Skip to main content

Encopresis

  • Living reference work entry
  • First Online:
Encyclopedia of Autism Spectrum Disorders
  • 180 Accesses

Synonyms

Fecal incontinence; Soiling

Short Description or Definition

Encopresis, as defined by the DSM-IV-TR (American Psychiatric Association [APA] 2000), consists in the repeated passage of feces in inappropriate places. Although soiling is usually involuntary, it may be intentional in some cases. Soiling must occur once a month for at least 3 months and the chronological age of the child must be at least 4 years. In the case of children with developmental delays, a mental age of at least 4 years is required in order to characterize for a diagnosis of encopresis. Any physical disorder, explaining incontinence, must be ruled out and the soiling should not be due to the direct effects of a substance (e.g., laxatives).

Categorization

Encopresis can be categorized as primary or secondary. In the case of primary encopresis, the fecal continence has never been obtained; and in secondary encopresis, there has been a period of fecal continence (defined as having reached continence for at...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References and Readings

  • Afzal, N., Murch, S., Thirrupathy, K., Berger, L., Fagbemi, A., & Heuschkel, R. (2003). Constipation with acquired megarectum in children with autism. Pediatrics, 112, 939–942.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Elimination disorders. In American Psychiatric Association (Ed.), DSM-IV-TR diagnostic and statistical manual of mental disorders. Text revision (4thth ed., pp. 116–118). Washington, DC: Author.

    Google Scholar 

  • Batts, B. (2010). Ready, set potty! Training for children with autism and other developmental disorders. London/Philadelphia: Jessica Kingsley.

    Google Scholar 

  • Bellman, M. (1996). Studies on encopresis. Acta Paediatrica Scandinavica, 56(Suppl 170), 1–151.

    Google Scholar 

  • Blum, N. J., Taubman, B., & Nemeth, N. (2004). During toilet training, constipation occurs before stool toileting refusal. Pediatrics, 113, e520–e522.

    Article  PubMed  Google Scholar 

  • Buie, T., Campbell, D. B., Fuchs, G. J., Furuta, G. T., Levy, J., VandeWater, J., et al. (2010). Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: A consensus report. Pediatrics, 125(Suppl), S1–S18. doi:10.1542/peds.2009-1878C.

    Article  PubMed  Google Scholar 

  • Gray, C., & White, A. L. (2002). My social stories book. London/New York: Jessica Kingsley.

    Google Scholar 

  • Ibrahim, S. H., Voigt, R. G., Katusic, S. K., Barbaresi, W. J., & Weaver, A. L. (2009). Incidence of gastrointestinal symptoms in children with autism: A population based study. Pediatrics, 124, 680–686. doi:10.1542/peds.2008-2933.

    Article  PubMed  PubMed Central  Google Scholar 

  • Loening-Baucke, V. A. (1987). Factors responsible for persistence of childhood constipation. Journal of Pediatric Gastroenterology and Nutrition, 6, 915–922.

    Article  PubMed  Google Scholar 

  • Loening-Baucke, V., Cruikshank, B., & Savage, C. (1987). Defecation dynamics and behavior profiles in encopretic children. Pediatrics, 80, 672–679.

    PubMed  Google Scholar 

  • Mikkelsen, E. J. (2007). Elimination disorders: Enuresis and encopresis. In A. Martin & F. R. Volkmar (Eds.), Lewis child and adolescent psychiatry. A comprehensive textbook (4thth ed., pp. 662–665). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins

    Google Scholar 

  • Parenting and Child Health. http://www.cyh.com/HealthTopics/HealthTopicdetails.aspx. Last revision 14 Mar 2011.

  • Strategies for Dealing with Soiling (Encopresis). http://www.autism-help.org/behavior-soiling-encopresis.htm. Last revision 14 Mar 2011.

  • Van Der Wall, M. F., Benninga, M. A., & Hirasing, R. A. (2005). The prevalence of encopresis in a multicultural population. Journal of Pediatric Gastroenterology and Nutrition, 40(Suppl 3), 345–348.

    Google Scholar 

  • Wheeler, M., & Kranowitz, C. S. (2007). Toilet training for individuals with autism or other developmental disorders. Arlington: Future Horizons.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Irma Isasa .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Science+Business Media LLC

About this entry

Cite this entry

Isasa, I. (2017). Encopresis. In: Volkmar, F. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6435-8_408-3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-6435-8_408-3

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6435-8

  • Online ISBN: 978-1-4614-6435-8

  • eBook Packages: Springer Reference Behavioral Science and PsychologyReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences

Publish with us

Policies and ethics