Faculty of Medicine, Department of Pediatrics, University of Colombo, Colombo, Western Province, Sri Lanka.
The Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
PLoS One. 2020 Oct 12;15(10):e0239092. doi: 10.1371/journal.pone.0239092. eCollection 2020.
To assess behavioral and emotional problems in children and adolescents with functional constipation and their relationship with psychological maladjustment and health-related quality of life (HRQoL).
A school-based cross-sectional survey conducted in 8 randomly selected schools from 4 randomly selected districts in Sri Lanka. A previously validated questionnaire was used for data collection. Behavioral and emotional problems were assessed using the Sinhala version of the Child Behavior Check List (CBCL-S/4-18). Constipation was diagnosed by applying the Rome III criteria.
A total of 1000 questionnaires were distributed, and 913 completed questionnaires were included in the analysis. Sixty adolescents (6.5%) had functional constipation. Scores obtained for isolated psychological problems such as withdrawal (3.1 [3.1] vs. 1.9 [2.4], p<0.001), somatic complaints (3.2 [2.8] vs. 2.3 [2.5], p<0.05) anxiety/depression (5.8 [2.5] vs. 3.9 [3.6], p<0.001), social problems (3.0 [2.7] vs. 2.2 [1.9] p<0.001) and attention problems (5.4 [4.1] vs. 3.9 [3.4], p<0.001), and broadband scale of internalization (12.1 [8.4] vs. 8.3 [7.2], p<0.05) and mean total CBCL-S/4-18 score (29.4 [19.5] vs. 23.2 [17.0], p<0.001) were higher in adolescents with functional constipation. Clinical characteristics, socio-demographic and family factors and psychological maladjustment had no relationship with externalization, internalization and total CBCL-S/4-18 score. Internalization (-0.49, p<0.0001), externalization (-0.30, p<0.05), and total CBCL-S/4-18 (-0.44, p<0.001) scores had a negative impact on HRQoL of adolescents with functional constipation.
Adolescents with functional constipation are suffering from significant behavioral and emotional problems. These problems negatively affect their HRQoL.
评估功能性便秘儿童和青少年的行为和情绪问题及其与心理失调和健康相关生活质量（HRQoL）的关系。
在斯里兰卡的 4 个随机区的 8 所随机选择的学校进行的基于学校的横断面调查。使用经过验证的问卷收集数据。使用斯里兰卡语版儿童行为检查表（CBCL-S/4-18）评估行为和情绪问题。通过应用罗马 III 标准诊断便秘。
共发放了 1000 份问卷，其中 913 份完成的问卷纳入分析。60 名青少年（6.5%）患有功能性便秘。孤立的心理问题评分较高，如退缩（3.1 [3.1] vs. 1.9 [2.4]，p<0.001）、躯体抱怨（3.2 [2.8] vs. 2.3 [2.5]，p<0.05）、焦虑/抑郁（5.8 [2.5] vs. 3.9 [3.6]，p<0.001）、社交问题（3.0 [2.7] vs. 2.2 [1.9]，p<0.001）和注意问题（5.4 [4.1] vs. 3.9 [3.4]，p<0.001），以及广泛的内化量表（12.1 [8.4] vs. 8.3 [7.2]，p<0.05）和平均总 CBCL-S/4-18 评分（29.4 [19.5] vs. 23.2 [17.0]，p<0.001）在功能性便秘的青少年中更高。临床特征、社会人口学和家庭因素以及心理失调与外化、内化和总 CBCL-S/4-18 评分均无关系。内化（-0.49，p<0.0001）、外化（-0.30，p<0.05）和总 CBCL-S/4-18（-0.44，p<0.001）评分对功能性便秘青少年的 HRQoL 有负面影响。
功能性便秘的青少年存在明显的行为和情绪问题。这些问题对他们的 HRQoL 有负面影响。
