Abstract
To compare short- and long-term effectiveness of three additive treatment protocols in children experiencing chronic encopresis. Children, 6 to 15 years of age, who experienced at least weekly fecal soiling for 6 months or longer were eligible for the study. Children were randomly assigned to a group that received intensive medical therapy (IMT), a group that received intensive medical therapy plus a behavior management program called enhanced toilet training (ETT), or a group that received intensive medical therapy with enhanced toilet training and external anal sphincter electromyographic biofeedback (BF). Data concerning toileting habits were collected for 14 consecutive days before an initial visit, and at 3, 6, and 12 months after initiation of therapy. All data were collected using a computerized voice-mail system that telephoned the families each day. At 12 months, children were classified as significantly improved (reduction in soiling, P < 0.001) or cured (<one fecal accident in 2 weeks). Eighty-seven children participated in the study, 72 boys and 15 girls. Mean age at enrollment was 8.6 +/- 2.0 years, and mean duration of symptoms was 58.2 +/- 38.5 months. At 12 months, the cure rates for the IMM, ETT, and BF groups ...Continue Reading
References
Nov 1, 1992·Child: Care, Health and Development·A ThaparM Rivett
Mar 1, 1992·Archives of Disease in Childhood·G S Clayden
Aug 31, 1991·Lancet·T NolanC Coffey
Feb 1, 1991·Digestive Diseases and Sciences·V Loening-Baucke
Jul 1, 1989·Gut·V Loening-Baucke
Nov 1, 1987·Diseases of the Colon and Rectum·J WeberP Denis
Jun 1, 1985·Journal of Pediatric Gastroenterology and Nutrition·S P LoweryM M Schuster
Nov 1, 1973·Behaviour Research and Therapy·G C Young
Apr 1, 1971·Journal of the American Academy of Child Psychiatry·J M HoagJ Jacobs
Apr 1, 1971·Journal of the American Academy of Child Psychiatry·J R BemporadW Bloom
Oct 1, 1984·Developmental Medicine and Child Neurology·M A WakefieldW M Croke
Oct 1, 1983·Journal of Child Psychology and Psychiatry, and Allied Disciplines·I BergJ Watts
Mar 1, 1980·The Journal of Pediatrics·K OlnessJ Piper
Mar 1, 1994·Digestive Diseases and Sciences·A StaianoS Auricchio
Mar 1, 1994·Biofeedback and Self-regulation·D J CoxW E Whitehead
Nov 1, 1993·Gastroenterology·V Loening-Baucke
Oct 1, 1993·Gut·V Loening-Baucke
Jan 1, 1993·Archives of Disease in Childhood·M A BenningaJ A Taminiau
Nov 1, 1995·Clinical Pediatrics·J L SutphenD J Cox
Jan 1, 1996·Digestive Diseases and Sciences·V Loening-Baucke
Mar 1, 1996·The Journal of Pediatrics·V Loening-Baucke
Jul 1, 1996·Archives of Disease in Childhood·C W Keuzenkamp-JansenA C Douwes
Aug 1, 1996·Clinical Pediatrics·W LingS Borowitz
Oct 1, 1996·Journal of Pediatric Psychology·D J CoxS Borowitz
Dec 1, 1996·Journal of Developmental and Behavioral Pediatrics : JDBP·R M RockneyA J Alario
Citations
Sep 28, 2007·Current Treatment Options in Gastroenterology·Nader N Youssef
Oct 1, 2003·Journal of Consulting and Clinical Psychology·Lee M RitterbandJames Sutphen
Aug 3, 2011·Nature Reviews. Gastroenterology & Hepatology·Suzanne M MugieMarc A Benninga
May 10, 2006·Journal of Developmental and Behavioral Pediatrics : JDBP·Roger C BurketBoris Kovatchev
Apr 4, 2002·Journal of Pediatric Gastroenterology and Nutrition·Judith Sondheimer
Dec 2, 2004·Journal of Pediatric Gastroenterology and Nutrition·M A BenningaJ A J M Taminiau
Apr 9, 2008·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Lisa Philichi
Jan 27, 2005·Journal of Paediatrics and Child Health·B R SouthwellJ M Hutson
Aug 7, 2013·BMC Pediatrics·Marieke L van Engelenburg-van LonkhuyzenRob A de Bie
Jun 14, 2014·Journal of Pediatric Psychology·Kurt A FreemanRongwei Fu
Oct 24, 2007·European Journal of Pediatrics·Els Q van Everdingen-FaasenMichael Groeneweg
Dec 15, 2015·Journal of Pediatric Urology·I J N KoppenM A Benninga
Oct 31, 2012·Alimentary Pharmacology & Therapeutics·S RajindrajithM A Benninga
Jun 7, 2008·The Journal of Pediatrics·Samuel NurkoCarlo Di Lorenzo
Oct 2, 2007·Praxis der Kinderpsychologie und Kinderpsychiatrie·Berit Hansen, Ulrike Lehmkuhl
Apr 2, 2015·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S S C RaoW E Whitehead
Sep 15, 2016·European Journal of Pediatrics·Sophie Kuizenga-WesselKent C Williams
Dec 3, 2016·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Jaclyn A ShepardJesse H Grabman
Dec 23, 2003·Clinical Pediatrics·Dinesh S PashankarVera Loening-Baucke
Jan 6, 2007·Journal of Pediatric Gastroenterology and Nutrition·Marloes E J BongersMarc A Benninga
Apr 25, 2019·Current Gastroenterology Reports·Susrutha Puthanmadhom Narayanan, Adil E Bharucha
Feb 25, 2020·International Review of Psychiatry·Carisa ParrishRick Ostrander
Dec 14, 2011·The Cochrane Database of Systematic Reviews·Miriam BrazzelliDavid Tappin
Mar 8, 2016·Journal of Developmental and Behavioral Pediatrics : JDBP·Evelyn LawEugenia Chan
Sep 19, 2018·Journal of Pediatric Rehabilitation Medicine·Amy Tremback-BallRachel Scanlon
Aug 2, 2020·Pediatrics in Review·Neal S LeLeikoWendy Plante
Nov 10, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Joseph T ChurchMarcus D Jarboe
Jan 23, 2021·Clinics and Research in Hepatology and Gastroenterology·Elie Abi NaderFlorence Campeotto
Mar 9, 2011·Best Practice & Research. Clinical Gastroenterology·S Nurko, S M Scott
May 3, 2008·Pediatrics·Marieke van DijkMarc A Benninga
May 3, 2003·Pediatrics·Laurie FishmanSamuel Nurko