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  • Review: behavioural interventions plus laxatives are effective for defecation disorders in children, but biofeedback does not add benefit

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Review: behavioural interventions plus laxatives are effective for defecation disorders in children, but biofeedback does not add benefit

https://doi.org/10.1136/ebn.5.3.76

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    Brazzelli M, Griffiths P.Behavioural and cognitive interventions with or without other treatments for defaecation disorders in children.Cochrane Database Syst Rev2001; (4):CD002240 (latest version 1 July 2001).

    QUESTION: In children with defecation disorders, are behavioural interventions effective?

    Data sources

    12 databases were searched in March 2001, reference lists were scanned, and experts were contacted.

    Study selection

    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 extraction

    Data were extracted on participant characteristics, interventions, outcomes (including number of unsuccessful children [not cured or improved]), and study quality.

    Main results

    14 studies (12 randomised controlled trials, 843 children) met the selection criteria. Children had encopresis in 12 studies and faecal incontinence …

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    Footnotes

    • Source of funding: National Health Service.

    • For correspondence: Ms M Brazzelli, University of Aberdeen, Aberdeen, UK. mgb{at}hsru.abdn.ac.uk

    • A modified version of this abstract appears in Evidence-Based Medicine.