Fecal Incontinence in Adolescents Is Associated With Child Abuse, Somatization, and Poor Health‐related Quality of Life

Abstract

There is a significant association between FI and physical, sexual, and emotional abuse. They also have a higher somatization score and a poor HRQoL score in physical, emotional, social, and school functioning domains compared with those without FI.

Aerophagia in adolescents is associated with exposure to adverse life events and psychological maladjustment

“…Somatic symptoms are an integral part of functional gastrointestinal disorders. In previous studies, we have shown that children with constipation and fecal incontinence do have a higher number of somatic symptoms and higher total somatization scores . Similar to these findings, adolescents with AP also were suffering from a large number of somatic symptoms.…”

“…In previous studies, we have shown that children with constipation and fecal incontinence do have a higher number of somatic symptoms and higher total somatization scores. 25,26 Similar to these findings, adolescents with AP also were suffering from a large number of somatic symptoms. In addition, the total somatization score of these adolescents with AP was significantly higher than the controls.…”

“…In previous studies, we have shown that children with several FGDs (constipation, fecal incontinence, and abdominal pain predominant functional gastrointestinal disorders) have lower HRQoL. [25][26][27] In these studies, we noted that the total HRQoL of children with consti- Findings of this study have several implications. We noted that AP is significantly associated with psychological maladjustment and have serious repercussions on HRQoL of the affected individuals.…”

“…Multiple factors including AP itself, facing adverse life events and abuse, multiple somatic symptoms and psychological maladjustment would have contributed to this. In previous studies, we have shown that children with several FGDs (constipation, fecal incontinence, and abdominal pain predominant functional gastrointestinal disorders) have lower HRQoL . In these studies, we noted that the total HRQoL of children with constipation, abdominal pain predominant functional gastrointestinal disorders, and fecal incontinence are 79.6, 83.8, and 74.6, respectively.…”

Self-Reported Quality of Life of Maltreated Children Who Have Been Reported to Advice and Reporting Centers On Child Abuse and Neglect

“…This study showed a linear relationship between the number of types of maltreatment and their self-reported QoL. Another crosssectional study examined the relationship between fecal incontinence and self-reported QoL in abused and nonabused adolescents aged 13-18 years (Rajindrajith et al 2016). However, although the prevalence of abuse was higher among adolescents with fecal incontinence, and adolescents with fecal incontinence had lower QoL scores, the study did not report on the association between these two independent variables, i.e.…”