caa a22 4500 397584245 CHVBK 20180308164915.0 cr unu---uuuuu 161202e199610 xx s 000 0 eng 10.1093/jpepsy/21.5.659 doi (NATIONALLICENCE)oxford-10.1093/jpepsy/21.5.659 Additive Benefits of Laxative, Toilet Training, and Biofeedback Therapies in the Treatment of Pediatric Encopresis [Elektronische Daten] [Daniel J. Cox, James Sutphen, William Ling, Warren Quillian, Steve Borowitz] Compared the additive benefits of laxative, behavior, and biofeedback treatments for encopresis, while attempting to identify treatment mechanisms and predictors of treatment outcome. 44 encopretic children, ages 6-15 years, were randomly assigned to either laxative therapy (LAX), LAX plus enhanced toilet training (ETT), or LAX + ETT + anal sphincter biofeedback (BF). Daily symptom diaries were completed 14 days before, upon initiation of, and 3 months following treatment initiation. ETT and BF were superior to LAX in reducing encopresis. Outcome was significantly predicted by improvement during the initial 14 days of treatment. Reduction of soiling was associated with an increase in bowel movement frequency, and reductions in defecation pain and parental prompting to use the toilet. Because of its efficacy and minimal reliance on technology, ETT should be the initial treatment of choice. © 1996 Plenum Publishing Corporation SPECIAL SECTION: INTERVENTIONS IN PEDIATRIC PSYCHOLOGY nationallicence encopresis nationallicence laxatives nationallicence behavior therapy nationallicence biofeedback nationallicence prediction nationallicence Cox Daniel J. University of Virginia Health Sciences Center aut Sutphen James University of Virginia Health Sciences Center aut Ling William University of Virginia Health Sciences Center aut Quillian Warren University of Virginia Health Sciences Center aut Borowitz Steve University of Virginia Health Sciences Center aut Journal of Pediatric Psychology Oxford University Press 21/5(1996-10), 659-670 0146-8693 21:5<659 1996 21 jpepsy https://doi.org/10.1093/jpepsy/21.5.659 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/jpepsy/21.5.659 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cox Daniel J. University of Virginia Health Sciences Center aut NATIONALLICENCE 700 1- Sutphen James University of Virginia Health Sciences Center aut NATIONALLICENCE 700 1- Ling William University of Virginia Health Sciences Center aut NATIONALLICENCE 700 1- Quillian Warren University of Virginia Health Sciences Center aut NATIONALLICENCE 700 1- Borowitz Steve University of Virginia Health Sciences Center aut NATIONALLICENCE 773 0- Journal of Pediatric Psychology Oxford University Press 21/5(1996-10), 659-670 0146-8693 21:5<659 1996 21 jpepsy Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford