PEDIATRICS Vol. 58 No. 6 December 1976, pp. 845-852
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Children With Encopresis: A Study of Treatment Outcome

Melvin D. Levine M.D.1 and Harry Bakow Ph.D.1

1 Children's Hospital Medical Center, Boston, Massachusetts

A pediatric treatment program for encopresis was established in a large medical center. This consisted of counseling and education, initial bowel catharsis, a supportive maintenance program to potentiate optimum evacuation, retraining, and careful monitoring and follow-up. A group of 127 children received care for this problem. At the end of one year, outcome data were obtained on 110 patients. Of these, 51% had not had "accidents" for more than six months. Another 27% showed marked improvement and were having only rare episodes of incontinence. 14% of these children showed some improvement, but continued to have incontinence, while 8% showed no improvement whatsoever during the treatment year. These four outcome groups were compared with respect to a large number of demographic, developmental, psychosocial, and clinical variables.

Submitted on February 26, 1976
Accepted on April 14, 1976




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