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Psychiatric Features of Children with Chronic Functional Constipation: Focusing on Individuals with Autism Spectrum
Fumiaki Akama1, Katsunaka Mikami2, Yasushi Orihashi3
1Department of Psychiatry, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Journal of Autism and Developmental Disorders
|January 24, 2024
Summary
Children with autism spectrum disorder (ASD) show higher rates of chronic functional constipation and longer treatment durations. Early identification and collaborative care are crucial for managing constipation in these children.
Area of Science:
- Pediatric Gastroenterology
- Child Psychiatry
- Developmental Pediatrics
Background:
- Chronic functional constipation is a common pediatric issue.
- Autism spectrum disorder (ASD) is a neurodevelopmental condition affecting social interaction and communication.
- The relationship between chronic functional constipation and ASD requires further investigation.
Purpose of the Study:
- To assess psychiatric characteristics in children with chronic functional constipation.
- To determine the frequency of autism spectrum disorder (ASD) in children with chronic functional constipation.
- To compare treatment durations for constipation in children with and without ASD.
Main Methods:
- Retrospective analysis of 55 children (30 with chronic functional constipation, 25 controls).
- Utilized Aberrant Behavior Checklist and Pervasive Developmental Disorders/Autism Society Japan Rating Scale.
- Employed multivariable logistic regression to evaluate the association between chronic functional constipation and ASD.
Main Results:
- Children with chronic functional constipation exhibited higher Aberrant Behavior Checklist scores and a greater frequency of ASD.
- Chronic functional constipation was significantly associated with ASD after adjusting for age and sex.
- Children with ASD experienced earlier onset of constipation and longer treatment durations.
Conclusions:
- A significant association exists between chronic functional constipation and autism spectrum disorder in children.
- Early onset of constipation in children with ASD suggests a potential link.
- Multidisciplinary collaboration among pediatricians, surgeons, and psychiatrists is essential for optimal care.
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