Desmopressin is used to treat nocturnal enuresis (bedwetting). Primary nocturnal enuresis (PNE) is the most common form of bedwetting. Trauma can trigger a return to bedwetting (secondary enuresis) in both children and adults. Mowrer detailed the use of a bedwetting alarm that sounds when children urinate while asleep. Brian suffers from chronic nosebleeds, blackouts, and bedwetting for years after entering the crawl space. Adult rates of bedwetting show little change due to spontaneous cure. Currently, GoodNites' competition comes from both Pampers Underjams and store brand bedwetting diapers. By 2000, GoodNites' primary competition consisted of store brand disposable bedwetting diapers. Behavioral treatment of bedwetting overall tends to show increased self-esteem for children. This can cause increased bedwetting incidents, leading to more punishment and shaming. A urine sensor is a necessary part of any bedwetting alarm. They can be used to protect the mattress from bedwetting accidents. Parents and family members are frequently stressed by a child's bedwetting. Studies of bedwetting in adults have found varying rates. Children whose parents were not enuretic have only a 15% incidence of bedwetting.