Psychomotor approach in children affectedby nonretentive fecal soiling (FNRFS):a new rehabilitative purpose

Michele Roccella, Lucia Parisi, Maria Ruberto, Francesca Gimigliano, Serena Marianna Lavano, Beatrice Gallai, Giovanni Mazzotta, Marco Carotenuto, Maria Esposito, Rosa Marotta

Risultato della ricerca: Article

33 Citazioni (Scopus)

Abstract

Background: According to the Rome III criteria, encopresis without constipation was defined as nonretentive fecal soiling (FNRFS) with not yet well understood etiology. Treatment approaches reported in the literature with varying results include biofeedback, hypnosis, reflexology, and Internet-based educational programs. In developmental age, another behavioral treatment could be identified in the psychomotor approach, which is called psychomotricity in the European countries, or is also known as play therapy. The aim of the present study was to verify the safety and efficacy of play therapy plus toilet training in a small sample of prepubertal children affected by FNRFS.Materials and methods: Twenty-six patients (group 1; 16 males, mean age of 5.92 ± 0.84 years) underwent a psychomotor approach therapy program in association with toilet training for 6 months, and the other 26 subjects (group 2; 17 males, mean age of 5.76 ± 0.69) underwent the sole toilet training program for 6 months. During the observational time period (T0) and after 6 months (T1) of both treatments, the patients were evaluated for FNRFS frequency and for the behavioral assessment.Results: At T0, the FNRFS mean frequency per month for group 1 was 20.115 episodes/month (standard deviation [SD] ± 3.024) and for group 2 was 20.423 (SD ± 1.879) (P = 0.661). At T1 the mean frequency per month was 6.461 (SD ± 1.333) episodes/month and 12.038 (SD ± 1.341), respectively (P , 0.001). Moreover, the delta percent average of the frequency between T0 and T1 was 67.121 ± 8.527 for group 1 and 40.518 ± 9.259 for group 2 (P , 0.001). At T1, a significant improvement in scores on the behavioral scale was identified.Conclusion: Our preliminary results show the importance of a multidisciplinary approach, and suggest the positive effect of an additional psychomotor approach, as this holds a new and interesting rehabilitative purpose for children in a toilet training program, even if further research is necessary.
Lingua originaleEnglish
pagine (da-a)1433-1441
Numero di pagine9
RivistaNEUROPSYCHIATRIC DISEASE AND TREATMENT
Volume9
Stato di pubblicazionePublished - 2013

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Toilet Training
Play Therapy
Encopresis
Education
Massage
Hypnosis
Constipation
Therapeutics
Internet
Safety
Research

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Biological Psychiatry

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Psychomotor approach in children affectedby nonretentive fecal soiling (FNRFS):a new rehabilitative purpose. / Roccella, Michele; Parisi, Lucia; Ruberto, Maria; Gimigliano, Francesca; Lavano, Serena Marianna; Gallai, Beatrice; Mazzotta, Giovanni; Carotenuto, Marco; Esposito, Maria; Marotta, Rosa.

In: NEUROPSYCHIATRIC DISEASE AND TREATMENT, Vol. 9, 2013, pag. 1433-1441.

Risultato della ricerca: Article

Roccella, M, Parisi, L, Ruberto, M, Gimigliano, F, Lavano, SM, Gallai, B, Mazzotta, G, Carotenuto, M, Esposito, M & Marotta, R 2013, 'Psychomotor approach in children affectedby nonretentive fecal soiling (FNRFS):a new rehabilitative purpose', NEUROPSYCHIATRIC DISEASE AND TREATMENT, vol. 9, pagg. 1433-1441.
Roccella, Michele ; Parisi, Lucia ; Ruberto, Maria ; Gimigliano, Francesca ; Lavano, Serena Marianna ; Gallai, Beatrice ; Mazzotta, Giovanni ; Carotenuto, Marco ; Esposito, Maria ; Marotta, Rosa. / Psychomotor approach in children affectedby nonretentive fecal soiling (FNRFS):a new rehabilitative purpose. In: NEUROPSYCHIATRIC DISEASE AND TREATMENT. 2013 ; Vol. 9. pagg. 1433-1441.
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title = "Psychomotor approach in children affectedby nonretentive fecal soiling (FNRFS):a new rehabilitative purpose",
abstract = "Background: According to the Rome III criteria, encopresis without constipation was defined as nonretentive fecal soiling (FNRFS) with not yet well understood etiology. Treatment approaches reported in the literature with varying results include biofeedback, hypnosis, reflexology, and Internet-based educational programs. In developmental age, another behavioral treatment could be identified in the psychomotor approach, which is called psychomotricity in the European countries, or is also known as play therapy. The aim of the present study was to verify the safety and efficacy of play therapy plus toilet training in a small sample of prepubertal children affected by FNRFS.Materials and methods: Twenty-six patients (group 1; 16 males, mean age of 5.92 ± 0.84 years) underwent a psychomotor approach therapy program in association with toilet training for 6 months, and the other 26 subjects (group 2; 17 males, mean age of 5.76 ± 0.69) underwent the sole toilet training program for 6 months. During the observational time period (T0) and after 6 months (T1) of both treatments, the patients were evaluated for FNRFS frequency and for the behavioral assessment.Results: At T0, the FNRFS mean frequency per month for group 1 was 20.115 episodes/month (standard deviation [SD] ± 3.024) and for group 2 was 20.423 (SD ± 1.879) (P = 0.661). At T1 the mean frequency per month was 6.461 (SD ± 1.333) episodes/month and 12.038 (SD ± 1.341), respectively (P , 0.001). Moreover, the delta percent average of the frequency between T0 and T1 was 67.121 ± 8.527 for group 1 and 40.518 ± 9.259 for group 2 (P , 0.001). At T1, a significant improvement in scores on the behavioral scale was identified.Conclusion: Our preliminary results show the importance of a multidisciplinary approach, and suggest the positive effect of an additional psychomotor approach, as this holds a new and interesting rehabilitative purpose for children in a toilet training program, even if further research is necessary.",
author = "Michele Roccella and Lucia Parisi and Maria Ruberto and Francesca Gimigliano and Lavano, {Serena Marianna} and Beatrice Gallai and Giovanni Mazzotta and Marco Carotenuto and Maria Esposito and Rosa Marotta",
year = "2013",
language = "English",
volume = "9",
pages = "1433--1441",
journal = "NEUROPSYCHIATRIC DISEASE AND TREATMENT",
issn = "1178-2021",

