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Abstract

Encopresis is a biobehavioral disorder characterized by the repeated passage of fecal matter in inappropriate places either involuntarily or intentionally. Prevalence rates range from 3% to 7% worldwide, and diagnosed males outnumber females at a ratio of 6:1. Encopresis accounts for up to 6% of psychiatric referrals among school-aged children. Multimodal treatment is most common, involving behavioral, educational, and medical intervention and is particularly effective for youth who have previously failed to respond to medical intervention alone. Randomized-controlled studies comparing multiple treatment protocols are limited. With treatment, symptom remission can take several months to years, and relapse rates are substantial even among those with initial positive response to treatment.

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DeVries, M. (2017). Encopresis. In: Goldstein, S., DeVries, M. (eds) Handbook of DSM-5 Disorders in Children and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-319-57196-6_24

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