Assessment of Behavioral Mechanisms Maintaining Encopresis: Virginia Encopresis-Constipation Apperception Test

Assessment of behavioral mechanisms maintaining encopresis: Virginia Encopresis-Constipation Apperception Test.

OBJECTIVE To develop and test a scale for parent and child, evaluating theoretical and clinical parameters relevant to children with encopresis. Encopretic children were hypothesized to have more bowel-specific, but not more generic, psychological problems, as compared with nonsymptomatic control children. In addition, mothers were also believed to be more discerning than children. METHODS Th...

Constipation and Encopresis in Childhood.

What do the following children have in common? • A 12-month-old girl with hard pellet-like stools. • A 3-year-old girl with frequent complaints of dysuria and hard stools. • An 8-year-old boy with a weekly stool that is large enough to clog a toilet. • A 12-year-old boy with daily loose stools in his underpants. Answer: They share a familiar diagnosis: functional constipation. Constipation is a...

Constipation and encopresis in childhood.

Is encopresis always the result of constipation?

Encopresis is often the result of chronic constipation in the majority of paediatric patients. In clinical practice, however, encopresis is also seen without constipation and it is unknown whether these two clinical variants are based on similar or different pathophysiological mechanisms, requiring different therapeutic approaches. We analysed clinical symptoms, colonic transit time (CTT), oroc...

Encopresis.