Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 3/2020

25-11-2019 | Original Paper

A Pilot Randomized Clinical Trial of a Multidisciplinary Intervention for Encopresis in Children with Autism Spectrum Disorder

Auteurs: Joanna Lomas Mevers, Nathan A. Call, Kristina R. Gerencser, Mindy Scheithauer, Sarah J. Miller, Colin Muething, Shannon Hewett, Courtney McCracken, Lawrence Scahill, Barbara O. McElhanon

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 3/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Children with autism spectrum disorder (ASD) are often delayed in achieving bowel continence, resulting in negative outcomes. In this pilot trial, 20 children with ASD and encopresis were randomly assigned to multidisciplinary intervention for encopresis (MIE; n = 10) or a waitlist control group (n = 10). The MIE group was treated for constipation and received a 10-day behavioral intervention that utilized suppositories to produce predictable bowel movements that were reinforced. Caregivers were trained to implement the intervention. Results support the feasibility of clinical trials of MIE, with high enrolment, competition, attendance, and caregiver acceptability. Preliminary outcomes were positive, with six of 10 in the MIE group achieving continence by the end of treatment compared to 0 in the control group (p = 0.005).
Registered at clinicaltrials.gov (https://​clinicaltrials.​gov); ID: NCT02383732.
Literatuur
go back to reference Axelrod, M. I., Tornehl, M., & Fontanini-Axelrod, A. (2016). Co-occurring autism and intellectual disability: A treatment for encopresis using a behavioral intervention plus laxative across settings. Clinical Practice in Pediatric Psychology,4, 1–10.CrossRef Axelrod, M. I., Tornehl, M., & Fontanini-Axelrod, A. (2016). Co-occurring autism and intellectual disability: A treatment for encopresis using a behavioral intervention plus laxative across settings. Clinical Practice in Pediatric Psychology,4, 1–10.CrossRef
go back to reference Azrin, N. H., & Foxx, R. M. (1971). A rapid method of toilet training the institutionalized retarded. Journal of Applied Behavior Analysis,4, 89–99.CrossRef Azrin, N. H., & Foxx, R. M. (1971). A rapid method of toilet training the institutionalized retarded. Journal of Applied Behavior Analysis,4, 89–99.CrossRef
go back to reference Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., … Scahill., L. (2015). Effects of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trial. Journal of the American Medical Association, 313, 1524–1533. Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., … Scahill., L. (2015). Effects of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trial. Journal of the American Medical Association, 313, 1524–1533.
go back to reference Blum, N. J., Taubman, B., & Nemeth, N. (2003). Relationship between age at initiation of toilet training and duration of training: A prospective study. Pediatrics,111, 810–814.CrossRef Blum, N. J., Taubman, B., & Nemeth, N. (2003). Relationship between age at initiation of toilet training and duration of training: A prospective study. Pediatrics,111, 810–814.CrossRef
go back to reference Call, N. A., Lomas Mevers, J., McElhanon, B. O., & Scheithauer, M. C. (2017). A multidisciplinary treatment for encopresis in children with developmental disabilities. Journal of Applied Behavior Analysis,50, 332–344.CrossRef Call, N. A., Lomas Mevers, J., McElhanon, B. O., & Scheithauer, M. C. (2017). A multidisciplinary treatment for encopresis in children with developmental disabilities. Journal of Applied Behavior Analysis,50, 332–344.CrossRef
go back to reference Christophersen, E. R., & Friman, P. C. (2004). Elimination disorders. In R. T. Brown (Ed.), Handbook of pediatric psychology in school settings (pp. 467–487). Mahwah, NJ: Lawrence Erlbaum Associates. Christophersen, E. R., & Friman, P. C. (2004). Elimination disorders. In R. T. Brown (Ed.), Handbook of pediatric psychology in school settings (pp. 467–487). Mahwah, NJ: Lawrence Erlbaum Associates.
go back to reference DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis,29, 519–533.CrossRef DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis,29, 519–533.CrossRef
go back to reference Dos Santos, J., Lopes, R. I., & Koyle, M. A. (2017). Bladder and bowel dysfunction in children: An update on the diagnosis and treatment of a common, but underdiagnosed pediatric problem. Canadian Urological Association Journal,11, S64–S72.CrossRef Dos Santos, J., Lopes, R. I., & Koyle, M. A. (2017). Bladder and bowel dysfunction in children: An update on the diagnosis and treatment of a common, but underdiagnosed pediatric problem. Canadian Urological Association Journal,11, S64–S72.CrossRef
go back to reference Fishman, L., Rappaport, L., Cousineau, D., & Nurko, S. (2002). Early constipation and toilet training in children with encopresis. Journal of Pediatric Gastroenterology and Nutrition,34, 385–388.CrossRef Fishman, L., Rappaport, L., Cousineau, D., & Nurko, S. (2002). Early constipation and toilet training in children with encopresis. Journal of Pediatric Gastroenterology and Nutrition,34, 385–388.CrossRef
go back to reference Friman, P. C. (2003). A biobehavioral bowel and toilet training treatment for functional encopresis. In W. Odonohue, S. Hayes, & J. Fisher (Eds.), General principles and empirically supported techniques of cognitive behavior therapy (pp. 51–58). Hoboken, NJ: Wiley. Friman, P. C. (2003). A biobehavioral bowel and toilet training treatment for functional encopresis. In W. Odonohue, S. Hayes, & J. Fisher (Eds.), General principles and empirically supported techniques of cognitive behavior therapy (pp. 51–58). Hoboken, NJ: Wiley.
