Psychological differences between children with and without chronic encopresis
Psychological differences between children with and without chronic encopresis
复制标题
DOI：
10.1093/jpepsy/27.7.585
复制
发表时间：
2002-10-01
影响因子：
3.6
通讯作者：
Sutphen, JL
中科院分区：
文献类型：
--
作者：
Cox, DJ;Morris, JB;Sutphen, JL
目的：根据心理因素验证大便失禁的理论模型，以区分患有和不患有慢性大便失禁的儿童，并确定证明这些差异的量表。方法：使用五种心理测量仪器对 86 名大便失禁儿童与 62 名无症状儿童进行比较。比较了患者对照组的平均分数和超出预先选择的临床阈值的儿童百分比的差异。结果：发现大便失禁的儿童有更多的焦虑/抑郁症状，家庭环境表达能力较差，组织能力较差，注意力更困难，社会问题更大，破坏性行为更多，并且学校表现较差（在 15/20 分量表上 ps = .01 小于或等于 0.001）。自尊心没有差异。在那些超过临床阈值的大便儿童比例较高的分量表中，超过阈值的大便儿童比对照儿童多大约 20%。结论：作为一个群体，大便失禁儿童与没有大便失禁的儿童在多种心理参数上存在差异。然而，只有少数大便失禁儿童的这些参数表现出临床显着升高。识别和治疗此类临床问题可能会提高治疗效果。
Objective: To validate a theoretical model of encopresis in terms of psychological factors that differentiates children with and without chronic encopresis and to identify scales that demonstrate these differences.Methods: Eighty-six children with encopresis were compared to 62 nonsymptomatic children on five psychometric instruments. Differences in the mean scores and the percentages of children falling beyond preselected clinical thresholds were compared across the patient-control groups.Results: Children with encopresis were found to have more anxiety/depression symptoms, family environments with less expressiveness and poorer organization, more attention difficulties, greater social problems, more disruptive behavior, and poorer school performance (ps = .01 less than or equal to .001 on 15/20 subscales). There were no differences in self-esteem. On those subscales where proportionately more encopretic children exceeded clinical thresholds, approximately 20% more of the encopretic children exceeded thresholds than control children.Conclusions: As a group, children with encopresis differ from children without encopresis on a variety of psychological parameters. However, only a minority of children with encopresis demonstrated clinically significant elevations in these parameters. Identification and treatment of such clinical issues may enhance treatment efficacy.