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Autism spectrum disorders in children with functional defecation disorders
Babette Peeters1, Ilse Noens, Elise M Philips
1Department of Pediatric Gastroenterology and Nutrition, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands. b.peeters@amc.uva.nl
The Journal of Pediatrics
|March 26, 2013
Summary
A significant number of children with functional defecation disorders show autism spectrum disorder (ASD) symptoms. Early recognition of ASD in these children is crucial for appropriate management.
Area of Science:
- Pediatric Gastroenterology
- Developmental Pediatrics
- Child Psychology
Background:
- Functional defecation disorders are common in children.
- Autism Spectrum Disorder (ASD) affects social communication and behavior.
- The overlap between these conditions requires further investigation.
Purpose of the Study:
- To determine the prevalence of ASD symptoms in children with functional defecation disorders.
- To assess the utility of screening tools for ASD in this population.
Main Methods:
- Prospective study of children aged 4-12 with functional constipation or fecal incontinence.
- Utilized validated ASD screening tools: Social Responsiveness Scale (SRS) and Social Communication Questionnaire-Lifetime (SCQ-L).
- Children meeting Rome III criteria for functional defecation disorders were included.
Main Results:
- 29% of children with functional defecation disorders exhibited ASD symptoms based on screening scores.
- Previously diagnosed ASD was present in 5.4% of the cohort.
- Children with ASD symptoms were older and had longer symptom duration.
Conclusions:
- A substantial proportion of children with functional defecation disorders present with concurrent ASD symptoms.
- Healthcare providers should consider screening for ASD in children with defecation issues.
- This highlights the importance of an integrated approach to pediatric care.
Keywords:
ADHDASDAttention deficit-hyperactivity disorderAutism spectrum disorderFCFIFNRFIFecal incontinenceFunctional constipationFunctional non-retentive fecal incontinenceGPGeneral practitionerSCQSCQ-LSRSSocial Communication QuestionnaireSocial Communication Questionnaire-LifetimeSocial Responsiveness Scale
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