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Related Experiment Videos

Does "stubbornness" have a role in pediatric constipation?

Roger C Burket1, Daniel J Cox, Anita P Tam

  • 1University of Virginia Health Sciences Center, Charlottesville, VA, USA. rcb8bn@virginia.edu

Journal of Developmental and Behavioral Pediatrics : JDBP
|May 10, 2006
PubMed
Summary

Children with constipation often exhibit more stubbornness, particularly with toileting. This stubbornness may impact treatment success and compliance in pediatric constipation management.

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Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Behavioral Medicine

Background:

  • Constipation is a common pediatric issue.
  • Behavioral factors, such as stubbornness, may influence constipation.
  • The relationship between stubbornness and treatment outcomes in constipated children is not well understood.

Purpose of the Study:

  • To investigate if children with constipation display higher levels of general and toileting-specific stubbornness compared to non-constipated children.
  • To determine if greater stubbornness in constipated children correlates with a poorer response to standard therapeutic interventions.

Main Methods:

  • A comparative study involving 101 children (2-6 years) with new-onset constipation and 84 age-matched controls.
  • Assessment of general and toilet-specific stubbornness using parental questionnaires, diaries, and direct observations.

Related Experiment Videos

  • Constipated children received 2 months of primary care physician (PCP) treatment, followed by reassessment.

    • Main Results:

    • Constipated children were perceived by parents as significantly more stubborn overall and in toileting behaviors than controls.
    • Evidence suggests constipated children with persistent symptoms after treatment showed higher general stubbornness than those who responded.
    • Parent-perceived toilet-specific stubbornness significantly improved following successful constipation treatment.

    Conclusions:

    • Children experiencing constipation tend to exhibit greater parent-perceived stubbornness.
    • Stubbornness may play a role in the development, maintenance, and treatment compliance of pediatric constipation.
    • Addressing behavioral aspects like stubbornness could be crucial for effective constipation management in children.