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[Encopresis--in a child psychiatric treatment regime]

T Berge1, T H Diseth

  • 1Barnepsykiatrisk klinikk Statens senter for barneog ungdomspsykiatri, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 10, 1993
PubMed

Insights

Encopresis often stems from multiple factors, including psychological and environmental issues. Effective treatment requires a comprehensive approach addressing these varied causes in children.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychiatry
  • Behavioral Psychology

Background:

  • Encopresis (fecal incontinence) in children is often linked to complex, multifactorial causes.
  • Psychiatric disorders can significantly contribute to the development of encopresis.
  • Factors such as physiological predisposition and early bowel training influence encopresis.

Observation:

  • The parent-child relationship and environmental stressors play a crucial role in encopresis.
  • No single therapeutic method is universally effective for all encopresis cases.
  • Child psychiatric units encounter diverse presentations of encopresis.

Findings:

  • A multidisciplinary treatment program is necessary for managing encopresis.
  • The presented program integrates lavements, laxatives, and stool softeners.
  • Behavioral modification and environmental therapy are key components of the treatment.

Implications:

  • Comprehensive treatment strategies are essential for addressing encopresis effectively.
  • Integrating medical, psychological, and behavioral interventions improves outcomes.
  • Understanding the multifactorial nature of encopresis guides tailored therapeutic plans.

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