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Examining Sensory Overresponsiveness in Preschool Children With Retentive Fecal Incontinence

Isabelle Beaudry-Bellefeuille1, Shelly J Lane2

  • 1Isabelle Beaudry-Bellefeuille, MScOT, is PhD Candidate, University of Newcastle, School of Health Sciences, Callaghan, New South Wales, Australia, and Occupational Therapist, private practice, Oviedo, Spain. At the time of the study, she was MOT Student, Virginia Commonwealth University, Richmond; ibbergo@gmail.com.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|August 16, 2017
PubMed

Insights

Children with retentive fecal incontinence (RFI) exhibit more sensory overresponsivity (SOR) behaviors. The Toileting Habit Profile Questionnaire (THPQ) can help identify RFI in children, guiding occupational therapy interventions.

Area of Science:

  • Pediatric occupational therapy
  • Childhood developmental disorders
  • Bowel management in children

Background:

  • Bowel control is crucial for daily living and occupational participation in early childhood.
  • Retentive fecal incontinence (RFI) affects a significant number of children, with many not responding to initial treatments.
  • Toileting behaviors, potentially linked to sensory overresponsivity (SOR), may contribute to RFI challenges.

Purpose of the Study:

  • To investigate the relationship between retentive fecal incontinence (RFI) and sensory overresponsivity (SOR) in children.
  • To examine the discriminative validity of the Toileting Habit Profile Questionnaire (THPQ) in identifying children with RFI.

Main Methods:

  • A comparative study design was employed, assessing children with RFI (n=16) and typically developing children (n=27).
  • Parental reports were utilized to gather data on behaviors related to SOR.
  • The Toileting Habit Profile Questionnaire (THPQ) was administered to assess its discriminative capabilities.

Main Results:

  • Children with RFI demonstrated significantly more behaviors associated with SOR compared to typically developing peers.
  • The THPQ proved effective in distinguishing between children with RFI and their typically developing counterparts.
  • Parental reports highlighted a notable difference in SOR behaviors between the two groups.

Conclusions:

  • A significant association exists between retentive fecal incontinence (RFI) and sensory overresponsivity (SOR) in children.
  • The Toileting Habit Profile Questionnaire (THPQ) is a valid tool for discriminating RFI in pediatric populations.
  • Findings support the role of occupational therapy in addressing RFI by considering SOR and its impact on children's occupational engagement.

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