Stark L J, Owens-Stively J, Spirito A, Lewis A, Guevremont D
Brown University Program in Medicine, Providence, Rhode Island.
J Pediatr Psychol. 1990 Oct;15(5):659-71. doi: 10.1093/jpepsy/15.5.659.
Investigated the efficacy of behavioral group treatment for children with retentive encopresis who had previously failed medical management. Eighteen children between the ages of 4 and 11 years and their parents were seen in small treatment groups of 3 to 5 families over 6 sessions. The sessions focused on education about retentive encopresis, and the integration of behavioral parenting procedures with medical management. Parents and children were taught to deliver an enema clean-out, increase the children's dietary fiber, and appropriate toileting techniques. The results indicated that children significantly increased their fiber consumption by 40%, increased appropriate toileting by 116%, and decreased their soiling accidents by 83% pre- to posttreatment. Further, these treatment gains maintained or improved at the 6-month follow-up. The results are discussed in terms of cost-effective interventions and the interface between psychology and medicine in pediatric psychology.
研究了行为小组治疗对之前药物治疗无效的便秘型大便失禁儿童的疗效。18名4至11岁的儿童及其父母被分成3至5个家庭的小治疗组，共进行6次治疗。治疗课程重点在于对便秘型大便失禁的教育，以及将行为养育方法与药物治疗相结合。教导父母和孩子进行灌肠清理、增加孩子的膳食纤维摄入量以及适当的排便技巧。结果表明，治疗前后，孩子们的纤维摄入量显著增加了40%，适当排便次数增加了116%，弄脏事故减少了83%。此外，这些治疗效果在6个月的随访中得以维持或改善。从具有成本效益的干预措施以及儿科心理学中心理学与医学的交叉领域对结果进行了讨论。
