Go to the article page in English / Pojdi na angleško stran članka
Motnje izločanja pri otrocih in mladostnikih: psihološka obravnava z vedenjsko-kognitivnim pristopom
Ivana Kreft Hausmeister in Valentina Stefanova Kralj
Polno besedilo (pdf) | Ogledi: 245 | Napisan v slovenščini. | Objavljeno: 10. marec 2023
https://doi.org/10.20419/2023.32.573 | Citati: CrossRef (0)
Povzetek: Raziskave kažejo, da je primeren čas za začetek toaletnega treninga po 2. letu, saj takrat otroci dosežejo nadzor nad mišicami medeničnega dna in analnega sfinktra, vendar pa mora otrok prej osvojiti določene veščine, ki jih bo potreboval za toaletni trening. Te otroci dosežejo vsak ob svojem času. Zato klasifikacije opredelijo motnje izločanja šele po 4. oziroma 5. letu. Motnje izločanja so v mednarodni klasifikaciji DSM 5 opredeljene v dveh kategorijah: enureza in enkopreza (American Psychiatric Association, 2013). V psihološki praksi se z motnjami izločanja srečamo v okviru sistematskih pregledov ali pa so otroci napoteni zaradi negativnega vpliva, ki ga imajo motnje izločanja na otrokov socialni in čustveni razvoj. Pregled literature kaže, da je med najbolj učinkovitimi načini obravnave motenj izločanja vedenjska terapija oziroma izbrane tehnike, ki jih bomo v prispevku tudi predstavili.
Ključne besede: enkopreza, enureza, konstipacija, toaletni trening, psihoterapija, čustvene in vedenjske težave
Citiraj:
Kreft Hausmeister, I. in Stefanova Kralj, V. (2023). Motnje izločanja pri otrocih in mladostnikih: psihološka obravnava z vedenjsko-kognitivnim pristopom [Elimination disorder in children and adolescents: psychological treatment with behavioral and cognitive approach]. Psihološka obzorja, 32, 52–59. https://doi.org/10.20419/2023.32.573
Seznam literature v članku
Afzal, N. A., Tighe, M. P. in Thomson, M. A. (2011). Constipation in children. Italian Journal of Pediatrics, 37, članek 28. CrossRef
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). CrossRef
Austin, P. F., Bauer, S., Bower, W., Chase, J., Franco, I., Hoebeke, P., Rittig, S., Vande Walle, J., von Gontard, A., Wright, A., Yang, S. in Nevéus, T. (2014). The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the Standardization Committee of the International Children's Continence Society. Journal of Urology, 191(6), 1863–1865. CrossRef
Austin, P. F., Bauer, S., Bower, W., Chase, J., Franco, I., Hoebeke, P., Rittig, S., Vande Walle, J., von Gontard, A., Wright, A., Yang, S. in Nevéus, T. (2016). The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. Neurourology and Urodynamics, 35(4), 471–481. CrossRef
Beck, J. S. (2011). Cognitive behaviour therapy: Basics and beyond (2nd ed.). Guilford.
Bidovec, M. (1991). Otrok z enurezo v zdravnikovi ambulanti. V C. Kržišnik (ur.), Izbrana poglavja iz pediatrije (str. 101–105). Katedra za pediatrijo, Medicinska fakulteta.
Borowitz, S. M., Cox, D. J., Tam, A., Ritterband, L. M., Sutphen, J. L. in Penberthy, J. K. (2003). Precipitants of constipation during early childhood. Journal of the American Board of Family Practice, 16(3), 213–218. CrossRef
Carr, A. (2016). The handbook of child and adolescent clinical psychology: A contextual approach (3rd ed.). Routledge.
Clayden, G. S. (1992). Management of chronic constipation. Archives of Disease in Childhood, 67, 340–344. CrossRef
Cristophersen, E. R. in Friman, P. C. (2006). Elimination disorders in children and adolescents. Hogrefe.
