Encopresis: A medical and family approach
- Peñuelas Calvo, I.
- Sevilla Llewellyn-Jones, J.
- Poggio Lagares, L.
- Cervesi, C.
- Sareen, A.
- Gonzalez Moreno, A.
ISSN: 0924-9338, 1778-3585
Año de publicación: 2016
Volumen: 33
Número: S1
Páginas: S356-S357
Tipo: Artículo
Otras publicaciones en: European Psychiatry
Resumen
Introduction : Encopresis is a not very common disorder. The prevalence of this disorder is about 1.5% after the age of 5 years old and decreased even more as age increased, being very rare in adolescence.Aim : Here we present a clinical case of an 11-year-old girl, with a diagnosis of functional encopresis with constipation and overflow incontinence for 4 years.Method : In this case, we followed a program consisted of 12 sessions combining different techniques that are on experimental phase. The program we designed consist of toilet training, stablishment-token economy- of a diet high in fiber with a progressive remove of laxative medication and a family intervention with both parents that got divorced 4 years ago.Results : Having both parents the same frame the patient's problem easily started to decrease. In follow-up (6 and 12 months), we observed good toilet habits and not constipations episodes.Conclusions : Even though all the techniques used were in experimental phase, we considered that because of the chronicity of this problem a multidisciplinary approach was the best option.