Clinical findings, child and mother psychosocial status in functional constipation

Appak, Yeliz Çağan; Sapmaz, Şermin Yalın; Doğan, Güzide; Herdem, Ahmet; Özyurt, Beyhan Cengiz; Kasırga, Erhun

doi:10.5152/tjg.2017.17216

Cited by 25 publications

(36 citation statements)

References 13 publications

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“…The most common symptoms in constipated children were painful or hard bowel movements. This finding is similar to the one reported by Ça gan et al 12 who found that the majority of patients with FC had painful bowel movements. The higher frequency of pain in FC highlights the importance of this symptom as a warning sign, both for diagnosis and monitoring of this dysfunction.…”

Section: Discussionsupporting

confidence: 92%

“…Corroborating our results, Ça gan et al 12 conducted a prospective study, using SDQ, and found that patients with FC had significantly higher scores for the subscales of emotional symptoms. Additionally, in a cross-sectional study, constipated pre-schoolers scored higher for problems in all the parameters of the Child Behavior Checklist, with approximately half the children having internalising symptoms and a third presenting externalising symptoms.…”

Section: Discussionsupporting

confidence: 86%

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Emotional and behavioural problems in children and adolescents: The role of constipation

Santos

Abreu

Dourado

et al. 2021

J Paediatrics Child Health

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Aim The functional constipation (FC) is a source of an expressive suffering in children, negatively affecting their emotional, social, and physical well‐being. The objective of this study is to describe the clinical and behavioural characteristics of children/adolescents with FC. Methods A cross‐sectional, observational, analytical study was conducted in public places by interviewing parents of children/adolescents about their child's bowel habits and psychological profile. Bowel symptoms were investigated using the Rome IV criteria. The Strengths and Difficulties Questionnaire (SDQ) was used to evaluate the emotional and behavioural problems. Results Of 799 children/adolescents included, 424 (53.1%) were female. Mean age was 9.1 ± 2.7 years. FC prevalence was 20.4%. The most common symptoms in Rome IV criteria were ‘painful or hard bowel movements’ (n = 110; 67.5%; 95% confidence interval: 60.0–74.3) and ‘retentive posturing or excessive volitional stool retention’ (n = 89; 54.6%; 95% confidence interval: 46.9–62.1). Median scores for internalising symptoms (7; interquartile range (IQR): 4–9 vs. 5; IQR: 2–7; P < 0.001) and externalising symptoms (7; IQR 4–11 vs. 6; IQR 3–9; P < 0.001) were higher in constipated children compared to non‐constipated participants, respectively. The SDQ domains that were associated with FC were emotional symptoms (median 4, P < 0.001) and conduct problems (median 3, P < 0.001). No association was found between faecal incontinence and median scores for the internalising/externalising symptoms. All Rome IV criteria were associated with abnormal overall SDQ scores. Conclusion Children and adolescents with FC had more emotional and behavioural problems irrespective of whether faecal incontinence was present or not, with higher scores for internalising and externalising symptoms compared to non‐constipated children.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 86%

Emotional and behavioural problems in children and adolescents: The role of constipation

Santos

Abreu

Dourado

et al. 2021

J Paediatrics Child Health

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“…A recent study in Sri Lanka reported psychological maladjustment in adolescents with constipation [8]. In contrast, younger children who were suffering from constipation were noted to have more anxiety and depression [9,10], emotional problems, and problems with peers [10]. Children investigated and treated in hospitals have more severe symptoms and do not represent other children with less severe symptoms.…”

Section: Introductionmentioning

confidence: 99%

Behavioral and emotional problems in adolescents with constipation and their association with quality of life

et al. 2020

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Objectives To assess behavioral and emotional problems in children and adolescents with functional constipation and their relationship with psychological maladjustment and health-related quality of life (HRQoL). Design A school-based cross-sectional survey conducted in 8 randomly selected schools from 4 randomly selected districts in Sri Lanka. A previously validated questionnaire was used for data collection. Behavioral and emotional problems were assessed using the Sinhala version of the Child Behavior Check List (CBCL-S/4-18). Constipation was diagnosed by applying the Rome III criteria. Results A total of 1000 questionnaires were distributed, and 913 completed questionnaires were included in the analysis. Sixty adolescents (6.5%) had functional constipation. Scores obtained for isolated psychological problems such as withdrawal (3.1 [3.1] vs. 1.9 [2.4], p<0.

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“…Although all mothers have been informed about the medications at the initial visit in our study, a significant number of mothers declared that they did not know much Also, it has been shown that the mother's low education level, low socioeconomic level, and parental attitude problems, especially authoritarian attitude, increase the risk of functional constipation. 33 In previous studies, low parental education has been associated with uncontrolled asthma. 9 In our study, we did not observe any significant effect of maternal attitude on adherence and asthma control.…”

Section: Discussionmentioning

confidence: 93%

The effects of maternal anxiety and attitudes on the adherence to inhaled corticosteroids in children with asthma

Sancakli

Aslan

2021

aei

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Objective: Long-term inhaled corticosteroid (ICS) use in children with asthma causes serious concerns in parents, leading to treatment non-adherence. This study aimed to investigate the effect of maternal anxiety and attitudes on adherence to ICS therapy in children with asthma. Method: The patient group included the children with mild to moderate persistent asthma, aged 6–11 years. Healthy children in a similar age range were included as a control group. The patient group was divided into two categories (treatment adherent and non-adherent) accord-ing to the regularity of ICS use. All patients were assessed with Childhood-Asthma Control Test (C-ACT), and their mothers were assessed using Parent Attitude Research Instrument (PARI) and Beck’s Anxiety Inventory (BAI).Results: A total of 156 children (age: 7.4 ± 1.4 years, F/M: 71/85) with persistent asthma and 60 healthy children (age: 7.5 ± 1.3 years, F/M:25/35) were included in the study. The rate of adher-ence in children with asthma was 52.6%. Mothers of non-adherent patients had significantly higher BAI scores than those of the adherent patients and controls (p < 0.001 and p < 0.001, respectively). The number of mothers who indicated that they did not have enough informa-tion about asthma and treatment was also higher in the non-adherent group. PARI subtest scores were not different between the adherent and non-adherent groups.Conclusions: In our study, it was found that mothers’ anxiety levels and their knowledge about asthma and medications were associated with treatment adherence in children with asthma. Psychological and educational support to the families of children with asthma would improve their treatment adherence and efficacy.

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Clinical findings, child and mother psychosocial status in functional constipation

Cited by 25 publications

References 13 publications

Emotional and behavioural problems in children and adolescents: The role of constipation

Emotional and behavioural problems in children and adolescents: The role of constipation

Behavioral and emotional problems in adolescents with constipation and their association with quality of life

The effects of maternal anxiety and attitudes on the adherence to inhaled corticosteroids in children with asthma

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