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Related Experiment Videos

Combined approach to functional constipation in children.

S Amendola1, P De Angelis, L Dall'oglio

  • 1Digestive Surgery, Endoscopic Unit, Department of Gastroenterology, Bambino Gesù Children's Hospital, Rome, Italy.

Journal of Pediatric Surgery
|April 30, 2003
PubMed
Summary

A new medical-psychological treatment for functional constipation (FC) in children improved bowel regularity and reduced recurrence. This approach addresses behavioral patterns and family dynamics for sustained intestinal control.

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Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Family Therapy

Background:

  • Conventional treatments for functional constipation (FC) in children have a high recurrence rate.
  • International literature confirms the limitations of standard FC therapies.
  • A novel medical-psychological approach was developed to address these limitations.

Purpose of the Study:

  • To achieve sustained intestinal control in children with FC.
  • To prevent the recurrence of functional constipation through an innovative therapeutic strategy.
  • To evaluate the efficacy of a combined medical and psychological treatment for childhood FC.

Main Methods:

  • A study involving 25 children diagnosed with FC, assessing various associated symptoms and behavioral patterns.

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  • Comprehensive questionnaires addressed eating, sleeping, school, toilet training, and daily routines of children and parents.
  • Treatment integrated increased fluid and fiber intake, laxatives, and family therapy focused on rules, autonomy, and paternal involvement.

    • Main Results:

    • FC onset averaged 3.5 years, often following stressful events, with 88% of cases linked to behavioral factors.
    • Post-therapy, 92% of children showed behavioral changes within one month, and 88% achieved regular bowel movements by three months.
    • Long-term follow-up (6-28 months) indicated that 68% sustained behavioral improvements and resolved pathological aspects of FC by one year.

    Conclusions:

    • A multidisciplinary approach integrating medical and psychological interventions yields significant results for childhood functional constipation.
    • Establishing clear family rules and equalizing parental roles are key components for successful FC treatment.
    • This therapeutic model demonstrates consistent efficacy in managing and resolving functional constipation in pediatric patients.