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Behavioral Assessment and Treatment of Fecal Incontinence

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Biofeedback and Family Practice Medicine

Abstract

Fecal incontinence is diagnosed by the presence of soiling or staining on the clothing. Soiling means the appearance of stool; staining means discoloration but no stool. Fecal incontinence is a disorder which can affect individuals of any age. Milne (1976) estimated the incidence of fecal incontinence in the general population to be 1/1000. However, it is most likely to be present in young children or the elderly.

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References

  • Cerulli, M. A., Nikoomanesh, P., & Schuster, M. M. Progress in biofeedback conditioning for fecal incontinence. Gastroenterology, 1979, 76, 742–746.

    PubMed  CAS  Google Scholar 

  • Engel, B. T. Fecal incontinence and encopresis: A physiological analysis. In R. and W. Whitehead (Eds.) Psychophysiology of the Gastrointestinal Tract: Experimental and Clinical Aspects. New York: Plenum, in press.

    Google Scholar 

  • Engel, B. T. The treatment of fecal incontinence by operant conditioning. Automedica, 1978, 2, 101–108.

    Google Scholar 

  • Engel, B. T., Nikoomanesh, P., & Schuster, M. M. Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. New England Journal of Medicine, 1974, 290, 646–649.

    Article  PubMed  CAS  Google Scholar 

  • Foxx, R. M., & Azrin, M. H. Toilet Training in the Retarded. Champaign, Illinois: Research Press, 1973.

    Google Scholar 

  • Liebman, W. M. Disorders of defecation in children. Postgraduate Medicine, 1979, 66(2), 105–110.

    PubMed  CAS  Google Scholar 

  • Lorber, J. Results of treatment of meningomyelocele: An analysis of 524 unselected cases, with special reference to possible selection of treatment. Developmental Medicine and Childhood Neurology, 1971, 13, 279–303.

    Article  CAS  Google Scholar 

  • Milne, J. S. Prevalence of incontinence in the elderly groups. In E. L. Willington (Ed.), Incontinence in the Elderly. London: Academic Press, 1976.

    Google Scholar 

  • Rovetto, F. Treatment of chronic constipation by classical conditioning techniques. Journal of Behavioral Therapy and Experimental Psychiatry, 1979, 10, 143–146.

    Article  Google Scholar 

  • Schuster, M. M. Motor action of rectum and anal sphincter in continence and defecation. In C. F. Code (Ed.), Handbook of phystology Section 6, Alimentary Canal. Vol. IV, Motility. Washington, D.C.: American Physiological Society, 1968, 2121–2146.

    Google Scholar 

  • Schuster, M. M., Hendrix, T. R., & Mendeloff, A. T. The internal anal sphincter response: Manometric studies on its normal physiology, neural pathways, and alteration in bowel disorders. Journal of Clinical Investigation, 1963, 42, 196–207.

    Article  PubMed  CAS  Google Scholar 

  • Schuster, M. M., Hookman, P., & Hendrix, T. R. Simultaneous manometric recording of internal and external anal sphincteric reflexes. Bulletin of Johns Hopkins Hospital, 1965, 116, 79–88.

    CAS  Google Scholar 

  • Whitehead, W. E., Orr, W. C., Engel, B. T., & Schuster, M. M. External anal sphincter response to rectal distension: learned response or reflex. Psychophysiology, in press.

    Google Scholar 

  • Whitehead, W. E., Parker, L. H., Masek, B. J., Cataldo, M. F., & Freeman, J. M. Biofeedback treatment of fecal incontinence in meningomyelocele. Developmental Medicine and Child Neurology, in press.

    Google Scholar 

  • Whitehead, W. E., & Schuster, M. M. Therapeutic application of biofeedback in digestive disorders. In J. E. Berk (Ed.), Developments in Digestive Diseases. Philadelphia: Lea and Febiger, 1980.

    Google Scholar 

  • Young, G. C. The treatment of childhood encopresis by conditioned gastroileal reflex training. Behavioral Research and Therapy, 1973, 11, 499–503.

    Article  CAS  Google Scholar 

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© 1983 Plenum Press, New York

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Engel, B.T. (1983). Behavioral Assessment and Treatment of Fecal Incontinence. In: Rickles, W.H., Sandweiss, J.H., Jacobs, D.W., Grove, R.N., Criswell, E. (eds) Biofeedback and Family Practice Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-1173-7_8

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  • DOI: https://doi.org/10.1007/978-1-4684-1173-7_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-1175-1

  • Online ISBN: 978-1-4684-1173-7

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