go back to reference Friman, P. C. (2008). Evidence-based therapies for enuresis and encopresis. In R. G. Steele, T. D. Elkin, & M. Roberts (Eds.), Handbook of evidence-based therapies for children and adolescents (pp. 311–333). New York: Springer.CrossRef Friman, P. C. (2008). Evidence-based therapies for enuresis and encopresis. In R. G. Steele, T. D. Elkin, & M. Roberts (Eds.), Handbook of evidence-based therapies for children and adolescents (pp. 311–333). New York: Springer.CrossRef
go back to reference Friman, P. C., Hofstadter, K. L., & Jones, K. M. (2006). A biobehavioral approach to the treatment of functional encopresis in children. Journal of Early and Intensive Behavior Intervention,3, 263.CrossRef Friman, P. C., Hofstadter, K. L., & Jones, K. M. (2006). A biobehavioral approach to the treatment of functional encopresis in children. Journal of Early and Intensive Behavior Intervention,3, 263.CrossRef
go back to reference Friman, P. C., & Jones, K. M. (1998). Elimination disorders in children. In S. T. Watson & F. M. Greshman (Eds.), Handbook of child behavior therapy (pp. 239–260). Boston, MA: Springer.CrossRef Friman, P. C., & Jones, K. M. (1998). Elimination disorders in children. In S. T. Watson & F. M. Greshman (Eds.), Handbook of child behavior therapy (pp. 239–260). Boston, MA: Springer.CrossRef
go back to reference Furuta, G. T., Williams, K., Kooros, K., Kaul, A., Panzer, R., Coury, D. L., et al. (2012). Management of constipation in children and adolescents with autism spectrum disorders. Pediatrics,130, S98–S105.CrossRef Furuta, G. T., Williams, K., Kooros, K., Kaul, A., Panzer, R., Coury, D. L., et al. (2012). Management of constipation in children and adolescents with autism spectrum disorders. Pediatrics,130, S98–S105.CrossRef
go back to reference Heron, J., Joinson, C., Croudace, T., & von Gontard, A. (2008). Trajectories of daytime wetting and soiling in a United Kingdom 4 to 9-year-old population birth cohort study. The Journal of Urology,179, 1970–1975.CrossRef Heron, J., Joinson, C., Croudace, T., & von Gontard, A. (2008). Trajectories of daytime wetting and soiling in a United Kingdom 4 to 9-year-old population birth cohort study. The Journal of Urology,179, 1970–1975.CrossRef
go back to reference Huntley, E., & Smith, L. (1999). Long-term follow-up of behavioural treatment for primary encopresis in people with intellectual disability in the community. Journal of Intellectual Disability Research,43, 484–488.CrossRef Huntley, E., & Smith, L. (1999). Long-term follow-up of behavioural treatment for primary encopresis in people with intellectual disability in the community. Journal of Intellectual Disability Research,43, 484–488.CrossRef
go back to reference King, B. H., Hollander, E., Sikich, L., McCracken, J. T., Scahill. L., Bregman, J. D., … & Ritz, L. (2009). Lack of efficacy of citalopram in children with autism spectrum disorders and high levels of repetitive behavior: citalopram ineffective in children with autism. Archives of General Psychiatry, 66, 583–590. King, B. H., Hollander, E., Sikich, L., McCracken, J. T., Scahill. L., Bregman, J. D., … & Ritz, L. (2009). Lack of efficacy of citalopram in children with autism spectrum disorders and high levels of repetitive behavior: citalopram ineffective in children with autism. Archives of General Psychiatry, 66, 583–590.
