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A Child Psychiatry Perspective on Encopresis

Evelyne Baroud1, Claire Zar-Kessler2, Suzanne Bender3

  • 1Massachusetts General Hospital, Boston, Massachusetts; McLean Hospital, Belmont, Massachusetts; Harvard Medical School, Boston, Massachusetts.

Journal of the American Academy of Child and Adolescent Psychiatry
|January 6, 2022
PubMed

Insights

Encopresis, or fecal incontinence in children, requires a multidisciplinary approach. Addressing family dynamics and psychiatric issues is key for effective treatment and improved quality of life.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychiatry
  • Behavioral Health

Background:

  • Fecal incontinence (encopresis) affects children aged four and older, causing chronic distress and impacting quality of life.
  • This condition often involves complex psychosocial factors that can hinder remission.

Purpose of the Study:

  • To review the optimal clinical care for encopresis.
  • To highlight the role of a multidisciplinary approach involving medical and behavioral health specialists.
  • To emphasize the contribution of child psychiatrists in managing family dynamics and psychiatric comorbidities.

Main Methods:

  • Literature review on encopresis management.
  • Discussion of integrated medical and behavioral health strategies.
  • Analysis of the role of child psychiatry in treatment.

Main Results:

  • A multidisciplinary approach is optimal for encopresis care.
  • Child psychiatrists can address complex family dynamics and psychiatric issues.
  • Identifying these factors is crucial for effective treatment.

Conclusions:

  • Integrated care models improve outcomes for children with encopresis.
  • Addressing psychosocial factors is essential for successful remission.
  • Child psychiatrists play a vital role in comprehensive encopresis treatment plans.

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