06d_Elimination Disorders

Question 1

Elimination Disorders:

Overview

Answer 1

Inappropriate elimination of urine or feces

First diagnosed in childhood or adolescence

Question 2

Enuresis:

Diagnostic criteria

Answer 2

Repeated voiding of urine into the bed or clothes

2+ times per week

3+ consecutive months

Question 3

Enuresis:

Age criteria

Answer 3

5+ years old

Question 4

Enuresis:

Main Treatment

Answer 4

Bell-and-pad
a.k.a. night/moisture/urine/enuresis alarm

80% effective

1/3 partial relapse within 6 months

Question 5

Enuresis:

Treatment Enhancement

Answer 5

Bell-and-pad combined with:

Behavioral rehearsal

Overcorrection

Question 6

Enuresis:

Pharmacotherapy

Answer 6

Imipramine:

85% reduction in frequency

30% complete cessation

*Most children relapse within three months after discontinuation of the drug

Question 7

Encopresis:

Diagnostic Criteria

Answer 7

Repeated involuntary or intentional passage of feces in inappropriate places

1x/month for at least 3 months

4+ years old or equivalent developmental level