Quality of life in children and adults with constipation

Wald, Arnold; Sigurðsson, Lúther

doi:10.1016/j.bpg.2010.12.004

Cited by 85 publications

(66 citation statements)

References 39 publications

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“…1 Early diagnosis and treatment of idiopathic constipation may prevent a chronic course with continuation of infrequent painful defecation, psychosocial problems, and the need for long-lasting laxative therapy. History taking and physical examination constitute the most important steps in the diagnosis of idiopathic constipation.…”

Section: (J Pediatr 2012;161:44-50)mentioning

confidence: 99%

Value of Abdominal Radiography, Colonic Transit Time, and Rectal Ultrasound Scanning in the Diagnosis of Idiopathic Constipation in Children: A Systematic Review

Berger

Tabbers

Kurver

et al. 2012

The Journal of Pediatrics

109

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Section: (J Pediatr 2012;161:44-50)mentioning

confidence: 99%

Value of Abdominal Radiography, Colonic Transit Time, and Rectal Ultrasound Scanning in the Diagnosis of Idiopathic Constipation in Children: A Systematic Review

Berger

Tabbers

Kurver

et al. 2012

The Journal of Pediatrics

109

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“…These conditions also lead to multiple doctors' visits, excessive health care utilization costs, and may also detrimentally affect quality of life. [4][5][6] Functional constipation in children is multifactorial, often developing from a combination of a diet insufficient in fiber and behavioral withholding of stool. 7 Practitioners experienced in the treatment of constipation in children know that management of the behavioral aspects of constipation are as important as the medical and dietary aspects.…”

mentioning

confidence: 99%

Association of Constipation and Fecal Incontinence With Attention-Deficit/Hyperactivity Disorder

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Several studies have shown that behavioral problems can be associated with defecation and voiding disorders, although few studies have looked directly at a link between a diagnosis of attention-deficit/hyperactivity disorder (ADHD) and constipation or fecal incontinence. WHAT THIS STUDY ADDS:We identified an increased risk for both constipation and fecal incontinence in children with ADHD. In patients with concomitant ADHD and defecation disorders, more aggressive medical and behavioral treatment of the constipation or fecal incontinence may be warranted. abstract OBJECTIVE: Functional constipation and fecal incontinence are common childhood gastrointestinal conditions. Both conditions may be associated with behavioral problems. Attention-deficit/hyperactivity disorder (ADHD) is the most common behavioral disorder of childhood, characterized by shortened attention span and hyperactivity. We hypothesize that a diagnosis of ADHD increases the risk for functional constipation and fecal incontinence. METHODS:A retrospective cohort study of children was performed by using the military health system database. Children of active-duty military personnel, aged 4 to 12 years, from October 2005 to September 2007, were included. ADHD, constipation, and fecal incontinence were identified by International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic codes. Relative risks and adjusted incidence rate ratios (IRRs) were calculated. A subgroup analysis of subjects receiving medical therapy was performed.RESULTS: There were 742 939 children identified in the study, 32 773 (4.4%) of whom had ADHD. Children with ADHD had an increased prevalence of constipation (4.1% of children with ADHD vs 1.5% children without ADHD; P , .001) and fecal incontinence (0.9% of children with ADHD vs 0.15% of children without ADHD; P , .0001). Children with ADHD had more visits than those without ADHD for both constipation (IRR 3.39; 95% confidence interval 2.59-4.43) and fecal incontinence (IRR 7.74; 95% confidence interval 5.01-11.98). Children with ADHD receiving medicinal therapy did not differ significantly from children with ADHD not receiving medicinal therapy on rates of constipation visits (P = .57) or fecal incontinence visits (P = .32). CONCLUSIONS:Children with ADHD are significantly more likely to have constipation and fecal incontinence. Medical therapy for ADHD does not impact visit rates for defecation disorders.

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“…Wald ve ark.´nın 2011'de yayımladıkları gözden geçirmelerinde [29], kabızlığın başarılı bir şekilde tedavisinin erişkinlerde yaşam kalitesini artırdığını, ancak çocuklarda bu konuyla ilgili herhangi bir çalışmaya rastlanmadığını bildirmişlerdir. Çocuklarda tedavi modaliteleri arasında sadece yavaş geçişli konstipasyonda transkutanöz elektrik stimulasyonun ve standart tedavilere yanıt vermeyen çok dirençli hastalarda MACE protokolünün yaşam kalitesini artırdığına yönelik Çalışmamızda kabızlık tedavisi sonrasında çocukların fiziksel, duygusal ve sosyal yaşam kalitelerinde yüksek düzeyde artış ile beraber annelerinde psikolojik sıkıntılarında azalma olduğu görülmüştür.…”

