Perinatal history of patients with encopresis

The aim of the study was to study the perinatal history of children suffering from inorganic encopresis, namely: the prevalence of pathology of pregnancy and childbirth in the mothers of these patients in comparison with a healthy population.Materials and Methods. The data of the perinatal anamnesis...

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Main Authors: A. A. Bebenin, S. V. Grechanyi
Format: Article
Language:Russian
Published: Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation 2025-06-01
Series:Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
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Online Access:https://www.bekhterevreview.com/jour/article/view/1124
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author A. A. Bebenin
S. V. Grechanyi
author_facet A. A. Bebenin
S. V. Grechanyi
author_sort A. A. Bebenin
collection DOAJ
description The aim of the study was to study the perinatal history of children suffering from inorganic encopresis, namely: the prevalence of pathology of pregnancy and childbirth in the mothers of these patients in comparison with a healthy population.Materials and Methods. The data of the perinatal anamnesis of children and adolescents aged 5 to 13 years who applied to the State Medical Institution with «SOCPB» with complaints of fecal incontinence (main group — 192 people), as well as healthy children aged 5 to 13 years, whose parents revealed a voluntary desire to participate in the study (control group — 100 people). Clinicalpsychopathological and clinical-anamnestic research methods were used in the work.Results. The results of the study showed the presence of a predominant burden of the perinatal period with pathological conditions in patients with encopresis compared with a healthy population, while 8 of the 14 factors had predictive power and entered the logistic regression equation with a high level of statistical significance (p<0.05 for all factors). The data on the statistically higher prevalence of chronic diseases of the gastrointestinal tract of mothers with children suffering from encopresis, having the greatest influence on the dependent variable and with the highest modulo value of the regression coefficient (B0=-3.117) can be regarded as a hereditary predisposition to diseases of the gastrointestinal tract, expressed in the weakness of arbitrary control of intestinal peristalsis and defecation in children. Also, for the first time, a higher incidence of the transference factor in the main group was revealed, which had never been described before in relation to encopresis.Conclusion. The results obtained during the study confirm the influence of the residual organic factor on the etiopathogenesis of encopresis in children. At the same time, for the first time, a statistical pattern was revealed clarifying the role of a number of factors of perinatal damage to the nervous system in the formation of fecal incontinence in children, which expands the possibilities of forecasting with the most effective psychoprophylaxis.
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language Russian
publishDate 2025-06-01
publisher Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation
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series Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
spelling doaj-art-c6dbf165a152441f9682df29a0a9b6912025-08-20T03:58:55ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2025-06-01592617010.31363/2313-7053-2025-2-1007597Perinatal history of patients with encopresisA. A. Bebenin0S. V. Grechanyi1St. Petersburg State Pediatric Medical UniversitySt. Petersburg State Pediatric Medical UniversityThe aim of the study was to study the perinatal history of children suffering from inorganic encopresis, namely: the prevalence of pathology of pregnancy and childbirth in the mothers of these patients in comparison with a healthy population.Materials and Methods. The data of the perinatal anamnesis of children and adolescents aged 5 to 13 years who applied to the State Medical Institution with «SOCPB» with complaints of fecal incontinence (main group — 192 people), as well as healthy children aged 5 to 13 years, whose parents revealed a voluntary desire to participate in the study (control group — 100 people). Clinicalpsychopathological and clinical-anamnestic research methods were used in the work.Results. The results of the study showed the presence of a predominant burden of the perinatal period with pathological conditions in patients with encopresis compared with a healthy population, while 8 of the 14 factors had predictive power and entered the logistic regression equation with a high level of statistical significance (p<0.05 for all factors). The data on the statistically higher prevalence of chronic diseases of the gastrointestinal tract of mothers with children suffering from encopresis, having the greatest influence on the dependent variable and with the highest modulo value of the regression coefficient (B0=-3.117) can be regarded as a hereditary predisposition to diseases of the gastrointestinal tract, expressed in the weakness of arbitrary control of intestinal peristalsis and defecation in children. Also, for the first time, a higher incidence of the transference factor in the main group was revealed, which had never been described before in relation to encopresis.Conclusion. The results obtained during the study confirm the influence of the residual organic factor on the etiopathogenesis of encopresis in children. At the same time, for the first time, a statistical pattern was revealed clarifying the role of a number of factors of perinatal damage to the nervous system in the formation of fecal incontinence in children, which expands the possibilities of forecasting with the most effective psychoprophylaxis.https://www.bekhterevreview.com/jour/article/view/1124encopresisfecal incontinenceperinatal traumaextragenital pathology
spellingShingle A. A. Bebenin
S. V. Grechanyi
Perinatal history of patients with encopresis
Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
encopresis
fecal incontinence
perinatal trauma
extragenital pathology
title Perinatal history of patients with encopresis
title_full Perinatal history of patients with encopresis
title_fullStr Perinatal history of patients with encopresis
title_full_unstemmed Perinatal history of patients with encopresis
title_short Perinatal history of patients with encopresis
title_sort perinatal history of patients with encopresis
topic encopresis
fecal incontinence
perinatal trauma
extragenital pathology
url https://www.bekhterevreview.com/jour/article/view/1124
work_keys_str_mv AT aabebenin perinatalhistoryofpatientswithencopresis
AT svgrechanyi perinatalhistoryofpatientswithencopresis