Psychological and Psychiatric Issues in Functional Constipation, Fecal Incontinence and Bladder and Bowel Dysfunction—A Revised and Updated Document of the International Children's Continence Society (ICCS)

Key Points

• The aim is to address the high comorbidity rates of psychological symptoms in children with functional constipation and incontinence conditions.
• Recommends screenings for psychological symptoms in all settings for children with FI, FC, FNRFI, and BBD.
• Suggests using standardized, validated broadband behavioral questionnaires for assessment.
• Advises a full psychiatric or psychological assessment if clinical range problems are identified.
• High rates of psychological comorbidity necessitate systematic screening.
• Standardized questionnaires effectively identify problem items for further assessment.
• Implementation of these recommendations could improve management of bladder and bowel dysfunction.