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  • What is Encopresis?An estimated 2 million children in the United States have encopresis. When children have encopresis, this means that they cannot control their bowel movements and have poop accidents in their underwear. Sometimes people use the words “soiling” or “fecal incontinence” to mean encopresis. Encopresis is a frustrating and difficult disorder for children and their families, and it can be hard to treat. In almost all cases, encopresis develops as a result of long-standing constipation. Most children suffering from encopresis have a history of constipation or passing very large, painful poops. In some cases, neither the child nor the parents recall the constipation since it was so long ago.  In most cases, children with encopresis do not have their accidents out of spite or because they are lazy.  Rather, many secondary behavioral problems develop as a result of the encopresis. Once the encopresis is treated, many of the behavioral problems can get better. However, behavior therapy alone is usually not sufficient to cure the problem.
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McGrath

McGrath, M., Mellon, M., & Murphy, L. (1998).  Empirically Supported Treatments in Pediatric Psychology: Constipation and Encopresis. Journal of Pediatric Psychology, 25(4), 225-254.

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