Section: Discussionunclassified

Çocuklarda fonksiyonel kabızlık tedavisinin yaşam kalitesi üzerine etkisi

Kilincaslan¹,

Abali²,

Aydoğdu³

et al. 2014

MMJ

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GirişFonksiyonel kabızlık (FK) sık görülen bir patolojidir ve bu hastalar genel pediatri polikliniklerine başvuruların % 3'ünü, pediatrik gastroenteroloji polikliniğine başvuranların ise % 25'ini oluşturur [1]. Yakın dönemde gerçekleştirilen iki ayrı çalışmada FK'nın genel popülasyondaki çocuklarda % 5-18 oranında görüldüğü bildirilmiştir [2,3]. Hastaların yaklaşık yarısında belirtilerin ilk bir yılda başladığı, ortalama başlangıç yaşının 2 olduğu ve en sık olarak 2 ve 4-5 yaş arasındaki çocuklarda görüldüğü bildirilmektedir [4,5]. FK sıklıkla tekrarlayıcı bir durumdur: beş yıllık izlemde hastaların üçte biri ile yarısında tedaviye rağmen şikayetlerin sürdüğü, dörtte birinde ise erişkinlik dönemine kadar belirtilerin devam ettiği gösterilmiştir [6]. Bulgular: Annelerin algıladığı toplam yaşam kalitesi tedavinin 6. haftasının sonunda başlangıca kıyasla anlamlı düzeyde artış gösterdi (82,87 ± 13,91'e karşı 74,24 ± 15,40, p < 0,001) ve tüm alanlardaki artış anlamlı düzeydeydi. Ayrıca annelerin psikolojik zorlanma düzeylerini yansıtan global şiddet indeksi (GŞİ) puanlarında da belirgin azalma (1,09 ± 0,76'e karşı 0,78 ± 0,64, p<0,001) bildirildi. Fiziksel, sosyal ve toplam yaşam kalitesi puanlarındaki fark annelerin GŞİ puanları istatistiksel olarak kontrol edildiğinde de korundu.Sonuç: Hastalarımızda tüm yaşam kalitesi alanlarında ve toplam puanda belirgin artış gözlendi. Kabızlık belirtilerindeki azalma, fiziksel sağlık ve sosyal alandaki iyileşmeyi direkt olarak etkilerken, duygusal işlevsellikteki iyileşme, annelerin psikolojik zorlanmasının azalması ile ilişkili, dolaylı bir etki olduğu görülmektedir. Anahtar kelimeler: Fonksiyonel kabızlık, Yaşam kalitesi, Okul öncesi çocuklar, TedaviABSTRACT Objective: The aim of this study was to determine whether there is a change in the quality of life (QOL) in preschool children with functional constipation (FC) after undergoing standard treatment.Patients and Methods: Sixty-five patients, between 2-6 years of age, with FC, were included in the study. The mothers completed the Pediatric Quality of Life (QOL) Inventory and Symptom Checklist-90-Revised (SCL-90-R) before starting the treatment and at the 6th week of the treatment. The change in QOL and SCL-90-R scores were compared using repeated measures ANOVA and Wilcoxon tests.Results: Mother-perceived total QOL was improved at 6th week of treatment compared with baseline (82.87 ± 13.91 vs 74.24 ± 15.40, p < 0.001) and improvement in all domains of QOL was significant. A significant decrease in the global severity index (GSI) of maternal psychological distress (1.09 ± 0.76 vs 0.78 ± 0.64, p<0.001) was also reported. Improvement in physical, social and total QOL was maintained after GSI scores of the mothers were statistically controlled.Conclusion: Significant improvement in all QOL categories was detected. Decrease in symptoms of constipation seemed to effect physical and social aspects of QOL directly, whereas improvement in emotional functioning seemed rather be an indirect effect of treatment via decrease in psycholog...

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Quality of life in children and adults with constipation

Cited by 85 publications

References 39 publications

Value of Abdominal Radiography, Colonic Transit Time, and Rectal Ultrasound Scanning in the Diagnosis of Idiopathic Constipation in Children: A Systematic Review

Value of Abdominal Radiography, Colonic Transit Time, and Rectal Ultrasound Scanning in the Diagnosis of Idiopathic Constipation in Children: A Systematic Review

Association of Constipation and Fecal Incontinence With Attention-Deficit/Hyperactivity Disorder

Çocuklarda fonksiyonel kabızlık tedavisinin yaşam kalitesi üzerine etkisi

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