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Encopresis: A medical and family approach

Published online by Cambridge University Press:  23 March 2020

I. Peñuelas Calvo*
Affiliation:
Hospital Universitario Virgen de la Victoria, Psychiatry, Málaga, Spain
J. Sevilla Llewellyn-Jones
Affiliation:
Hospital Universitario Virgen de la Victoria, Psychology, Málaga, Spain
L. Poggio Lagares
Affiliation:
Universidad Complutense de Madrid, Facultad de Psicología, Social Psychology, Madrid, Spain
C. Cervesi
Affiliation:
Institute for Maternal and Child Health- IRCCS “Burlo Garofolo”, Psychiatry, Trieste, Italy
A. Sareen
Affiliation:
The Zucker Hillside Hospital - North Shore - Long Island Jewish Health System, Psychiatry Research, New York, USA
A. Gonzalez Moreno
Affiliation:
Hospital Universitario Virgen de la Victoria, Psychiatry, Málaga, Spain
*
*Corresponding author.

Abstract

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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.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV291
Copyright
Copyright © European Psychiatric Association 2016
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