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Related Experiment Videos

[Encopresis--predictive factors and outcome].

Claudia Mehler-Wex1, Peter Scheuerpflug, Nicole Peschke

  • 1Klinik und Poliklinik für Kinder--und Jugendpsychiatrie und Psychotherapie der Universität Würzburg. mehler@nervenklinik.uni-wuerzburg.de

Zeitschrift Fur Kinder- Und Jugendpsychiatrie Und Psychotherapie
|November 22, 2005
PubMed
Summary

Effective encopresis treatment in children requires addressing constipation and comorbid psychiatric conditions like ADHD. Achieving remission during inpatient therapy significantly improves long-term outcomes for encopresis patients.

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Area of Science:

  • Pediatric Gastroenterology
  • Child Psychiatry
  • Clinical Psychology

Context:

  • Encopresis significantly impacts children's quality of life.
  • Identifying predictors of treatment success is crucial for effective intervention.
  • Severe encopresis requires comprehensive inpatient management.

Purpose:

  • To compare diagnostic, clinical, and therapeutic features of encopresis.
  • To determine the predictive value of these features on treatment outcomes.
  • To evaluate long-term prognosis of encopresis in children and adolescents.

Summary:

  • Inpatient treatment for severe encopresis (ICD 10: F98.1) involved managing constipation and psychiatric comorbidities.
  • Total remission was achieved in 22% during treatment, with 40% symptom-free at 5.5-year follow-up.

Related Experiment Videos

  • Successful outcomes were significantly linked to adequate obstipation treatment and managing psychiatric comorbidities, especially ADHD.

    • Impact:

    • Stool regulation and specific therapy for psychiatric comorbidities, particularly ADHD, are key to successful encopresis treatment.
    • Achieving remission by hospital discharge predicts significantly better long-term outcomes.
    • This study highlights the importance of a multimodal approach in managing pediatric encopresis.