Drossman, D. A. (2016). Functional gastrointestinal disorders: History, pathophysiology, clinical features and Rome IV. Gastroenterology, 150, 1262–1279. CrossRef
Gradišek, A. (2002). Simptomi s področja spolovil in mokril. V I. Švab in D. Rotar Pavlič (ur.), Družinska medicina (str. 188–210). Združenje zdravnikov družinske medicine Slovenskega zdravniškega društva.
Herbert, M. (1996). Toilet training, bedwetting and soiling. The British Psychological Society.
HiraSing, R. A, van Leerdam, F. J., Bolk-Bennink, L. F. in Koot, H. M. (2002). Effect of dry bed training on behavioural problems in enuretic children. Acta Paediatrica, 91(8), 960–964. CrossRef
Hyams, J. S., Di Lorenzo, C., Saps, M., Shulman, R. J., Staiano, A. in van Tilburg, M. (2016). Childhood functional gastrointestinal disorders: Child/adolescent. Gastroenterology, 150, 1456–1468. CrossRef
Kreft Hausmeister, I., Praprotnik Novak, A., Blejc Novak, A., Vande Walle, J. in Meglič, A. (2016). Motnje mikcije pri otrocih in psihološke komorbidnosti. Slovenska pediatrija, 23, 281–287.
Koželj, E., Malok, S., Marčun-Varda, N., Kordič, R., Ključevšek, D., Vande Walle, J. in Meglič, A. (2016). Dnevne motnje mikcije pri otrocih. Slovenska pediatrija, 23, 270–280.
Meglič, A. (2007). Primarna nočna enureza. Slovenska pediatrija, 14, 169–177.
Mugie, S. M., Benninga, M. A. in Di Lorenzo, C. (2011). Epidemiology of constipation in children and adults: A systematic review. Best Practice and Research: Clinical Gastroenterology, 25(1), 3–18. CrossRef
National Institute for Health and Care Excellence. (2014). Constipation in children and young people: Diagnosis and management (NICE Quality Standard No. 62). https://www.nice.org.uk/guidance/cg99
Neveus, T., Eggert, P., Evans, J., Macedo, A., Rittig, S., Tekgul, S., Walle, J. V., Yeung, C. K. in Robson, L. (2010). Evaluation of and treatment for monosymptomatic enuresis: A standardization document from the International Children's Continence Society. The Journal of Urology, 183, 441–447. CrossRef
Neveus, T., Lackgren, G., Tuvemo, T., Hetta, J., Hjalmas, K. in Stenber, A. (2000). Enuresis - Background and treatment. Scandinavian Journal of Urology and Nephrology. Supplementum, 206, 1–44. CrossRef
Ondersma, M. L., Ondersma, S. J. in Walker, C. E. (2001). Enuresis/encopresis. V H. Orvaschel, J. Faust in M. Hersen (ur.), Handbook of conceptualization and treatment of child psychopathology (str. 399–416). Pergamon. CrossRef
Porter, L. (2006). Children are people too: A parent's guide to young children's behaviour. East Street Publications.
Rajindrajith, S. in Devanarayana, N. M. (2011). Constipation in children: Novel insight into epidemiology, pathophysiology and management. Journal Neurogastroenterology and Motility, 17(1), 35–47. CrossRef
Semolič, N., Ravnikar, A., Meglič, A., Japelj-Pavešič, B. in Kenda, R. B. (2009). The occurrence of primary nocturnal enuresis and associated factors in 5-year-old patients in Slovenia. Acta Paediatrica, 98, 1994–1998. CrossRef
Vernon, S., Lundblad, B. in Hellstrom, A. L. (2003). Children's experiences of school toilets present a risk to their physical and psychological health. Child: Care, Health and Development, 29(1), 47–53. CrossRef
von Gontard, A. in Neveus, T. (2006). Management of disorders of bladder and bowel control in childhood. Cambridge University Press.
World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines.
Zorman, A., Meštrović-Popović, K., Vande Walle, J. in Meglič, A. (2016). Monosimptomatsko nočno močenje pri otrocih. Slovenska pediatrija, 23, 288–295.