Treatment of childhood encopresis — a review

Thapar, Anita; Davies, Gillian; Jones, Tessa; Rivett, Mark

doi:10.1111/j.1365-2214.1992.tb00364.x

Cited by 16 publications

(11 citation statements)

References 36 publications

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“…With soiling, behavioural intervention combined with laxative treatment has been found to be the most effective form of treatment (Thapar et al, 1992). Most children improve significantly within the first two weeks and over 75 per cent maintain these improvements.…”

Section: Individual Characteristicsmentioning

confidence: 99%

“…Soiling has been considered a symptom of underlying anger or conflict and psychotherapy advocated. Studies, however, are few and inconclusive, although some have indicated success where this form of support has been offered to parents or both parents and children (Thapar et al, 1992). The success of a behavioural programme, however, requires structure and stability within the family and, for this reason, it has been suggested that family therapy may be needed before effective toilet training can begin.…”

Section: Psychotherapymentioning

confidence: 99%

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Mental Health Handbook for Schools

Atkinson¹,

Hornby²

2015

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This handbook is a practical, accessible guide to the promotion of good mental health in schools. It provides teachers with up-to-date information on childhood and adolescent mental health problems commonly encountered in schools, and offers practical suggestions for identifying and supporting pupils with specific mental health difficulties.The book focuses on a range of childhood and adolescent mental health problems and the circumstances which can lead to these difficulties, including: • ADHD • suicidal behaviour and deliberate self-harm • eating disorders • obsessive-compulsive disorder • anxiety disorders • autism • substance abuse • parental separation and divorce • depression • bullying • schizophrenia • bereavement.The handbook is an invaluable resource for all schools. It includes essential information about child and adolescent mental health services and outlines a whole-school approach to the promotion of good mental health. It will prove indispensable for all teachers, special educational needs co-ordinators, heads of year, PSHE co-ordinators, education welfare officers and educational psychologists.

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Section: Individual Characteristicsmentioning

confidence: 99%

Section: Psychotherapymentioning

confidence: 99%

Mental Health Handbook for Schools

Atkinson¹,

Hornby²

2015

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“…In comparison, commonly used medications such as imipramine led to no more than 46% of cases becoming dry following treatment and at followup, only 22% had not relapsed. Thapar et al (1992) reviewed literature on a wide range of interventions for soiling and concluded that combined family-based behavioural therapy, laxative use and increased dietary fibre was the most effective treatment for children with soiling problems. In these programmes behavioural family therapy involved coaching the family in using reward systems so that children were rewarded by parents for following through on toileting routines negotiated during family therapy sessions.…”

Section: Common Childhood Psychosomatic Complaintsmentioning

confidence: 99%

Evidence‐based practice in family therapy and systemic consultation

Carr

2000

Journal of Family Therapy

123

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Evidence for the effectiveness of family therapy and family-based interventions from critical literature reviews and controlled trials is considered for families with children and adolescents who present with various difficulties. The evidence supports the effectiveness of family therapy as an effective treatment either alone or as part of a multimodal or multisystemic treatment programme for child abuse and neglect, conduct problems, emotional problems and psychosomatic problems. Implications for practice, training and continuing professional development in the field of family therapy are discussed.

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“…This division between soiling and encopresis is not always used or supported however. For example, Thapar et al (1992) believe that, in practice, it would not be easy to separate children into two such defined groups. This view is shared by Foreman and Thambirajah (1996) in their case‐note study of 63 boys with encopresis.…”

Section: Soiling Vs Encopresismentioning

confidence: 99%

The Classification of Soiling and Encopresis and a Possible Treatment Protocol

Murphy¹,

Carney²

2004

Child Adoles Ment Health

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Background: It is proposed that the classification of paediatric bowel elimination disorders is central to their effective treatment. Method: By separating the terms soiling and encopresis and clearly defining the aetiologies behind both, a treatment pathway begins to emerge. Results: The theoretical model described suggests that encopresis may require only psychological management, whereas soiling (caused by constipation) is more complex, and although it needs medical management, it may or may not require psychological input. Conclusions: By using such a functional classification to define a treatment protocol, the roles of both medical and psychological services could be more clearly understood from the outset.

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Treatment of childhood encopresis — a review

Abstract: Children with encopresis may present to a number of different professionals. The literature on different treatment methods is reviewed. The roles of verbal psychotherapy, physical treatment, behaviour therapy and mixed treatment programmes are discussed.

Cited by 16 publications

References 36 publications

Mental Health Handbook for Schools

Mental Health Handbook for Schools

Evidence‐based practice in family therapy and systemic consultation

The Classification of Soiling and Encopresis and a Possible Treatment Protocol

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