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Constipation in children psychosocial factors

Carol Joinson, Mariusz T Grzeda, Alexander von Gontard, Jon Heron
To examine prospective associations between psychosocial problems and childhood constipation and soiling. We used latent classes of constipation and soiling ('constipation alone', 'soiling alone', 'constipation with soiling') extracted from longitudinal maternally reported data on constipation (4-10 years) and soiling (4-9 years) from 8435 children (4353 males, 4082 females) from the ALSPAC cohort. We examined the association between maternally reported psychosocial problems at 2-3 years (difficult temperament, behaviour/emotional problems, temper tantrums, behavioural sleep problems and stressful events) and the latent classes using multinomial logistic regression adjusted for a range of confounders relating to the child and family (reference category = normative latent class with very low probability of constipation/soiling)...
May 10, 2018: European Child & Adolescent Psychiatry
Claudia Olaru, Smaranda Diaconescu, Laura Trandafir, Nicoleta Gimiga, Radian A Olaru, Gabriela Stefanescu, Gabriela Ciubotariu, Marin Burlea, Magdalena Iorga
Functional constipation is an issue for both the patient and his/her family, affecting the patient's psychoemotional balance, social relations, and their harmonious integration in the school environment. We aimed to highlight the connection between chronic constipation and encopresis and the patient's psychosocial and family-related situation. Material and Method. 57 patients with ages spanning from 6 to 15 were assessed within the pediatric gastroenterology ward. Sociodemographic, medical, and psychological data was recorded...
2016: Gastroenterology Research and Practice
Balamma Sujatha, Dhakshyani Raghavan Velayutham, Nirmala Deivamani, Sumathi Bavanandam
AIM: To study the bowel pattern of children in general population and children with habit constipation with respect to food habits and regarding psychosocial aspect of toileting. MATERIALS AND METHODS: A prospective descriptive study was done in the Institute of child health and hospital for children, Chennai, with two groups, Functional constipation group and Normal bowel pattern group. The functional group included the children with the age group of 2-12 years, of either sex who fulfilled the ROME III criteria for constipation...
June 2015: Journal of Clinical and Diagnostic Research: JCDR
Alan H Silverman, Kristoffer S Berlin, Carlo Di Lorenzo, Samuel Nurko, Rebecca C Kamody, Ananthasekar Ponnambalam, Suzanne Mugie, Christina Gorges, Rina Sanghavi, Manu R Sood
OBJECTIVES: The purpose of this study was to develop a caregiver-completed constipation condition-specific health-related quality of life (HRQL) instrument. METHODS: 410 caregivers of children aged 2-18 years completed the Parental Opinions of Pediatric Constipation (POOPC), the PedsQL Generic Core Scales, PedQL Family Impact Module, Pediatric Symptom Checklist, the Functional Disability Inventory, the Pediatric Inventory for Parents, and a demographic questionnaire...
September 2015: Journal of Pediatric Psychology
Helena C Borg, Gundela Holmdahl, Kristina Gustavsson, Monica Doroszkiewicz, Ulla Sillén
PURPOSE: Longitudinal follow-up of changes in bowel function in children with anorectal malformations (ARMs) with or without spinal cord pathology and neurogenic bladder dysfunction (NBD) as they grow. Another purpose was to identify predictors influencing bowel functional outcome. MATERIAL AND METHODS: The study included 41 patients with ARM, excluding perineal fistula (21 boys and 20 girls). Bowel function was evaluated at ages 5, 10 and 15 years using a structured questionnaire and a three-week registration of number and time of bowel movements, episodes of fecal leakage and soiling...
March 2013: Journal of Pediatric Surgery
M A Fabbro, F Chiarenza, S D'Agostino, B Romanato, M Scarpa, L Fasoli, I Iannucci, V Pinna, L Musi
UNLABELLED: Imperforate anus represents a wide spectrum of anorectal malformations associated with urologic, neurologic and orthopedic malformations. The outcome from the various corrective measures has improved due to new surgical techniques as well as to a better understanding of the pathology. Other factors which influence the overall outcome include the degree of patient acceptance, family support as well as the ability of the health care structure to support the patient's needs on a clinical, functional and psychologic level...
July 2011: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
E E Hartman, F J Oort, D C Aronson, M A Sprangers
The objective of this review was to examine disease-specific functioning (ie, faecal functioning and disease-related psychosocial problems) and quality of life (QoL)in patients with anorectal malformations (ARMs) or Hirschsprung's disease across different developmental stages. A search on PubMed yielded 22 eligible studies which were analysed. Patients with ARM or Hirschsprung's disease report slightly more QoL problems than comparison groups. As compared with adolescents, children reported better QoL but worse disease-specific functioning...
April 2011: Archives of Disease in Childhood
Melanie C C Clarke, Chee S Chow, Janet W Chase, Susie Gibb, John M Hutson, Bridget R Southwell
BACKGROUND: Slow transit constipation (STC) causes intractable symptoms not readily responsive to laxatives, diet, or life-style changes. Children with STC have irregular bowel motions associated with colicky abdominal pain and frequent uncontrollable soiling. This study assessed the physical and psychosocial quality of life (QOL) in children with long-standing (> or =2 years) STC vs healthy controls. METHODS: Children (aged 8-18) were recruited from gastrointestinal and surgical clinics and a Scout Jamboree...
