Format

Send to

Choose Destination
See comment in PubMed Commons below
J Pediatr. 2013 Oct;163(4):1069-72.e1. doi: 10.1016/j.jpeds.2013.05.012. Epub 2013 Jun 22.

Quality of life and somatic symptoms in children with constipation: a school-based study.

Author information

1
Department of Pediatrics, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka. Electronic address: shamanr0@lycos.com.

Abstract

OBJECTIVE:

To assess the health related quality of life (HRQoL) and somatization in school children with constipation.

STUDY DESIGN:

This cross-sectional survey was conducted in children aged 13-18 years, in 4 schools in Gampaha district of Sri Lanka. Data were collected using a pretested, self-administered questionnaire with questions on bowel habits, somatization, and HRQoL. Constipation was diagnosed using Rome III criteria.

RESULTS:

A total of 1792 children were included in the analysis (males 975 [54.4%], mean age 14.4 and SD 1.3 years). One hundred thirty-eight (7.7%) fulfilled Rome criteria for constipation. Children with constipation had lower HRQoL scores for physical (83.6 vs 91.4 in controls, P < .0001), social (85.0 vs 92.7, P = .0001), emotional (73.6 vs 82.7, P =.0001), school functioning (75.0 vs 82.5, P < .0001), and lower overall scores (79.6 vs 88.0, P = .0001). HRQoL scores were lower in those with fecal incontinence and constipation compared with constipation alone (70.0 vs 81.1, P = .004). Patient perceived severity of abdominal pain (r = -0.22, P = .01) and severity of bowel symptoms (r = -0.22, P = .01) showed significant negative correlation with total HRQoL scores. Total somatization score also found to be negatively correlated (r = -0.47, P < .0001) with HRQoL.

CONCLUSIONS:

Children with constipation have lower HRQoL scores than controls in physical, social, emotional, and school functioning. They also have a wide range of somatic symptoms. These issues need to be addressed during clinical evaluation of children with constipation to understand the impact of the disease on the life of affected children and to provide optimal care.

KEYWORDS:

FI; Fecal incontinence; HRQoL; Health related quality of life

PMID:
23800401
DOI:
10.1016/j.jpeds.2013.05.012
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center