This review article considers the clinical significance and management of chronic constipation and soiling in children. Difficulties in determining the epidemiology and co- morbidity are considered. A historical perspective integrating paediatric and psychological thought is provided. Various perspectives and treatment modalities for chronic constipation and soiling are reviewed with particular emphasis on psychological approaches for the management of resistant, ‘psychosomatic’ children. Associations between chronic constipation and both sexual abuse and life-events are considered. Prognostic factors are discussed and suggestions made for further research.
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Ciaran Kelly (1996) studied this question.
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