Defecation Dynamics and Behavior Profiles in Encopretic Children
1 From the Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City
The social competence and behavioral profiles of 38 encopretic children were evaluated, and the social competence and behavioral ratings were correlated with physiologic abnormalities found during anorectal manometric and EMG evaluation and with treatment outcome. When defecation was studied, 66% of encopretic children were not able to defecate rectal balloons and 63% were not able to relax the external anal sphincter during defecation attempts. Total social competence and behavior problem scores were not different for boys able and unable to defecate balloons. Total social competence scores were significantly lower in girls unable to defecate balloons than in those able to (P < .006), whereas behavior problem scores were similar in girls able to and unable to defecate. We found that persistence of encopresis at 6-month and 12-month follow-up was not related to the social competence (P > .2) or behavioral scores (P > .2) but was significantly related to the inability to defecate (P < .01) and to the inability to relax the external sphincter during defecation attempts (P < .03).
Key Words: encopresis • defecation • behavior profile • anorectal manometry
Accepted on December 29, 1986
This article has been cited by other articles:
 |
|
 |
|
  M. van Dijk, M. E. J. Bongers, G.-J. de Vries, M. A. Grootenhuis, B. F. Last, and M. A. Benninga Behavioral Therapy for Childhood Constipation: A Randomized, Controlled Trial Pediatrics, May 1, 2008; 121(5): e1334 - e1341. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Joinson, J. Heron, U. Butler, A. von Gontard, and the Avon Longitudinal Study of Parents and Childre Psychological Differences Between Children With and Without Soiling Problems Pediatrics, May 1, 2006; 117(5): 1575 - 1584. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G S Clayden, A S Keshtgar, I Carcani-Rathwell, and A Abhyankar THE MANAGEMENT OF CHRONIC CONSTIPATION AND RELATED FAECAL INCONTINENCE IN CHILDHOOD Arch. Dis. Child. Ed. Pract., October 1, 2005; 90(3): ep58 - ep67. [Full Text] [PDF]
|
|
|
|
|
|
D. S. Pashankar and V. Loening-Baucke Increased Prevalence of Obesity in Children With Functional Constipation Evaluated in an Academic Medical Center Pediatrics, September 1, 2005; 116(3): e377 - e380. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M A Benninga, W P Voskuijl, G W Akkerhuis, J A Taminiau, and H A Buller Colonic transit times and behaviour profiles in children with defecation disorders Arch. Dis. Child., January 1, 2004; 89(1): 13 - 16. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Cox, J. B. Morris Jr., S. M. Borowitz, and J. L. Sutphen Psychological Differences Between Children With and Without Chronic Encopresis J. Pediatr. Psychol., October 1, 2002; 27(7): 585 - 591. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. van Ginkel, H. A. Buller, G. E. Boeckxstaens, R. N. van der Plas, J. A. J. M. Taminiau, and M. A. Benninga The Effect of Anorectal Manometry on the Outcome of Treatment in Severe Childhood Constipation: A Randomized, Controlled Trial Pediatrics, July 1, 2001; 108(1): e9 - 9. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. N. Aruffo, S. Ibarra, and K. R. Strupp Encopresis and Anal Masturbation J Am Psychoanal Assoc, December 1, 2000; 48(4): 1327 - 1354. [Abstract] [PDF]
|
|
|
|
|
|
T. Nolan, T. Catto-Smith, C. Coffey, and J. Wells Randomised controlled trial of biofeedback training in persistent encopresis with anismus Arch. Dis. Child., August 1, 1998; 79(2): 131 - 135. [Abstract] [Full Text]
|
|
|
|
 |
|
 M. A. Cerezo and G. Pons-Salvador Modifying the Family Process in Two Cases of Physical Child Abuse and Secondary Functional Encopresis Child Maltreat, May 1, 1998; 3(2): 171 - 185. [Abstract]
|
|
