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Behavioral and emotional problems in adolescents with constipation and their association with quality of life

OBJECTIVES: To assess behavioral and emotional problems in children and adolescents with functional constipation and their relationship with psychological maladjustment and health-related quality of life (HRQoL). DESIGN: A school-based cross-sectional survey conducted in 8 randomly selected schools...

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Autores principales: Rajindrajith, Shaman, Ranathunga, Nayomi, Jayawickrama, Nirodha, van Dijk, Marieke, Benninga, Marc A., Devanarayana, Niranga Manjuri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549826/
https://www.ncbi.nlm.nih.gov/pubmed/33044960
http://dx.doi.org/10.1371/journal.pone.0239092
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author Rajindrajith, Shaman
Ranathunga, Nayomi
Jayawickrama, Nirodha
van Dijk, Marieke
Benninga, Marc A.
Devanarayana, Niranga Manjuri
author_facet Rajindrajith, Shaman
Ranathunga, Nayomi
Jayawickrama, Nirodha
van Dijk, Marieke
Benninga, Marc A.
Devanarayana, Niranga Manjuri
author_sort Rajindrajith, Shaman
collection PubMed
description OBJECTIVES: To assess behavioral and emotional problems in children and adolescents with functional constipation and their relationship with psychological maladjustment and health-related quality of life (HRQoL). DESIGN: A school-based cross-sectional survey conducted in 8 randomly selected schools from 4 randomly selected districts in Sri Lanka. A previously validated questionnaire was used for data collection. Behavioral and emotional problems were assessed using the Sinhala version of the Child Behavior Check List (CBCL-S/4-18). Constipation was diagnosed by applying the Rome III criteria. RESULTS: A total of 1000 questionnaires were distributed, and 913 completed questionnaires were included in the analysis. Sixty adolescents (6.5%) had functional constipation. Scores obtained for isolated psychological problems such as withdrawal (3.1 [3.1] vs. 1.9 [2.4], p<0.001), somatic complaints (3.2 [2.8] vs. 2.3 [2.5], p<0.05) anxiety/depression (5.8 [2.5] vs. 3.9 [3.6], p<0.001), social problems (3.0 [2.7] vs. 2.2 [1.9] p<0.001) and attention problems (5.4 [4.1] vs. 3.9 [3.4], p<0.001), and broadband scale of internalization (12.1 [8.4] vs. 8.3 [7.2], p<0.05) and mean total CBCL-S/4-18 score (29.4 [19.5] vs. 23.2 [17.0], p<0.001) were higher in adolescents with functional constipation. Clinical characteristics, socio-demographic and family factors and psychological maladjustment had no relationship with externalization, internalization and total CBCL-S/4-18 score. Internalization (-0.49, p<0.0001), externalization (-0.30, p<0.05), and total CBCL-S/4-18 (-0.44, p<0.001) scores had a negative impact on HRQoL of adolescents with functional constipation. CONCLUSIONS: Adolescents with functional constipation are suffering from significant behavioral and emotional problems. These problems negatively affect their HRQoL.
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spelling pubmed-75498262020-10-20 Behavioral and emotional problems in adolescents with constipation and their association with quality of life Rajindrajith, Shaman Ranathunga, Nayomi Jayawickrama, Nirodha van Dijk, Marieke Benninga, Marc A. Devanarayana, Niranga Manjuri PLoS One Research Article OBJECTIVES: To assess behavioral and emotional problems in children and adolescents with functional constipation and their relationship with psychological maladjustment and health-related quality of life (HRQoL). DESIGN: A school-based cross-sectional survey conducted in 8 randomly selected schools from 4 randomly selected districts in Sri Lanka. A previously validated questionnaire was used for data collection. Behavioral and emotional problems were assessed using the Sinhala version of the Child Behavior Check List (CBCL-S/4-18). Constipation was diagnosed by applying the Rome III criteria. RESULTS: A total of 1000 questionnaires were distributed, and 913 completed questionnaires were included in the analysis. Sixty adolescents (6.5%) had functional constipation. Scores obtained for isolated psychological problems such as withdrawal (3.1 [3.1] vs. 1.9 [2.4], p<0.001), somatic complaints (3.2 [2.8] vs. 2.3 [2.5], p<0.05) anxiety/depression (5.8 [2.5] vs. 3.9 [3.6], p<0.001), social problems (3.0 [2.7] vs. 2.2 [1.9] p<0.001) and attention problems (5.4 [4.1] vs. 3.9 [3.4], p<0.001), and broadband scale of internalization (12.1 [8.4] vs. 8.3 [7.2], p<0.05) and mean total CBCL-S/4-18 score (29.4 [19.5] vs. 23.2 [17.0], p<0.001) were higher in adolescents with functional constipation. Clinical characteristics, socio-demographic and family factors and psychological maladjustment had no relationship with externalization, internalization and total CBCL-S/4-18 score. Internalization (-0.49, p<0.0001), externalization (-0.30, p<0.05), and total CBCL-S/4-18 (-0.44, p<0.001) scores had a negative impact on HRQoL of adolescents with functional constipation. CONCLUSIONS: Adolescents with functional constipation are suffering from significant behavioral and emotional problems. These problems negatively affect their HRQoL. Public Library of Science 2020-10-12 /pmc/articles/PMC7549826/ /pubmed/33044960 http://dx.doi.org/10.1371/journal.pone.0239092 Text en © 2020 Rajindrajith et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Rajindrajith, Shaman
Ranathunga, Nayomi
Jayawickrama, Nirodha
van Dijk, Marieke
Benninga, Marc A.
Devanarayana, Niranga Manjuri
Behavioral and emotional problems in adolescents with constipation and their association with quality of life
title Behavioral and emotional problems in adolescents with constipation and their association with quality of life
title_full Behavioral and emotional problems in adolescents with constipation and their association with quality of life
title_fullStr Behavioral and emotional problems in adolescents with constipation and their association with quality of life
title_full_unstemmed Behavioral and emotional problems in adolescents with constipation and their association with quality of life
title_short Behavioral and emotional problems in adolescents with constipation and their association with quality of life
title_sort behavioral and emotional problems in adolescents with constipation and their association with quality of life
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549826/
https://www.ncbi.nlm.nih.gov/pubmed/33044960
http://dx.doi.org/10.1371/journal.pone.0239092
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