverse environmental factors and psychiatric disorders.[6][7] Reduced efficacy of the treatment is associated with lack of concern shown by the individual, lack of supervision, inconsistent use, family stress, abnormal scores on behavioral checklists, psychiatric disorders in the individual, failure to awaken in response to the alarm, unsatisfactory housing conditions, and more than one wetting episode per night.[6]