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Journal of Pediatric Psychology 22(5) pp. 619-633, 1997
© 1997 Society of Pediatric Psychology

other

Evaluation of a Standard Protocol for Retentive Encopresis: A Replication

Lori J. Stark1, Lisa C. Opipari, Deidre L. Donaldson, Michael B. Danovsky, Deborah A. Rasile and Anne F. DelSanto

Rhode Island Hosptial/Brown University School of Medicine

1All correspondence should be sent to Lori J. Stark, Division of child and Family Psychiatry, Rhode Island Hospital, 593 Edy Street, Providence, Rhode Island 02903

Replicated the efficacy of a short-term, combined medical and behavioral intervention protocol for retentive encopresis. Fifty-nine children who had failed standard medical management for retentive encopresis and their parents participated in six 1-hour group treatment sessions. Treatment protocol combined the medical management strategies of enema clean out, increasing dietary fiber, and daily toilet sitting with the child behavior management strategies of differential attention, contingency management, and contracting. For the overall sample, the number of soiling incidents decreased 85%, the weekly frequency of independent bowel movements increased 15%, the weekly frequency of parent-prompted bowel movements increased 9%, and daily dietary fiber intake increased 121% pre-to posttreatment. The majority of the sample (86%) stopped soiling by the end of treatment and did not require further treatment. Results are discussed in terms of the comparability with previous findings and the utility of combined medical and psychological treatments for children with encopresis who have failed standard medical approaches

Key words: encopresis; constipation; group behavior theraphy; children.


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