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

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Therapeutics
Review: behavioural interventions plus laxatives are effective for defaecation disorders, but biofeedback does not add benefit

https://doi.org/10.1136/ebm.7.4.124

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    (2002) Cochrane Database Syst Rev 1, CD002240; Brazzelli M, Griffiths P.. Behavioural and cognitive interventions with or without other treatments for defaecation disorders in children. . . ;(. ):. (latest version 1 Jul 2001)..
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 QUESTION: In children with defaecation disorders, are behavioural modification (B-mod) techniques and cognitive therapies more effective than conventional treatments?

    Data sources

    Studies were identified by searching 12 databases (including the Cochrane Incontinence Group Trials Register and the Enuresis Resource and Information Centre Register) in March 2001, scanning reference lists, and contacting experts.

    Study selection

    Studies were selected if they were randomised or quasi-randomised controlled trials of cognitive, behavioural, or cognitive and behavioural interventions in children with a history of faecal soiling with or without constipation.

    Data extraction

    The quality of studies was assessed. Data were extracted on participant characteristics, interventions, and outcomes.

    Main results

    14 studies (12 randomised controlled trials, 843 children) met the selection criteria. Children had encopresis (ie, inappropriate passage of stool in children > 4 y of age) in 12 studies and faecal incontinence resulting from congenital abnormalities in 2 studies. Study duration ranged …

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