Encopresis: A medical and family approach

1. Peñuelas Calvo, I.
2. Sevilla Llewellyn-Jones, J.
3. Poggio Lagares, L.
4. Cervesi, C.
5. Sareen, A.
6. Gonzalez Moreno, A.

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DOI: 10.1016/J.EURPSY.2016.01.1276 GOOGLE SCHOLAR lock_openOpen access editor

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Abstract

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.