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Gastrointestinal symptoms and sensory abnormalities associated with behavioral problems in children with
Shunya Kurokawa1, Kensuke Nomura2, Katsuma Miyaho3
1Department of Neuropsychiatry, School of Medicine, Keio University, Tokyo, Japan.
Insights
Behavioral problems in children with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) are linked to gastrointestinal (GI) symptoms and sensory abnormalities. Addressing these may improve quality of life for affected children and their families.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Behavioral Health
- Clinical Psychology
Background:
- Behavioral problems significantly impact the quality of life for children with autism spectrum disorder (ASD) and/or attention-deficit/hyperactivity disorder (ADHD).
- Previous research has explored associations between behavioral issues and factors like gastrointestinal (GI) symptoms, sensory abnormalities, and medication use, but not comprehensively.
- Understanding these relationships is crucial for developing effective interventions and support strategies for affected children and their families.
Purpose of the Study:
- To comprehensively investigate the relationships between various clinical factors and behavioral problem severity in children diagnosed with ASD and/or ADHD.
- To identify specific factors that are independently associated with behavioral problems in this pediatric population.
- To provide evidence-based insights for improving the quality of life for children with neurodevelopmental disorders.
Main Methods:
- A cross-sectional study was conducted with 60 children (ages 6-12) diagnosed with ASD and/or ADHD at two Japanese hospitals.
- Data collected included scores from the Aberrant Behavior Checklist (ABC), Autism-Spectrum Quotient (AQ), Conners 3, Short Sensory Profile (SSP), and information on GI symptoms, sleep, and exercise.
- Correlation and stepwise multiple linear regression analyses were performed to determine the association between various factors and ABC severity.
Main Results:
- Correlation analyses revealed six factors associated with ABC severity: methylphenidate use, Conners hyperactivity and inattention scores, AQ score, SSP score, and GI symptom score.
- Multiple regression analysis identified 'GI symptoms' and 'sensory abnormalities' as independent predictors of ABC severity.
- These findings suggest that GI issues and sensory processing differences play a significant role in behavioral challenges.
Conclusions:
- Gastrointestinal symptoms and sensory abnormalities are independently associated with the severity of behavioral problems in children with ASD and/or ADHD.
- While causality requires further investigation, assessing and managing GI symptoms and sensory abnormalities may be key to alleviating problematic behaviors.
- Clinicians and caregivers should pay closer attention to these often-overlooked factors to enhance the well-being of children with neurodevelopmental disorders.
Abstract:
Behavioral problems directly affect the quality of life of caregivers and children with autism spectrum disorder (ASD) and/or attention-deficit/hyperactivity disorder (ADHD), and is known to be associated with clinical factors such as gastrointestinal (GI) symptoms, sensory abnormalities, intellectual abilities, and use of medication. However, previous studies have not considered these relationships comprehensively. We conducted a cross-sectional study of 6-12-year-old children with diagnoses of ASD and/or ADHD at two hospitals in Japan. Scores for the aberrant behavior checklist (ABC), autism-spectrum quotient (AQ), and Conners 3, as well as information on daily sleep and exercise, GI symptoms, and Short Sensory Profile, were collected. Each factor was subjected to a correlation analysis to investigate its effect on ABC scores. A stepwise multiple linear regression analysis for the factors with p < 0.05 was performed. Data were obtained from 60 patients with a mean age of 8.3 years; 21 had ASD alone, 18 had ADHD alone, and 21 had ASD + ADHD. The correlation analyses identified six factors associated with ABC severity: (a) methylphenidate use, (b) Conners hyperactivity score, (c) Conners inattention score, (d) AQ score, (e) SSP score, and (f) GI symptom score. The multiple regression showed that "GI symptoms" and "sensory abnormalities" were independently associated with ABC severity. Although further studies are needed to show a causal relationship, appropriate assessment of GI symptoms and sensory abnormalities may help alleviate some problematic behaviors and improve the quality of life of children with neurodevelopmental disorders and their families. LAY SUMMARY: Behavioral problems in children with neurodevelopmental disorders are known to be associated with many factors. This study aimed to comprehensively investigate the known factors. We have discovered that "gastrointestinal symptoms" and "sensory abnormalities" were independently associated with Behavioral problems. Our results suggest that it is important for clinicians and caregivers to pay more attention to children's GI symptoms and sensory abnormalities that may not present as obvious symptoms or complaints.
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