Encopresis diagnostic criteria: Difference between revisions

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==Diagnostic Criteria==
==Diagnostic Criteria==
The psychiatric ([[DSM-IV]]) diagnostic criteria for encopresis are:
*A. Repeated passage of feces into inappropriate places (e.g., clothing, floor), whether involuntary or intentional.
# Repeated passage of feces into inappropriate places (e.g., clothing or floor) whether voluntary or unintentional
# At least one such event a month for at least 3 months
# Chronological age of at least 4 years (or equivalent developmental level)
# The behavior is not exclusively due to a physiological effect of a substance (e.g., [[laxative]]s) or a general medical condition, except through a mechanism involving constipation.


The DSM-IV recognizes two subtypes: with constipation and overflow incontinence, and without [[constipation]] and overflow incontinence. In the subtype with constipation, the [[feces]] are usually poorly formed and leakage is continuous, and occurs both during sleep and waking hours. In the type without constipation, the feces are usually well-formed, soiling is intermittent, and feces are usually deposited in a prominent location. This form may be associated with [[oppositional defiant disorder]] or [[conduct disorder]], or may be the consequence of anal insertion.
'''''AND'''''


*B. At least one such event occurs each month for at least 3 months.
'''''AND'''''
*C. Chronological age is at least 4 years (or equivalent developmental level).
*D. The behavior is not attributable to the physiological effects of a substance (e.g., laxatives)or another medical condition except through a mechanism involving constipation.
Specify whether:
*With constipation and overflow incontinence: There is evidence of constipation on physical examination or by history.
*Without constipation and overflow incontinence: There is no evidence of constipation on physical examination or by history.
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 22:43, 23 October 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Diagnostic Criteria

  • A. Repeated passage of feces into inappropriate places (e.g., clothing, floor), whether involuntary or intentional.

AND

  • B. At least one such event occurs each month for at least 3 months.

AND

  • C. Chronological age is at least 4 years (or equivalent developmental level).
  • D. The behavior is not attributable to the physiological effects of a substance (e.g., laxatives)or another medical condition except through a mechanism involving constipation.

Specify whether:

  • With constipation and overflow incontinence: There is evidence of constipation on physical examination or by history.
  • Without constipation and overflow incontinence: There is no evidence of constipation on physical examination or by history.

References


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