Functional constipation frequency in children diagnosed with autism spectrum disorder
), Semra Yılmaz(3), Didem Gülcü Taşkın(4), (1) University of Health Sciences
Turkey
(2) University of Health Sciences
Turkey
(3) University of Health Sciences
Turkey
(4) University of Health Sciences
Turkey
Corresponding Author
Copyright (c) 2021 ÇAĞATAY GÜNAY, HASRET AYYILDIZ CİVAN, SEMRA YILMAZ, DİDEM GÜLCÜ TAŞKIN
DOI : https://doi.org/10.24036/02021101111060-0-00
Full Text:
Language : en
Abstract
Aim: In our study, we aimed to determine the frequency of functional constipation in children diagnosed with autism spectrum disorders by child and adolescent psychiatry and mental health.
Materials and Methods: Between September 2017 and September 2018, children with autism spectrum disorder who applied to BakırköySadiKonuk Education and Research Hospital Child and Adolescent Psychiatry Outpatient Clinic were evaluated by means of childhood autism rating scale (CARS). A total of 108 patients were evaluated with the Roman IV criteria and the frequency of functional constipation was investigated.
Results: A total of 108 cases, 87% (n = 94) male and 13% (n = 14) female, were studied. The ages of the patients were between 2 and 15 years and the mean age was 6.89 ± 2.76. Organic constipation was not detected in patients with constipation and all of them were diagnosed as functional constipation. There was no statistically significant difference between the rates of functional constipation in cases according to gender. The incidence of functional constipation in males was significantly higher in patients with severe autism than in those with mild to moderate autism. “Two or fewer defecations in the toilet per week” criteria was found significantly higher in girls than in boys. No significant difference was found for the other five criteria according to gender. Each of the six criteria of the Rome IV criteria were found to be significantly higher in patients with severe autism than those with mild to moderate autism according to CARS scores. One of the Roman IV criteria, “History of large diameter stools that may obstruct the toilet” was found significantly higher in patients aged nine years and older. No significant correlation was found between the other criteria and age groups.
Conclusion: All of the six criteria of the Roman IV criteria were significantly higher in cases with severe autism according to CARS, compared to those with mild to moderate autism.
Keywords
References
Lever AG, Geurts HM. Psychiatric Co-occurring Symptoms and Disorders in Young, MiddleAged, and Older Adults with Autism Spectrum Disorder. J. Autism Dev. Disord. (2016).
Volkert VM, Vaz PC. .Recent Studies on Feeding Problems in Children With Autism. J. Appl. Behav. Anal. 43, 155–159 (2010).
Rasquin A. et al. Childhood Functional Gastrointestinal Disorders: Child/Adolescent. Gastroenterology 130, 1527–1537 (2006).
Gassaloğlu SI, Baykara B, Avcı SI, Dem YI. Validity and reliability analysis of turkish version of childhood autism rating scale. Turk Psikiyatr. Derg. 27, 1–10 (2016).
Weitlauf AS, Gotham KO, Vehorn AC, Warren ZE. Brief report: DSM-5 ‘levels of support:’ A comment on discrepant conceptualizations of severity in asd. J. Autism Dev. Disord. 44, 471– 476 (2014).
Gorrindo P. et al. Gastrointestinal dysfunction in autism: Parental report, clinical evaluation, and associated factors. Autism Res. 5, 101–108 (2012).
Ibrahim SH, Voigt RG, Katusic SK, Weaver AL, Barbaresi WJ. Incidence of Gastrointestinal Symptoms in Children With Autism: A Population-Based Study. Pediatrics 124, 680–686 (2009).
Ferguson BJ. et al. Psychophysiological Associations with Gastrointestinal Symptomatology in Autism Spectrum Disorder. Autism Res. 10, 276–288 (2017).
McElhanon BO, McCracken C, Karpen S, Sharp WG. Gastrointestinal Symptoms in Autism Spectrum Disorder: A Meta-analysis. Pediatrics 133, 872–883 (2014).
Del Ciampo IRL, Galvao LC, Del Ciampo LA, Fernandes MIM. Prevalence of chronic constipation in children at a primary health care unit. Pediatrics 6, 497–502 (2002).
Iacono G. et al. Gastrointestinal symptoms in infancy: A population-based prospective study. Dig. Liver Dis. 37, 432–438 (2005).
Uğuralp S, Karaoğlu L, Karaman A, Demircan M, Yakinci C. Frequency of enuresis, constipation and enuresis association with constipation in a group of school children aged 5-9 years in Malatya, Turkey. Turkish J. Med. Sci. 33, 315–320 (2003).
Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: A systematic review. Best Pract. Res. Clin. Gastroenterol. 25, 3–18 (2011).
Van Den Berg MM, Benninga MA, Di Lorenzo C. Epidemiology of childhood constipation: A systematic review. Am. J. Gastroenterol. 101, 2401–2409 (2006).
Constantino JN, Todd RD. Autistic Traits in the General Population. 60, (2015).
Peeters B. UvA-DARE (Digital Academic Repository) Gastrointestinal motility disorders in children: etiology and associated behaviors. (2019).
Article Metrics
Abstract Views : 852 times
PDF Downloaded : 71 times
Refbacks
- There are currently no refbacks.
Copyright (c) 2021 ÇAĞATAY GÜNAY, HASRET AYYILDIZ CİVAN, SEMRA YILMAZ, DİDEM GÜLCÜ TAŞKIN
This work is licensed under a Creative Commons Attribution 4.0 International License.
