title: Comparison of familial and psychological factors in groups of encopresis patients with constipation and without constipation.
abstract: The study aimed to evaluate the differences between groups of encopresis patients with constipation and without constipation. The Symptom Checklist- 90-Revised, the COPE Questionnaire, the Relationship Scales Questionnaire, the McMaster Family Assessment Device and the Parenting Style Scale were used to evaluate, respectively, maternal psychiatric symptoms, coping abilities, attachment style, family functioning and children's perceptions of parenting behaviors. Psychiatric diagnoses were evaluated using the K-SADS. A higher level of maternal psychiatric symptoms, impaired role and affective involvement functioning of the family and less psychological autonomy were observed in the group of encopresis patients with constipation than in the group of encopresis patients without constipation. No significant differences were found between the groups in psychiatric comorbidities, maternal coping abilities and attachment style. The two groups had a similar pattern of comorbid psychiatric disorders and maternal psychological factors, although some familial factors-related mainly to parental authority-were differentiated in the encopresis with constipation group.
authors.affiliation: Department of Child and Adolescent Psychiatry, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. ecengel@hacettepe.edu.tr.
authors.forename: S Ebru
authors.initials: SE
authors.lastname: Çengel-Kültür
authors.forename: Devrim
authors.initials: D
authors.lastname: Akdemir
authors.forename: İnci N
authors.initials: İN
authors.lastname: Saltık-Temizel
mesh_terms: D000293:Adolescent; D002648:Child; D003248:Constipation / Q000150:complications* / Q000503:physiopathology; D003672:Defecation / Q000502:physiology; D004688:Encopresis / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires