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  1. Article ; Online: Latest thinking on paruresis and parcopresis: A new distinct diagnostic entity?

    Kuoch, Kenley Lj / Austin, David W / Knowles, Simon R

    Australian journal of general practice

    2019  Volume 48, Issue 4, Page(s) 212–215

    Abstract: Background: Paruresis and parcopresis are psychogenic conditions that involve a difficulty or inability to void or defecate, respectively, in a public setting (eg public restroom). Both conditions are associated with significant psychological distress. ... ...

    Abstract Background: Paruresis and parcopresis are psychogenic conditions that involve a difficulty or inability to void or defecate, respectively, in a public setting (eg public restroom). Both conditions are associated with significant psychological distress. As a result of shame, embarrassment and stigma, individuals with these conditions may not actively identify behaviours or symptoms or seek treatment in general practitioner (GP) consultations.
    Objective: The objective of this article is to provide a summary of the associated psychopathology and comorbidity, and diagnostic challenges associated with paruresis and parcopresis. Treatment recommendations relating to paruresis and parcopresis are also provided.
    Discussion: Paruresis and parcopresis can have a significant impact on an individual's psychological health and overall quality of life. GPs play a part in identifying these conditions, defusing feelings of shame and embarrassment, and enabling access to psychological interventions, which are likely to provide significant benefits to individuals living with paruresis and/or parcopresis.
    MeSH term(s) Anxiety Disorders/complications ; Anxiety Disorders/psychology ; Comorbidity ; Defecation ; Humans ; Phobic Disorders/complications ; Phobic Disorders/psychology ; Quality of Life/psychology ; Toilet Facilities ; Urination
    Language English
    Publishing date 2019-06-29
    Publishing country Australia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-09-18-4700
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Urinary and faecal incontinence: psychological factors and management recommendations.

    Kuoch, Kenley Lj / Hebbard, Geoffrey S / O'Connell, Helen E / Austin, David W / Knowles, Simon R

    The New Zealand medical journal

    2019  Volume 132, Issue 1503, Page(s) 25–33

    Abstract: Background: Urinary and faecal incontinence substantially impacts upon physical health and is associated with significant psychological distress and reduced quality of life. Due to stigma and embarrassment, many patients do not present for management of ...

    Abstract Background: Urinary and faecal incontinence substantially impacts upon physical health and is associated with significant psychological distress and reduced quality of life. Due to stigma and embarrassment, many patients do not present for management of their incontinence.
    Aim: The objective of this article is to summarise the forms and causes of urinary and faecal incontinence, highlight the psychological mechanisms and psychopathology associated with incontinence, and provide management recommendations.
    Conclusion: Urinary and faecal incontinence can have a significant impact on an individual's psychological wellbeing and quality of life. Psychological factors may either contribute to or arise from incontinence and should be addressed as part of the overall management plan.
    MeSH term(s) Fecal Incontinence/classification ; Fecal Incontinence/etiology ; Fecal Incontinence/psychology ; Fecal Incontinence/therapy ; Humans ; Mental Health ; Patient Care Management/methods ; Psychological Distress ; Quality of Life ; Urinary Incontinence/classification ; Urinary Incontinence/etiology ; Urinary Incontinence/psychology ; Urinary Incontinence/therapy
    Language English
    Publishing date 2019-10-04
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Database MEDical Literature Analysis and Retrieval System OnLINE

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