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Prevalence and associated clinical characteristics of behavior problems in constipated children.
Pediatrics. 2010 Feb; 125(2):e309-17.Ped

Abstract

OBJECTIVE

Behavior problems are common in children with functional constipation. This study assessed the prevalence of overall, internalizing, and externalizing behavior problems in children with functional constipation and explored which clinical characteristics of constipation are associated with these behavior problems.

METHODS

Children who had functional constipation, were aged 4 to 18 years, and were referred to the gastrointestinal outpatient clinic at the Emma Children's Hospital were eligible for enrollment. This study made use of baseline data of 133 children who participated in a randomized, controlled trial that evaluated the clinical effectiveness of behavioral therapy compared with conventional treatment. Prevalence of behavior problems was assessed by the Child Behavior Checklist. Univariate and multivariate logistic regression models were used to test the association between clinical characteristics and behavior problems.

RESULTS

The prevalence rate of overall, internalizing, and externalizing behavior problems was considerable: respectively 36.8%, 36.1%, and 27.1% compared with 9% in the Dutch norm population. A long duration of treatment was found to have the strongest association with overall and externalizing behavior problems in children with constipation. Children with constipation and nighttime urinary incontinence have an increased risk for having overall behavior problems. Fecal incontinence and the production of large stools seemed to be exclusively related to externalizing behavior problems.

CONCLUSIONS

Behavior problems are common in children who have constipation and are referred to gastrointestinal outpatient clinics, suggesting that a behavioral screening should be incorporated into the diagnostic workup of children with constipation.

Authors+Show Affiliations

MSc, Emma Children's Hospital, Academic Medical Center, Psychosocial Department, Room G8-224, PO Box 22700, 1100 DE Amsterdam, Netherlands. m.vandijk@amc.uva.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20083527

Citation

van Dijk, Marieke, et al. "Prevalence and Associated Clinical Characteristics of Behavior Problems in Constipated Children." Pediatrics, vol. 125, no. 2, 2010, pp. e309-17.
van Dijk M, Benninga MA, Grootenhuis MA, et al. Prevalence and associated clinical characteristics of behavior problems in constipated children. Pediatrics. 2010;125(2):e309-17.
van Dijk, M., Benninga, M. A., Grootenhuis, M. A., & Last, B. F. (2010). Prevalence and associated clinical characteristics of behavior problems in constipated children. Pediatrics, 125(2), e309-17. https://doi.org/10.1542/peds.2008-3055
van Dijk M, et al. Prevalence and Associated Clinical Characteristics of Behavior Problems in Constipated Children. Pediatrics. 2010;125(2):e309-17. PubMed PMID: 20083527.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and associated clinical characteristics of behavior problems in constipated children. AU - van Dijk,Marieke, AU - Benninga,Marc A, AU - Grootenhuis,Martha A, AU - Last,Bob F, Y1 - 2010/01/18/ PY - 2010/1/20/entrez PY - 2010/1/20/pubmed PY - 2010/3/5/medline SP - e309 EP - 17 JF - Pediatrics JO - Pediatrics VL - 125 IS - 2 N2 - OBJECTIVE: Behavior problems are common in children with functional constipation. This study assessed the prevalence of overall, internalizing, and externalizing behavior problems in children with functional constipation and explored which clinical characteristics of constipation are associated with these behavior problems. METHODS: Children who had functional constipation, were aged 4 to 18 years, and were referred to the gastrointestinal outpatient clinic at the Emma Children's Hospital were eligible for enrollment. This study made use of baseline data of 133 children who participated in a randomized, controlled trial that evaluated the clinical effectiveness of behavioral therapy compared with conventional treatment. Prevalence of behavior problems was assessed by the Child Behavior Checklist. Univariate and multivariate logistic regression models were used to test the association between clinical characteristics and behavior problems. RESULTS: The prevalence rate of overall, internalizing, and externalizing behavior problems was considerable: respectively 36.8%, 36.1%, and 27.1% compared with 9% in the Dutch norm population. A long duration of treatment was found to have the strongest association with overall and externalizing behavior problems in children with constipation. Children with constipation and nighttime urinary incontinence have an increased risk for having overall behavior problems. Fecal incontinence and the production of large stools seemed to be exclusively related to externalizing behavior problems. CONCLUSIONS: Behavior problems are common in children who have constipation and are referred to gastrointestinal outpatient clinics, suggesting that a behavioral screening should be incorporated into the diagnostic workup of children with constipation. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/20083527/Prevalence_and_associated_clinical_characteristics_of_behavior_problems_in_constipated_children_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=20083527 DB - PRIME DP - Unbound Medicine ER -