The impact of DSM-5 and guidelines for assessment and treatment of elimination disorders.

摘要: Elimination disorders are very common in children: 10 % of 7-year-olds wet at night (nocturnal enuresis), 2–3 during daytime (diurnal urinary incontinence) and 1–3 soil (faecal incontinence). In the past decades, many subtypes elimination have been identified with different symptoms, aetiologies, comorbid specific treatment options. The aim paper is to present a short overview proposed DSM-5, ICCS Rome-III classification systems, assessment treatment. DSM-5 criteria no longer reflect current research data revision needed. Classification systems International Children’s Incontinence Society (ICCS) for enuresis incontinence ROME-III functional gastrointestinal offer new relevant suggestions both clinical purposes. Assessment most can be performed paediatric child psychiatric primary care settings. standard consists thorough history, frequency/volume charts, questionnaires, full physical examination, sonography urinalysis. If possible, performed. all other settings, screening validated behavioural questionnaire referral if indicated recommended. All investigations only complicated cases an organic cause ruled out. Treatment symptom oriented based on exact diagnosis type disorder. Counselling recommended every case. Most treated by programmes integrating cognitive-behavioural elements. Nocturnal best alarms. Medication nocturnal (desmopressin), urge (anticholinergics such as oxybutynin, propiverine, etc.) faecal constipation (polyethylene glycol). Comorbid emotional require additional