}

TY - JOUR

T1 - Psychomotor approach in children affectedby nonretentive fecal soiling (FNRFS):a new rehabilitative purpose

AU - Roccella, Michele

AU - Parisi, Lucia

AU - Ruberto, Maria

AU - Gimigliano, Francesca

AU - Lavano, Serena Marianna

AU - Gallai, Beatrice

AU - Mazzotta, Giovanni

AU - Carotenuto, Marco

AU - Esposito, Maria

AU - Marotta, Rosa

PY - 2013

Y1 - 2013

N2 - Background: According to the Rome III criteria, encopresis without constipation was defined as nonretentive fecal soiling (FNRFS) with not yet well understood etiology. Treatment approaches reported in the literature with varying results include biofeedback, hypnosis, reflexology, and Internet-based educational programs. In developmental age, another behavioral treatment could be identified in the psychomotor approach, which is called psychomotricity in the European countries, or is also known as play therapy. The aim of the present study was to verify the safety and efficacy of play therapy plus toilet training in a small sample of prepubertal children affected by FNRFS.Materials and methods: Twenty-six patients (group 1; 16 males, mean age of 5.92 ± 0.84 years) underwent a psychomotor approach therapy program in association with toilet training for 6 months, and the other 26 subjects (group 2; 17 males, mean age of 5.76 ± 0.69) underwent the sole toilet training program for 6 months. During the observational time period (T0) and after 6 months (T1) of both treatments, the patients were evaluated for FNRFS frequency and for the behavioral assessment.Results: At T0, the FNRFS mean frequency per month for group 1 was 20.115 episodes/month (standard deviation [SD] ± 3.024) and for group 2 was 20.423 (SD ± 1.879) (P = 0.661). At T1 the mean frequency per month was 6.461 (SD ± 1.333) episodes/month and 12.038 (SD ± 1.341), respectively (P , 0.001). Moreover, the delta percent average of the frequency between T0 and T1 was 67.121 ± 8.527 for group 1 and 40.518 ± 9.259 for group 2 (P , 0.001). At T1, a significant improvement in scores on the behavioral scale was identified.Conclusion: Our preliminary results show the importance of a multidisciplinary approach, and suggest the positive effect of an additional psychomotor approach, as this holds a new and interesting rehabilitative purpose for children in a toilet training program, even if further research is necessary.

AB - Background: According to the Rome III criteria, encopresis without constipation was defined as nonretentive fecal soiling (FNRFS) with not yet well understood etiology. Treatment approaches reported in the literature with varying results include biofeedback, hypnosis, reflexology, and Internet-based educational programs. In developmental age, another behavioral treatment could be identified in the psychomotor approach, which is called psychomotricity in the European countries, or is also known as play therapy. The aim of the present study was to verify the safety and efficacy of play therapy plus toilet training in a small sample of prepubertal children affected by FNRFS.Materials and methods: Twenty-six patients (group 1; 16 males, mean age of 5.92 ± 0.84 years) underwent a psychomotor approach therapy program in association with toilet training for 6 months, and the other 26 subjects (group 2; 17 males, mean age of 5.76 ± 0.69) underwent the sole toilet training program for 6 months. During the observational time period (T0) and after 6 months (T1) of both treatments, the patients were evaluated for FNRFS frequency and for the behavioral assessment.Results: At T0, the FNRFS mean frequency per month for group 1 was 20.115 episodes/month (standard deviation [SD] ± 3.024) and for group 2 was 20.423 (SD ± 1.879) (P = 0.661). At T1 the mean frequency per month was 6.461 (SD ± 1.333) episodes/month and 12.038 (SD ± 1.341), respectively (P , 0.001). Moreover, the delta percent average of the frequency between T0 and T1 was 67.121 ± 8.527 for group 1 and 40.518 ± 9.259 for group 2 (P , 0.001). At T1, a significant improvement in scores on the behavioral scale was identified.Conclusion: Our preliminary results show the importance of a multidisciplinary approach, and suggest the positive effect of an additional psychomotor approach, as this holds a new and interesting rehabilitative purpose for children in a toilet training program, even if further research is necessary.

UR - http://hdl.handle.net/10447/83044

M3 - Article

VL - 9

SP - 1433

EP - 1441

JO - NEUROPSYCHIATRIC DISEASE AND TREATMENT

JF - NEUROPSYCHIATRIC DISEASE AND TREATMENT

SN - 1178-2021

ER -