Synonyms
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...
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.
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.
Batts, B. (2010). Ready, set potty! Training for children with autism and other developmental disorders. London/Philadelphia: Jessica Kingsley.
Bellman, M. (1996). Studies on encopresis. Acta Paediatrica Scandinavica, 56(Suppl 170), 1–151.
Blum, N. J., Taubman, B., & Nemeth, N. (2004). During toilet training, constipation occurs before stool toileting refusal. Pediatrics, 113, e520–e522.
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.
Gray, C., & White, A. L. (2002). My social stories book. London/New York: Jessica Kingsley.
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.
Loening-Baucke, V. A. (1987). Factors responsible for persistence of childhood constipation. Journal of Pediatric Gastroenterology and Nutrition, 6, 915–922.
Loening-Baucke, V., Cruikshank, B., & Savage, C. (1987). Defecation dynamics and behavior profiles in encopretic children. Pediatrics, 80, 672–679.
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
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.
Wheeler, M., & Kranowitz, C. S. (2007). Toilet training for individuals with autism or other developmental disorders. Arlington: Future Horizons.
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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
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DOI: https://doi.org/10.1007/978-1-4614-6435-8_408-3
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