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Multidisciplinary behavioral treatment of defecation problems: a controlled study in children with anorectal

E M van Kuyk1, M Wissink-Essink, A T Brugman-Boezeman

  • 1Department of Medical Psychology, University Medical Centre Nijmegen, The Netherlands.

Journal of Pediatric Surgery
|August 31, 2001
PubMed

Insights

Multidisciplinary behavioral treatment significantly improves fecal continence and toilet habits in children with anorectal malformation (ARM). These positive outcomes are sustained long-term, offering valuable support for standard medical care.

Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Behavioral therapy

Background:

  • Anorectal malformation (ARM) frequently leads to chronic defecation issues, impacting fecal continence and causing constipation.
  • These conditions have significant negative implications for affected children's quality of life.

Purpose of the Study:

  • To evaluate the effectiveness of a multidisciplinary behavioral treatment program for children with ARM-related defecation problems.
  • To assess the impact of this intervention on fecal continence and constipation.

Main Methods:

  • A prospective, controlled study involving 24 children with ARM.
  • 13 children received multidisciplinary behavioral treatment, while 11 served as a waiting list control group.
  • Follow-up assessments were conducted post-treatment and at a mean of 7 months.

Main Results:

  • The treatment group showed significant improvements in "Templeton" scores and "Percentage of feces in toilet" compared to the control group.
  • Treatment effectiveness was consistent across different age groups and ARM types.
  • Positive treatment outcomes remained stable at a mean 7-month follow-up.

Conclusions:

  • Multidisciplinary behavioral treatment is a valuable addition to standard medical care for children with ARM experiencing chronic defecation problems.
  • This approach effectively addresses fecal continence and constipation issues, improving patient outcomes.
Abstract

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