Constipation in children: From misty to understanding

Rajindrajith, Shaman

doi:10.4038/sljch.v43i3.7372

Cited by 3 publications

(3 citation statements)

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“…The pathophysiological mechanisms underlying the association between functional constipation and behavioral changes are not entirely clear but are believed to be multifactorial. Current understanding suggests that this relationship may be influenced by various neuropsychological factors, such as stress disorders, anorectal dysfunction, enteric nervous system defects, and central brain activity abnormalities (13). Previous research indicates that constipation might develop secondarily to other underlying psychological disorders that are closely related to the behavioral aspects of patients (13).…”

Section: Discussionmentioning

confidence: 99%

“…Current understanding suggests that this relationship may be influenced by various neuropsychological factors, such as stress disorders, anorectal dysfunction, enteric nervous system defects, and central brain activity abnormalities (13). Previous research indicates that constipation might develop secondarily to other underlying psychological disorders that are closely related to the behavioral aspects of patients (13). The concept of a brain-gut axis has been proposed to explain the connection between chronic functional constipation and various behavioral disorders, particularly in children.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Behavioral Disorders in Iranian Children with Functional Constipation

Malekian Taghi,

Ghanbari,

Rafiei

et al. 2024

J Compr Ped

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Background: Functional constipation (FC) is a common issue in pediatric healthcare, causing significant physical and emotional distress for patients and their families. Objectives: This study aimed to investigate the prevalence of behavioral issues in children diagnosed with functional constipation, exploring their characteristics and relationship with various factors. Methods: We conducted a case-control study involving 107 children and adolescents (aged 2 to 18 years) with chronic functional constipation as the case group and 107 children without this condition as the control group. The Strengths and Difficulties Questionnaire (SDQ) was employed to evaluate different aspects of behavioral patterns. Results: The comparison of various behavioral components assessed by the SDQ between the case and control groups revealed significantly higher average scores for emotional symptoms (0.85 ± 0.81 vs. 0.55 ± 1.03, P = 0.019), peer relationship problems (1.76 ± 2.23 vs. 0.76 ± 1.18, P = 0.001), and prosocial behavior (8.12 ± 1.87 vs. 7.42 ± 1.64, P = 0.002) in children with chronic functional constipation. Within the chronic constipation group, peer relationship issues were more common in boys, whereas girls exhibited more problems with prosocial behavior. Moreover, issues related to hyperactivity/inattention and prosocial behavior were more frequent in older children with chronic constipation. Conclusions: Chronic functional constipation in children is strongly associated with behavioral changes and problems, which are influenced by the demographic and anthropometric features of the patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of Behavioral Disorders in Iranian Children with Functional Constipation

Malekian Taghi,

Ghanbari,

Rafiei

et al. 2024

J Compr Ped

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“…The mechanism that relates to FC and behavioural problems is not known. Pathophysiology of FC in children is generally believed to be multifactorial with suggested relation between stress, the central brain activity, enteric nervous systems and anorectal dysfunction [18]. Formerly, it was suspected that constipation and encopresis happen secondary to underlying psychological problems, however, studies failed to prove such causal relation between psychological abnormalities and constipation in children [19].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Behavioural Disorders in Children with Functional Constipation

El-Sonbaty

Fathy

Aljohani

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Functional constipation (FC) is a common health problem in paediatrics that causes significant physical and emotional distress to patients and their families. AIM: In the current work, we assessed the presence of behavioural problems in children with functional constipation and their pattern and relation to various demographic and disease-associated factors. METHODS: A cross-sectional case-control study was conducted, including 55 consecutive children aged 4-16 years diagnosed with functional constipation and 55 healthy age and sex-matched controls. Psychological assessment was done using the Pediatric Symptom Checklist – 17 (PSC-17). RESULTS: Twenty-six (47.3%) patients with FC had positive total PSC-17 scores while none of the controls had positive scores (p-value < 0.001). Positive internalising and externalising behaviours scores and attention problems were found in 36 (65.5%), 15 (27.3%) and 12 (21.8%) of the patients respectively in contrary to controls where only 6 (10.9%) had positive scores in internalising behaviour, and non-showed externalising behaviour and 4 (7.3%) were inattentive. Older age, longer duration of illness, residency in rural areas and presence of encopresis were found to have a significant association with the presence of such problems. CONCLUSION: Children with FC have more behavioural disorders compared to healthy controls. Integration of psychosocial aspects and their management is recommended during dealing with patients with FC.

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