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Related Experiment Videos

Functional encopresis: symptom reduction and behavioral improvement

M H Young1, L C Brennen, R D Baker

  • 1Department of Pediatrics, University of Massachusetts Medical School, Worcester, USA.

Journal of Developmental and Behavioral Pediatrics : JDBP
|August 1, 1995
PubMed
Summary

Children with functional encopresis experience more behavioral and social issues. Treatment improved symptoms and reduced problems, though some cases were challenging.

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Area of Science:

  • Pediatric Psychology
  • Child Behavioral Health

Background:

  • Functional encopresis is often associated with emotional, behavioral, and social difficulties in children.
  • Understanding these comorbidities is crucial for effective intervention and improved outcomes.

Purpose of the Study:

  • To assess the relationship between functional encopresis and accompanying emotional, behavioral, and social problems.
  • To evaluate symptom resolution and changes in these concomitant problems following treatment.

Main Methods:

  • A nonequivalent control group design was employed with 76 children (6-12 years old), divided into 38 in the encopresis group and 38 in a contrast group.
  • The Child Behavior Checklist was administered before treatment and at a 6-month follow-up to assess behavioral and social competence.

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Main Results:

  • Children with encopresis exhibited significantly more emotional/behavioral problems and lower social competence pre-treatment compared to the control group.
  • Combined medical and psychotherapeutic intervention significantly reduced soiling frequency.
  • Post-treatment, children with encopresis showed fewer behavioral problems and improved social competence.

Conclusions:

  • Treatment for functional encopresis can lead to significant improvements in behavioral and social functioning.
  • High behavior problem scores, particularly with parental negativity, may predict poorer treatment outcomes.
  • Further research into predictors of treatment success in functional encopresis is warranted.