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QUESTION: In children with defaecation disorders, are behavioural modification (B-mod) techniques and cognitive therapies more effective than conventional treatments?
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.
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.
The quality of studies was assessed. Data were extracted on participant characteristics, interventions, and outcomes.
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 …