February 2008: Journal of Pediatric Surgery
M Menzel
Nocturnal enuresis unaccompanied by other excretory problems is due to a genetic CNS development disorder and responds well to cognitive-behavioral therapy and alarm interventions. If diurnal urinary incontinence is also present, various subtypes are differentiated, for the treatment of which cognitive-behavioral therapy must be supported by drugs or behavioral therapy. In the etiology of encopresis, genetic and psychosocial factors must be considered, as well as, in particular, chronic constipation. Generally, cognitive-behavioral therapeutic management is recommended...
May 3, 2007: MMW Fortschritte der Medizin
Marieke van Dijk, Marc A Benninga, Martha A Grootenhuis, Anne-Martine Onland-van Nieuwenhuizen, Bob F Last
OBJECTIVE: To release a newly protocolized behavioral intervention program for children with chronic constipation aged 4-18 years with guidance from literature about underlying theories from which the treatment techniques follow. METHODS: Articles until July 2006 were identified through electronic searches in Medline, PsychInfo and Picarta. There was no limit placed on the time periods searched. Following keywords were used: constipation, encopresis, fecal incontinence, psychotherapy, emotions, randomized controlled trials, parent-child relations, parents, family, psychology, behavioral, behavioral problems, psychopathology, toilet, social, psychosocial, pain, retentive posturing, stool withholding, stool toileting refusal, shame, stress, anxiety...
July 2007: Patient Education and Counseling
Rosa-Elena Ulloa, Humberto Nicolini, Manuel Avila, Alonso Fernández-Guasti
An open-label, 8-week, follow-up study was designed to compare subjects with child versus adult onset of obsessive compulsive disorder (OCD) on their clinical characteristics and response to a standardized treatment with clomipramine. The study included 15 children and 13 adults with Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) diagnosis of OCD. Children received 50-225 mg/day (3-5 mg/kg day) and adults 150-250 mg/ day of clomipramine. The children's group had a higher number of males and increased comorbidity than the adults' group...
February 2007: Journal of Child and Adolescent Psychopharmacology
Paul E Hyman
A majority of children and adolescents who have successful surgery to resect colon affected by Hirschsprung's disease suffer from digestive disorders, defecation problems, or both into adult life. In those with persistent symptoms following Hirschsprung's surgery, colon manometry facilitates a physiologic explanation for symptoms and guides treatment. Only a few patients born with Hirschsprung's disease make it to adult age before diagnosis and surgery, but their management does not differ from that of children with Hirschsprung's disease...
October 2006: Current Gastroenterology Reports
Maria Ojmyr-Joelsson, Margret Nisell, Björn Frenckner, Per-Anders Rydelius, Kyllike Christensson
BACKGROUND/PURPOSE: Imperforate anus is an unusual malformation, which, even after surgical intervention, usually entails constipation and fecal incontinence. This study aimed to evaluate ongoing psychosocial effects of this birth defect in school-aged children. METHODS: Twenty-five children born with high and intermediate imperforate anus participated in the study, along with their parents and classroom teachers. One group of healthy children and 1 group of children with juvenile chronic arthritis, along with their parents, served as controls...
July 2006: Journal of Pediatric Surgery
E M van Kuyk, A T Brugman-Boezeman, M Wissink-Essink, R S Severijnen, C Festen, G Bleijenberg
Although most patients with operated Hirschsprung's disease (HD) have good continence in adulthood, a majority have postoperative defection problems during school age. Persistence of chronic constipation and/or incontinence may have considerable consequences for psychosocial development, parent-child interactions, quality of life, and the child's general condition. Considering these consequences, it is important to treat these problems as early as possible. From a biopsychosocial view, we developed a multidisciplinary treatment aimed at resolving defecation problems by teaching the child bowel self-control, primarily by training optimal defecation skills and subsequently toilet behavior...
2000: Pediatric Surgery International
J L White, R Malcolm, K Roper, M C Westphal, C Smith
Fifteen infants and children with a diagnosis of failure to thrive (FTT) were followed at one to three years postdischarge. Data were gathered from in-home interviews, psychosocial questionnaires, measurement of present height and weight, and administration of the Developmental Profile. Nine of the 15 children were still failing to thrive; the other 6 were considered recovered. The nonthriving group consisted of three subgroups: (1) developmentally retarded, (2) organic basis FTT, and (3) psychosocial FTT. The developmentally retarded children were significantly different in that they required more attention, had greater constipation, and engaged in less tantrum behavior...
September 1981: Journal of Developmental and Behavioral Pediatrics: JDBP
A Steinmüller, H C Steinhausen
The course of encopresis in 41 children who had been presented at a child and adolescent university clinic was examined by means of a follow-up interview which took place on an average of 3;6 years after the initial visit. The symptoms in this sample diminished considerably: 76% of the children were free of symptoms at the time of the follow-up interview, whereby most of these children had experienced a spontaneous remission. Eighty-one percent of the children were evaluated as having improved in regards to their whole development while in about one third of all the children new problems arose...
March 1990: Praxis der Kinderpsychologie und Kinderpsychiatrie
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