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Published on: March 1, 2019
Psychological differences between children with and without soiling problems
Carol Joinson1, Jon Heron, Ursula Butler
1Department of Community Based Medicine, University of Bristol, Bristol, United Kingdom. carol.joinson@bristol.ac.uk
Insights
Children who soil frequently experience more behavioral and emotional issues, including bullying and antisocial behavior, compared to those who soil occasionally or not at all.
Area of Science:
- Pediatric Psychology
- Child Development
- Public Health
Background:
- Previous clinic-based studies linked childhood soiling to behavioral issues and low self-esteem.
- Population-based data on the psychological impact of childhood soiling is limited.
Purpose of the Study:
- To investigate the prevalence of psychological problems in children experiencing childhood soiling.
- To compare psychological issues among frequently soiling, occasionally soiling, and non-soiling children.
Main Methods:
- Utilized data from 8242 children (aged 7-8) in the Avon Longitudinal Study of Parents and Children.
- Collected parent-reported emotional/behavioral data and child-reported behavior, friendships, bullying, and self-esteem.
- Compared psychological problem rates, adjusting for developmental delay, gender, socioeconomic factors, and life events.
Main Results:
- Children who soil exhibit significantly more emotional and behavioral problems than controls.
- Frequent soiling is associated with a higher burden of problems than occasional soiling.
- Attention/activity problems, obsessions/compulsions, oppositional behavior, and bullying were notably high in frequently soiling children.
Conclusions:
- Childhood soiling is significantly associated with increased behavioral and emotional problems, bullying, and antisocial activities.
- The severity of psychological issues correlates with the frequency of soiling incidents.
Objectives:
Previous studies, based on clinic samples, report that childhood soiling is associated with behavior problems and reduced self-esteem. This population-based study investigates the prevalence of psychological problems associated with childhood soiling.
Methods:
A total of 8242 children aged 7-8 years born to mothers in the United Kingdom-based Avon Longitudinal Study of Parents and Children were studied. Parents completed postal questionnaires assessing common childhood emotional and behavioral problems, and children were asked questions at a research clinic concerning their behavior, friendships, bullying, and self-esteem. The rate of psychological problems was compared in children who soil frequently (once a week or more), those who soil occasionally (less than once a week), and those with no soiling problems (controls). Analyses were adjusted for developmental delay, gender, sociodemographic background, and stressful life events.
Results:
Children who soil were reported by their parents to have significantly more emotional and behavioral problems compared with children who do not soil. Children who soil frequently had significantly more problems than those who soil occasionally. The rate of attention and activity problems, obsessions and compulsions, and oppositional behavior was particularly high in frequently soiling children. Children with soiling problems reported significantly higher rates of involvement in overt bullying (as both perpetrator and victim) and antisocial activities compared with controls.
Conclusions:
The current study finds significantly higher rates of behavior and emotional problems, bullying, and antisocial activities in children who soil compared with those who do not soil. Children who soil frequently are more likely to have these problems than those who soil occasionally.
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