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Association between child maltreatment and constipation: a school-based survey using Rome III criteria.

Shaman Rajindrajith1, Niranga M Devanarayana, Chamila Lakmini

  • 1*Faculty of Medicine, Department of Paediatrics †Faculty of Medicine, Department of Physiology, University of Kelaniya, Ragama, Sri Lanka ‡Department of Pediatric Gastroenterology and Nutrition, Emma Children's Hospital, Academic Medical Centre, Amsterdam, The Netherlands.

Journal of Pediatric Gastroenterology and Nutrition
|November 21, 2013
PubMed
Summary
This summary is machine-generated.

Childhood constipation is significantly linked to physical, emotional, and sexual abuse. Abused children with constipation also report more somatic symptoms and severe bowel issues.

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Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Public Health

Background:

  • Child abuse has profound physical and psychosomatic consequences.
  • Constipation is a common gastrointestinal issue in children.
  • Understanding the link between abuse and physical symptoms is crucial for effective intervention.

Purpose of the Study:

  • To investigate the association between child abuse (physical, emotional, sexual) and constipation in schoolchildren.
  • To explore the relationship between abuse, somatization, and perceived severity of bowel symptoms.

Main Methods:

  • A cross-sectional study involving 1792 schoolchildren (ages 13-18) in Sri Lanka.
  • Self-administered questionnaires collected data on sociodemographics, gastrointestinal symptoms, child abuse, and somatization.
  • Constipation diagnosed using Rome III criteria.

Main Results:

  • 7.7% of children met Rome III criteria for constipation.
  • Constipation prevalence was significantly higher in children exposed to sexual (5.8%), emotional (40.9%), and physical abuse (41.6%).
  • Abused children with constipation exhibited higher somatization scores and perceived greater severity of bowel symptoms.

Conclusions:

  • Childhood constipation is significantly associated with physical, sexual, and emotional abuse.
  • Abused children experiencing constipation report increased somatic and bowel symptom severity.
  • These findings highlight the importance of screening for abuse in children with chronic constipation.