go back to reference Lancioni, G. E., O’Reilly, M. F., & Basili, G. (2001). Treating encopresis in people with intellectual disabilities: A literature review. Journal of Applied Research in Intellectual Disabilities,14, 47–63.CrossRef Lancioni, G. E., O’Reilly, M. F., & Basili, G. (2001). Treating encopresis in people with intellectual disabilities: A literature review. Journal of Applied Research in Intellectual Disabilities,14, 47–63.CrossRef
go back to reference LeBlanc, L. A., Carr, J. E., Crossett, S. E., Bennett, C. M., & Detweiler, D. D. (2005). Intensive outpatient behavioral treatment of primary urinary incontinence of children with autism. Focus on Autism and Other Developmental Disabilities,20(2), 98–105.CrossRef LeBlanc, L. A., Carr, J. E., Crossett, S. E., Bennett, C. M., & Detweiler, D. D. (2005). Intensive outpatient behavioral treatment of primary urinary incontinence of children with autism. Focus on Autism and Other Developmental Disabilities,20(2), 98–105.CrossRef
go back to reference Leon, A. C., Davis, L. L., & Kraemer, H. C. (2011). The role and interpretation of pilot studies in clinical research. Journal of Psychiatric Research,45, 626–629.CrossRef Leon, A. C., Davis, L. L., & Kraemer, H. C. (2011). The role and interpretation of pilot studies in clinical research. Journal of Psychiatric Research,45, 626–629.CrossRef
go back to reference Levine, M. D. (1982). Encopresis: Its potentiation, evaluation, and alleviation. Pediatric Clinics of North America,29, 315–330.CrossRef Levine, M. D. (1982). Encopresis: Its potentiation, evaluation, and alleviation. Pediatric Clinics of North America,29, 315–330.CrossRef
go back to reference Lomas Mevers, J., Muething, C., Call, N. A., Scheithauer, M., & Hewett, S. (2018). A consecutive case series analysis of behavioural intervention for enuresis in children with developmental disabilities. Developmental Neurorehabilitation,21, 336–344.CrossRef Lomas Mevers, J., Muething, C., Call, N. A., Scheithauer, M., & Hewett, S. (2018). A consecutive case series analysis of behavioural intervention for enuresis in children with developmental disabilities. Developmental Neurorehabilitation,21, 336–344.CrossRef
go back to reference Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism Developmental Disorders,24, 659–685.CrossRef Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism Developmental Disorders,24, 659–685.CrossRef
go back to reference Macias, M. M., Roberts, K. M., Saylor, C. F., & Fussell, J. J. (2006). Toileting concerns, parenting stress, and behavior problems of children with special health care needs. Clinical Pediatrics,45, 415–422.CrossRef Macias, M. M., Roberts, K. M., Saylor, C. F., & Fussell, J. J. (2006). Toileting concerns, parenting stress, and behavior problems of children with special health care needs. Clinical Pediatrics,45, 415–422.CrossRef
go back to reference Matson, J. L., & LoVullo, S. V. (2009). Encopresis, soiling and constipation in children and adults with developmental disability. Research in Developmental Disabilities,30, 799–807.CrossRef Matson, J. L., & LoVullo, S. V. (2009). Encopresis, soiling and constipation in children and adults with developmental disability. Research in Developmental Disabilities,30, 799–807.CrossRef
go back to reference McElhanon, B. O., McCracken, C., Karpen, S., & Sharp, W. G. (2014). Gastrointestinal symptoms in autism spectrum disorders: A meta-analysis. Pediatrics,133, 872–883.CrossRef McElhanon, B. O., McCracken, C., Karpen, S., & Sharp, W. G. (2014). Gastrointestinal symptoms in autism spectrum disorders: A meta-analysis. Pediatrics,133, 872–883.CrossRef
go back to reference Mruzek, D. W., Handen, B. L., Aponte, C. A., Smith, T., & Foxx, R. M. (2018). Parent training for toileting in autism spectrum disorder. In C. R. Johnson, E. M. Butter, & L. Scahill (Eds.), Parent training for autism spectrum disorder (pp. 203–230). Washington, D.C.: American Psychological Association. Mruzek, D. W., Handen, B. L., Aponte, C. A., Smith, T., & Foxx, R. M. (2018). Parent training for toileting in autism spectrum disorder. In C. R. Johnson, E. M. Butter, & L. Scahill (Eds.), Parent training for autism spectrum disorder (pp. 203–230). Washington, D.C.: American Psychological Association.
