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Related Experiment Videos

Attentional dysfunction in children with encopresis

B D Johnston1, J A Wright

  • 1Department of Pediatrics, University of Washington, Seattle.

Journal of Developmental and Behavioral Pediatrics : JDBP
|December 1, 1993
PubMed
Summary

Children with encopresis (involuntary defecation) show a significantly higher prevalence of attentional dysfunction and hyperactivity. This finding suggests a potential link between these neurobehavioral disorders in childhood.

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Area of Science:

  • Neurobehavioral disorders in childhood
  • Pediatric gastroenterology
  • Child psychology

Background:

  • Encopresis and attentional dysfunction are common childhood neurobehavioral disorders.
  • The comorbidity between these conditions is not well understood.
  • Understanding this association is crucial for effective diagnosis and treatment.

Purpose of the Study:

  • To investigate the prevalence of attentional dysfunction in children diagnosed with encopresis.
  • To document the comorbidity of hyperactivity in a clinical encopresis population.
  • To inform etiological theories and treatment strategies for childhood encopresis.

Main Methods:

  • Utilized the Child Behavior Checklist (CBCL) to assess attention/hyperactivity.
  • Analyzed CBCL "hyperactive" subscale scores against normative data.

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  • Included 167 children with encopresis from a tertiary care facility.

    • Main Results:

    • 23.4% of encopretic children exhibited hyperactivity T scores above 70.
    • This prevalence is approximately tenfold higher than in the general population.
    • The association was consistent across genders and age groups.

    Conclusions:

    • A significant comorbidity exists between encopresis and attentional dysfunction in children.
    • This link has implications for understanding the underlying causes of encopresis.
    • Findings support the need for integrated treatment approaches addressing both conditions.