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)

Alexander von Gontard; Anka Nieuwhof‐Leppink; Ubirajara Barroso; Carol Joinson

doi:10.1002/nau.70291

April 22, 2026Neurourology and Urodynamics

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)

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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.

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Implication

Screening for psychological symptoms improves assessment in children with bladder and bowel dysfunction, suggesting better management strategies.

Abstract

Because the comorbidity rate is high, screening for psychological symptoms is recommended for all children in all settings with FI, FC, FNRFI and BBD. In addition to clinical observation, exploration and history, standardized, validated broadband behavioral questionnaires are recommended. If problem items in the clinical range are present, a full child psychiatric or psychological assessment is recommended.

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Gontard et al. (2026) studied this question.

synapsesocial.com/papers/69ec5b2388ba6daa22dacb4b https://doi.org/10.1002/nau.70291

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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

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Implication

Abstract

Discussion

Cite This Study

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

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Implication

Abstract

Discussion

Cite This Study

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