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Relationship between psychological stress with functional constipation in children: a systematic review

Ferry Suganda Gozali1, Beatrix Febiana1, I Gusti Ngurah Sanjaya Putra2

  • 1Department of Child Health, Faculty of Medicine Widya Mandala Catholic University, Surabaya, Indonesia.

The Pan African Medical Journal
|November 6, 2023
PubMed

Insights

Psychological stress significantly contributes to childhood constipation, a common gastrointestinal issue. Addressing this requires a joint approach involving families and healthcare providers for effective management.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology

Background:

  • Childhood constipation is a prevalent gastrointestinal disorder affecting up to 29.6% globally.
  • Functional constipation in children is strongly linked to psychosocial factors.

Approach:

  • A systematic review was conducted using PubMed, Cochrane Library, and Google Scholar.
  • PRISMA guidelines and JBI critical appraisal checklist ensured study rigor.
  • Eleven high-quality studies (4 cross-sectional, 4 case-control, 3 cohort) were synthesized.

Key Points:

  • A significant association exists between psychological stress and pediatric constipation.
  • Stressors include family issues, school, life events, and psychological disorders.
  • Various forms of psychological stress impact children's bowel function.

Conclusions:

  • Psychological stress and burden are key factors in childhood constipation.
  • Integrated care involving parents, children, and healthcare professionals is crucial.
  • Managing psychosocial aspects is vital for treating functional constipation in pediatric populations.
Abstract

Keywords:
Childrenfunctional constipationpediatricpsychological stress

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