Evidence map›Paper›PMID 42021557›Full record

ReviewNeurourology and urodynamics2026

Psychological and Psychiatric Issues in Functional Constipation, Fecal Incontinence and Bladder and Bowel Dysfunction-A Revised and Updated Document of the International Children's Continence Society (ICCS).

Alexander von Gontard, Anka Nieuwhof-Leppink, Ubirajara Barroso, Carol Joinson

Abstract readReview
In one paragraph

Review in Neurourology and urodynamics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alexander von GontardGovernor Kremers Center, Department of Urology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0002-3579-6200
Anka Nieuwhof-LeppinkDepartment Psychology and Urology, Wilhelmina Children's Hospital, University Medical Center Utrecht, The Netherlands.ORCID https://orcid.org/0000-0002-2841-813X
Ubirajara BarrosoCenter for Childhood Urinary Disorders (CEDIMI), Bahiana School of Medicine and Federal University, Salvador, Bahia, Brazil.
Carol JoinsonCentre for Academic Child Health, Population Health Sciences Department, Bristol Medical School, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0002-5651-097X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim is to provide an updated and revised overview of psychological and psychiatric aspects of fecal incontinence (FI), functional constipation (FC), non-retentive FI (NRFI) and bladder and bowel dysfunction (BBD). Clinical behavioral disorders and subclinical psychological symptoms are reviewed. Aspects of screening, assessment, counseling, and in severe cases, treatment are outlined and recommendations are formulated.

methodsRelevant publications on psychological and psychiatric aspects are reviewed. The recommendations passed several rounds of consensus finding and were circulated among ICCS board members.

resultsIn addition to subclinical effects on self-esteem, quality of life, and stress, the rate of comorbid psychiatric disorders is increased. 30%-50% with FI, FC, and NRFI fulfill the criteria for clinically relevant psychiatric disorders. A special risk group is children with BBD. The concomitant psychiatric disturbances include externalizing, internalizing, and neurodevelopmental disorders. They require assessment and counseling, in severe cases, treatment. They have a negative effect on compliance and outcome if not addressed and left untreated. RECOMMENDATIONS: Because the comorbidity rate is high, screening for psychological symptoms is recommended for all children in all settings with FI, FC, FNRFI and BBD. In addition to clinical observation, exploration and history, standardized, validated broadband behavioral questionnaires are recommended. If problem items in the clinical range are present, a full child psychiatric or psychological assessment is recommended.

Indexed as

ConstipationFecal IncontinenceMental DisordersUrinary Bladder DiseasesUrinary IncontinenceChildComorbidityHumansQuality of Lifebehaviorbladder and bowel dysfunction (BBD)fecal incontinencefunctional constipationnon‐retentive fecal incontinencepsychiatric disorderspsychological impactscreening questionnaires

Identifiers

PMID42021557
PMCPMC13387987

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.