Behavioral Treatment of Fecal Incontinence

Abstract Primary progressive aphasia (PPA) is a relatively new diagnostic entity, for which few behavioral treatments have been investigated. Recent work has helped to clarify the nature of distinct PPA variants, including a nonfluent variant (NFV-PPA), a logopenic variant (LV-PPA), and a semantic variant (SV-PPA). This paper reviews treatment research to date in each subtype of PPA, including restitutive, augmentative, and functional approaches. The evidence suggests that restitutive behavioral treatment can result in improved or stabilized language performance within treated domains. Specifically, sentence production and lexical retrieval have been addressed in NFV-PPA, whereas lexical retrieval has been the primary object of treatment in LV and SV-PPA. Use of augmentative communication techniques, as well as implementation of functional communication approaches, also may result in improved communication skills in individuals with PPA. The ideal treatment approach may be one that combines restitutive, augmentative, and functional approaches to treatment, in order to maximize residual cognitive-linguistic skills in patients. Additional research is warranted to determine which modes of treatment are most beneficial in each type of PPA at various stages of severity.

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Functional Assessment Helps Behavioral Treatment

Pediatric News ◽

10.1016/s0031-398x(08)70258-3 ◽

2008 ◽

Vol 42 (6) ◽

pp. 18

Author(s):

HEIDI SPLETE

Keyword(s):

Functional Assessment ◽

Behavioral Treatment

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Central Nervous System Processing of Emotions in Children with Fecal Incontinence and Constipation

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie ◽

10.1024/1422-4917/a000638 ◽

2019 ◽

Vol 47 (1) ◽

pp. 67-71

Author(s):

Monika Equit ◽

Justine Niemczyk ◽

Anna Kluth ◽

Carla Thomas ◽

Mathias Rubly ◽

...

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Fecal Incontinence ◽

Event Related Potentials ◽

Anterior Cingulate ◽

Afferent Pathways ◽

Study Results ◽

Related Potentials ◽

The Central Nervous System ◽

Cortical Regions

Abstract. Objective: Fecal incontinence and constipation are common disorders in childhood. The enteric nervous system and the central nervous system are highly interactive along the brain-gut axis. The interaction is mainly afferent. These afferent pathways include centers that are involved in the central nervous processing of emotions as the mid/posterior insula and the anterior cingulate cortex. A previous study revealed altered processing of emotions in children with fecal incontinence. The present study replicates these results. Methods: In order to analyze the processing of emotions, we compared the event-related potentials of 25 children with fecal incontinence and constipation to those of 15 control children during the presentation of positive, negative, and neutral pictures. Results: Children with fecal incontinence and constipation showed altered processing of emotions, especially in the parietal and central cortical regions. Conclusions: The main study results of the previous study were replicated, increasing the certainty and validity of the findings.

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Urinary and Fecal Incontinence: A Training Program for Children and Adolescents

10.1027/00460-000 ◽

2014 ◽

Cited By ~ 2

Author(s):

Monika Equit ◽

Heike Sambach ◽

Justine Niemczyk ◽

Alexander von Gontard

Keyword(s):

Fecal Incontinence ◽

Children And Adolescents ◽

Training Program

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Case Formulation and Design of Behavioral Treatment Programs

European Journal of Psychological Assessment ◽

10.1027//1015-5759.19.3.164 ◽

2003 ◽

Vol 19 (3) ◽

pp. 164-174 ◽

Cited By ~ 27

Author(s):

Stephen N. Haynes ◽

Andrew E. Williams

Keyword(s):

Functional Analysis ◽

Behavior Problems ◽

Behavioral Treatment ◽

Clinical Case ◽

Relative Magnitude ◽

Mechanisms Of Action ◽

Treatment Programs ◽

Case Formulation ◽

Functional Relations ◽

Causal Variables

Summary: We review the rationale for behavioral clinical case formulations and emphasize the role of the functional analysis in the design of individualized treatments. Standardized treatments may not be optimally effective for clients who have multiple behavior problems. These problems can affect each other in complex ways and each behavior problem can be influenced by multiple, interacting causal variables. The mechanisms of action of standardized treatments may not always address the most important causal variables for a client's behavior problems. The functional analysis integrates judgments about the client's behavior problems, important causal variables, and functional relations among variables. The functional analysis aids treatment decisions by helping the clinician estimate the relative magnitude of effect of each causal variable on the client's behavior problems, so that the most effective treatments can be selected. The parameters of, and issues associated with, a functional analysis and Functional Analytic Clinical Case Models (FACCM) are illustrated with a clinical case. The task of selecting the best treatment for a client is complicated because treatments differ in their level of specificity and have unequally weighted mechanisms of action. Further, a treatment's mechanism of action is often unknown.

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A component analysis of cognitive-behavioral treatment for depression.

Prevention & Treatment ◽

10.1037//1522-3736.3.0003 ◽

2000 ◽

Vol 3 ◽

pp. np

Author(s):

Keith S. Dobson ◽

Paula A. Truax ◽

Michael E. Addis ◽

Kelly Koerner ◽

Jackie K. Gollan ◽

...

Keyword(s):

Behavioral Treatment ◽

Component Analysis ◽

Cognitive Behavioral ◽

Cognitive Behavioral Treatment

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