Taitz L S, Wales J K, Urwin O M, Molnar D
Arch Dis Child. 1986 May;61(5):472-7. doi: 10.1136/adc.61.5.472.
Simple, incentive based behaviour modification, with or without a modest programme of psychotherapy involving outpatient visits every four to six weeks, seems to be associated with a useful cure rate in children with lower bowel function disorders. Appreciable social disadvantage seems to be the most important factor mitigating against a successful outcome, associated with non-compliance with treatment. Failure to respond to treatment was associated with important psychological problems. These were more common in the socially disadvantaged groups. Children from satisfactory social backgrounds who have lower bowl disturbances can be effectively treated by fairly simple programmes. More elaborate and expensive strategies should be reserved for those whose psychosocial circumstances make it possible to predict a less satisfactory outcome.
简单的、基于激励的行为矫正，无论是否辅以每四至六周进行一次门诊治疗的适度心理治疗方案，似乎都与下消化道功能障碍儿童的有效治愈率相关。明显的社会劣势似乎是不利于取得成功治疗效果的最重要因素，这与不遵守治疗有关。对治疗无反应与严重的心理问题相关。这些问题在社会弱势群体中更为常见。来自社会背景良好但有下消化道功能障碍的儿童可以通过相当简单的方案得到有效治疗。更复杂、更昂贵的治疗策略应留给那些社会心理状况预示治疗效果不太理想的儿童。
