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{{CMG}}  
{{CMG}}; {{AE}} {{KS}}
 
==Diagnostic Criteria==
==Diagnostic Criteria==
The psychiatric ([[DSM-IV]]) diagnostic criteria for encopresis are:
# 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., laxatives) 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.
===DSM-V Diagnostic Criteria for Encopresis<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>===
==References==
{{cquote|
{{Reflist|2}}
 
*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).
 
'''''AND'''''


[[Category:primary care]]
*D. The behavior is not attributable to the physiological effects of a substance (e.g., [[laxative]]s) or another medical condition except through a mechanism involving [[constipation]].
[[Category:Geriatrics]]
[[Category:Psychiatry]]
[[Category:Pediatrics]]
[[Category:Needs overview]]


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==
{{Reflist|2}}
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[[Category:Disease]]
[[Category:Psychiatry]]
[[Category:Pediatrics]]
[[Category:Gastroenterology]]
[[Category:Geriatrics]]
[[Category:Needs overview]]

Latest revision as of 21:34, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Diagnostic Criteria

DSM-V Diagnostic Criteria for Encopresis[1]

  • 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).

AND

  • 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:

References

  1. Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.

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