Review: behavioural interventions plus laxatives are effective for defecation disorders in children, but biofeedback does not add benefit
QUESTION: In children with defecation disorders, are behavioural interventions effective?
12 databases were searched in March 2001, reference lists were scanned, and experts were contacted.
Randomised or quasi-randomised controlled trials of cognitive, behavioural, or cognitive and behavioural interventions in children with a history of faecal soiling with and without constipation were included.
Data were extracted on participant characteristics, interventions, outcomes (including number of unsuccessful children [not cured or improved]), and study quality.
14 studies (12 randomised controlled trials, 843 children) met the selection criteria. Children had encopresis in 12 studies and faecal incontinence resulting from congenital abnormalities in 2 studies. Study duration was 2–6 weeks in 6 studies, 8–18 weeks in 6 studies, and 12 …