Evaluating Quality of Life and Psychiatric Comorbidity in Children and Adolescents With Constipation (With or Without Fecal Incontinence) and Comparison With Healthy Counterparts
BACKGROUND AND OBJECTIVES:
Constipation is one of the most common gastrointestinal problems among children. The behavioral and psychological problems associated with chronic constipation include a wide range of disorders that reduce quality of life. The objectives were to evaluate psychiatric disorders and quality of life in children and adolescents with constipation.
In a case–control clinical trial, 55 children and adolescents with functional constipation and 55 without constipation were assigned to case and control groups, respectively. After taking the medical history and physical examination, we provided 3 questionnaires to parents, children, and adolescents: a demographic questionnaire, a pediatric quality of life questionnaire, and a strengths and difficulties questionnaire (SDQ). Collected data were coded and analyzed with SPSS (IBM SPSS Statistics, IBM Corporation).
The mean child self-reported and parent proxy–reported scores on the quality of life questionnaire were 54.67 ± 3.9 and 49.86 ± 3.2 for the case group and 63.26 ± 4 and 66.09 ± 3.4 for the control group. Only the parent-reported quality of life score was statistically different between case and control patients (P = .014). The emotional performance quality of life score was statistically different on both self-reported (P = .016) and parent-reported (P = .024) questionnaires. The total SDQ score was abnormal for 93% and 83% of case and control participants, respectively, which was an insignificant difference (P = .631). There was no statistically significant difference in SDQ subgroups and impact scores between the 2 groups.
Quality of life and emotional performance are impaired in children with functional constipation, and they should be screened for consequent disorders. Referring at-risk patients to related specialists might improve treatment and help control constipation.
- Copyright © 2015 by the American Academy of Pediatrics