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Social issues among children with high or intermediate imperforate anus: a proxy perspective

Margret Nisell1, Wilmar Igl, Maria Ojmyr-Joelsson

  • 1Child and Adolescent Psychiatric Unit, Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden. margret.nisell@ki.se

Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
|August 26, 2009
PubMed

Insights

Children with imperforate anus (IA) face psychosocial challenges. While socially competent, they receive lower academic and adaptive functioning ratings, highlighting a need for integrated care.

Area of Science:

  • Pediatric Surgery
  • Developmental Psychology
  • Child Psychiatry

Background:

  • Children with imperforate anus (IA) may experience psychosocial difficulties impacting their development.
  • Understanding the psychosocial profile of children with IA is crucial for comprehensive care.

Purpose of the Study:

  • To assess the psychosocial functioning of children with imperforate anus (IA).
  • To compare psychosocial outcomes in children with IA to typically developing peers.

Main Methods:

  • Parents completed a study-specific questionnaire and the Child Behavior Checklist (CBCL) Competence Scales.
  • Teachers utilized the Teacher's Report Form (TRF) to rate academic and adaptive functioning.

Main Results:

  • Favorable ratings were observed for school-related items by fathers of children with IA.
  • Mothers reported less volitional expression in children with IA.
  • Children with IA demonstrated social competence per CBCL, but lower ratings on TRF scales.

Conclusions:

  • Psychosocial issues present challenges for children with IA.
  • Attention to these psychosocial aspects is essential in the care management of children with IA.
Abstract

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