The rate of encopresis in children aged 4-11 years living in Rize provice research and investigation of the role factors in ethiology

Objective: In the study, we aimed to investigate the frequency In this study, it was aimed to investigate the frequency of the incidence of encopresis in children aged 4-11 years in Rize province (frequency of onset of nursery school, the most common gender, the most common age), and to evaluate the family characteristics of parents, psychiatric symptoms and family functions. Material and Method: The study was conducted on children 4-11 years old living in Rize province. While the total number of children living in Rize province was 78651. The entire province population is 345214 . 0-4 years old child population is 20395, 4-6 years old 13250, 7-11 years old 24932, 11- 17 years old 20074. The total number of children was about 38185. This school class and student numbers were obtained from the Rize provincial directorate of national education and the provincial population directorate website. while the number of children planned to be included in the study was 400 children. This school class and student numbers were obtained from the Rize provincial national education directorate. The following link has been sent by the provincial directorate of national education to all central school principals (83 kindergartens, kindergarten, primary school, primary school available, 548 class). The same link has been shared to the teachers of all the classes that will participate in the study in these schools (4-6 age class number 188, 7-11 age class number 360). The total number of students between the ages of 4-6 was 2952, and the number of students between 7-11 was 7938. 600 people made a comeback. Therefore, 562 children and their parents were included in the study. Questionnaire questions were organized to determine the frequency and development of the children involved in the study and the factors that played a role in the development of the children. These forms were sent to the teachers and schools of the schools selected by drawing lots via e-mail due to Pandemic (https : //forms.gle/Tr7tfE3h3MQzyRE68) and children were asked to fill in with their parents.This study included those with any neurological and chronic disease, widespread developmental disorder and psychotic disorder, 4organic causes Encopresis (spinal cord injury, spina bifida etc), children who are not living with their family and having a single parent or divorced family child are not included in the study Data obtained from the study Analysis of the data collected in the study, using statistical software package SPSS 23 (Statistical Package for the Social Sciences - IBM®) was made. To determine the level of significance, 95% confidence interval and p <0.05 were considered significant. Results: In the study, 136 (24.20%) of the children had Enkoprezis disease. Enkoprezis disease was seen in 91 (16.19%) of the boys and 45 (8.01%) of the girls. The average age of children with enkoprezis was 7.56 ± 2.42 years, and there was a significant difference between the development of the disease and the age variable. In addition, it was determined that factors such as nursery starting age, having comorbid psychiatric disease, education level and working status of the mother, performing endoprisis behavior especially at home during the day and accompanying constipation were found to be effective in the development of the disease. Conclusion: As a result of the study, the factors such as age and gender of the children of the encopretic, education level of their parents and their working status, the situation of going to kindergarten and kindergarten, families' punitive behavior, constipation, eating disorders may be important problems, and other diagnoses can be IX seen in children with encoprosis. Therefore, while evaluating an encopretic patient, we think that it is necessary to investigate and treat additional psychiatric diagnoses instead of just focusing on Enkoprezis symptom. Keywords: Endopresis, Child, Nursery Age, Psychiatric Diseases, Rize