go back to reference Niemczyk, J., Wagner, C., & von Gontard, A. (2018). Incontinence in autism spectrum disorder: A systematic review. European Child and Adolescent Psychiatry,27, 1523–1537.CrossRef Niemczyk, J., Wagner, C., & von Gontard, A. (2018). Incontinence in autism spectrum disorder: A systematic review. European Child and Adolescent Psychiatry,27, 1523–1537.CrossRef
go back to reference Reimers, T. M., & Wacker, D. P. (1988). Parents’ rating of acceptability of behavioral treatment recommendations made in an outpatient clinic: A preliminary analysis of the influence of treatment effectiveness. Behavioral Disorders,14, 7–15.CrossRef Reimers, T. M., & Wacker, D. P. (1988). Parents’ rating of acceptability of behavioral treatment recommendations made in an outpatient clinic: A preliminary analysis of the influence of treatment effectiveness. Behavioral Disorders,14, 7–15.CrossRef
go back to reference Ritblatt, S. N., Obegi, A. D., Hammons, B. S., Ganger, T. A., & Ganger, B. C. (2003). Parents’ and child care professionals’ toilet training attitudes and practices: A comparative analysis. Journal of Research in Childhood Education,17, 133–146.CrossRef Ritblatt, S. N., Obegi, A. D., Hammons, B. S., Ganger, T. A., & Ganger, B. C. (2003). Parents’ and child care professionals’ toilet training attitudes and practices: A comparative analysis. Journal of Research in Childhood Education,17, 133–146.CrossRef
go back to reference Rodger, S., Braithwaite, M., & Keen, D. (2004). Early intervention for children with autism: Parental priorities. Australisian Journal of Early Childhood,29, 34–41.CrossRef Rodger, S., Braithwaite, M., & Keen, D. (2004). Early intervention for children with autism: Parental priorities. Australisian Journal of Early Childhood,29, 34–41.CrossRef
go back to reference Rutter, M., Bailey, A., & Lord, C. (2003). Social Communication Questionnaire. Los Angeles, CA: Western Psychological Services. Rutter, M., Bailey, A., & Lord, C. (2003). Social Communication Questionnaire. Los Angeles, CA: Western Psychological Services.
go back to reference Scahill, L., McCracken, J. T., King, B. H., Rockhill. C., Shah, B., Politte, L., … McDougle, C. J. (2015). Extended-release Guanfacine for hyperactivity in children with autism spectrum disorder. The American Journal of Psychiatry, 172, 1197–1206.CrossRef Scahill, L., McCracken, J. T., King, B. H., Rockhill. C., Shah, B., Politte, L., … McDougle, C. J. (2015). Extended-release Guanfacine for hyperactivity in children with autism spectrum disorder. The American Journal of Psychiatry, 172, 1197–1206.CrossRef
go back to reference Schopler, E., Van Bourgondien, M. E., Wellman, G. J., & Love, S. R. (2010). Childhood autism rating scale [Manual] (2nd ed.). Torrance, CA: Western Psychological Services. Schopler, E., Van Bourgondien, M. E., Wellman, G. J., & Love, S. R. (2010). Childhood autism rating scale [Manual] (2nd ed.). Torrance, CA: Western Psychological Services.
go back to reference Schum, T. R., Kolb, T. M., McAuliffe, T. L., Simms, M. D., Underhill, R. L., & Lewis, M. (2002). Sequential acquisition of toilet-training skills: A descriptive study of gender and age differences in normal children. Pediatrics,109, e48–e48.CrossRef Schum, T. R., Kolb, T. M., McAuliffe, T. L., Simms, M. D., Underhill, R. L., & Lewis, M. (2002). Sequential acquisition of toilet-training skills: A descriptive study of gender and age differences in normal children. Pediatrics,109, e48–e48.CrossRef
go back to reference Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: (Vineland II), survey interview form/caregiver rating form. Livonia, MN: Pearson Assessments. Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: (Vineland II), survey interview form/caregiver rating form. Livonia, MN: Pearson Assessments.
go back to reference Sujatha, B., Velayutham, D. R., Deivamani, N., & Bavanandam, S. (2015). Normal bowel pattern in children and dietary and other precipitating factors in functional constipation. Journal of Clinical and Diagnostic Research,9, SC12–15.PubMed Sujatha, B., Velayutham, D. R., Deivamani, N., & Bavanandam, S. (2015). Normal bowel pattern in children and dietary and other precipitating factors in functional constipation. Journal of Clinical and Diagnostic Research,9, SC12–15.PubMed
go back to reference von Gontard, A. V., Pirrung, M., Niemczyk, J., & Equit, M. (2015). Incontinence in children with autism spectrum disorder. Journal of Pediatric Urology,11, 264.e1–264.e7.CrossRef von Gontard, A. V., Pirrung, M., Niemczyk, J., & Equit, M. (2015). Incontinence in children with autism spectrum disorder. Journal of Pediatric Urology,11, 264.e1–264.e7.CrossRef
Metagegevens
Titel
A Pilot Randomized Clinical Trial of a Multidisciplinary Intervention for Encopresis in Children with Autism Spectrum Disorder
Auteurs
Joanna Lomas Mevers
Nathan A. Call
Kristina R. Gerencser
Mindy Scheithauer
Sarah J. Miller
Colin Muething
Shannon Hewett
Courtney McCracken
Lawrence Scahill
Barbara O. McElhanon
Publicatiedatum
25-11-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 3/2020
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-019-04305-5

Andere artikelen Uitgave 3/2020

Journal of Autism and Developmental Disorders 3/2020 Naar de uitgave