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Relationship between functional constipation and anal-retentive behavior features
Tonguç Utku Yılmaz1, Halil İbrahim Taş2, Ezgi Uçar1
1Department of General Surgery, Kocaeli University School of Medicine, Kocaeli, Turkey.
Functional constipation is linked to specific personality traits and behaviors, suggesting a connection to childhood anal development. Biofeedback therapy may help manage this condition.
Area of Science:
- Gastroenterology
- Psychology
- Behavioral Science
Background:
- Constipation is a common functional defecation disorder influenced by environmental factors.
- Childhood anal period development can impact adult character and bowel function.
- Functional constipation (FC) is prevalent and multifactorial.
Purpose of the Study:
- To investigate the association between functional constipation and specific anal personality traits.
- To compare personality and psychological profiles of FC patients with healthy controls.
Main Methods:
- 47 patients diagnosed with functional constipation (Rome III criteria) were recruited.
- Exclusion criteria included IBD, slow transit constipation, outlet obstruction, malignancy, and psychiatric disorders.
- Participants completed the Personality Belief Questionnaire, Hospital Anxiety and Depression Scale, and Obsessive Belief Questionnaire.
Main Results:
- Patients with FC exhibited higher scores for avoidant, obsessive-compulsive, antisocial, narcissistic, and paranoid personality traits compared to controls.
- Elevated scores in perfectionism/certainty, importance and control, and hospital anxiety were observed in the FC group.
Conclusions:
- Anal-retentive behaviors appear prominent in individuals with functional constipation.
- Psychological factors and personality traits may play a significant role in FC.
- Biofeedback, a form of psychotherapy for defecation control, is a potential treatment option for functional constipation.
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