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Stressful Life Events in Children With Functional Defecation Disorders

Elise M Philips1, Babette Peeters, Arianne H Teeuw

  • 1*Department of Pediatric Gastroenterology and Nutrition †Department of Social Pediatrics, Emma Children's Hospital, Academic Medical Center ‡Medical Library, Academic Medical Center Amsterdam §Department of Pediatrics, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands.

Journal of Pediatric Gastroenterology and Nutrition
|July 21, 2015
PubMed

Insights

Children with functional defecation disorders experience significantly more stressful life events, including abuse, than healthy children. Further research is needed to understand the full prevalence of child abuse in these pediatric populations.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Public Health

Background:

  • Functional defecation disorders are common in children.
  • Stressful life events may impact child development and health.
  • The role of abuse in functional defecation disorders requires further investigation.

Purpose of the Study:

  • To systematically review the prevalence of stressful life events, including sexual abuse, in children with functional defecation disorders.
  • To compare exposure to stressful life events in children with and without functional defecation disorders.

Main Methods:

  • Systematic review of MEDLINE, EMBASE, and PsycINFO databases.
  • Inclusion of cohort, case-control, and cross-sectional studies.
  • Analysis of data from children with functional constipation and fecal incontinence.

Main Results:

  • Children with functional defecation disorders showed significantly higher exposure to stressful life events (1.6%-90.9%).
  • Specific events like bullying and parental punishment were linked to fecal incontinence.
  • Child (sexual) abuse was found to be significantly more prevalent in children with fecal incontinence compared to controls.

Conclusions:

  • Stressful life events, including sexual abuse, are significantly more prevalent in children with functional defecation disorders.
  • More research is necessary to accurately determine the prevalence of child abuse in this vulnerable group.
Abstract

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