Equit Monika, Niemczyk Justine, Kluth Anna, Thomas Carla, Rubly Mathias, von Gontard Alexander
1 Klinische Psychologie und Psychotherapie; Universität des Saarlandes, Saarbrücken, Germany.
2 Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie; Universitätsklinikum des Saarlandes, Homburg, Germany.
Z Kinder Jugendpsychiatr Psychother. 2019 Jan;47(1):67-71. doi: 10.1024/1422-4917/a000638. Epub 2018 Nov 19.
Fecal incontinence and constipation are common disorders in childhood. The enteric nervous system and the central nervous system are highly interactive along the brain-gut axis. The interaction is mainly afferent. These afferent pathways include centers that are involved in the central nervous processing of emotions as the mid/posterior insula and the anterior cingulate cortex. A previous study revealed altered processing of emotions in children with fecal incontinence. The present study replicates these results.
In order to analyze the processing of emotions, we compared the event-related potentials of 25 children with fecal incontinence and constipation to those of 15 control children during the presentation of positive, negative, and neutral pictures.
Children with fecal incontinence and constipation showed altered processing of emotions, especially in the parietal and central cortical regions.
The main study results of the previous study were replicated, increasing the certainty and validity of the findings.
大便失禁和便秘是儿童常见的疾病。肠神经系统和中枢神经系统在脑-肠轴上高度相互作用。这种相互作用主要是传入性的。这些传入通路包括参与情绪中枢神经处理的中枢，如岛叶中/后部和前扣带回皮质。先前的一项研究揭示了大便失禁儿童的情绪处理存在改变。本研究重复了这些结果。
为了分析情绪处理情况，我们在呈现正性、负性和中性图片时，比较了25名大便失禁和便秘儿童与15名对照儿童的事件相关电位。
大便失禁和便秘儿童表现出情绪处理改变，尤其是在顶叶和中央皮质区域。
重复了先前研究的主要结果，提高了研究结果的确定性和有效性。
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