Berardi Anna, Galeoto Giovanni, Ruffini Martina, Simeon Rachele, González-Bernal Jerónimo, Seco-Calvo Jesús Angel
Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.
IRCSS Neuromed, Via Atinense, 18, 86077 Pozzilli, Italy.
Children (Basel). 2023 Sep 8;10(9):1528. doi: 10.3390/children10091528.
Children with autism spectrum disorder (ASD) often seem not to feel the need to go to the bathroom in whatever context they are in and may suffer from hypo-responsiveness. Recent studies show a correlation between sensory problems, constipation, and fecal incontinence in children. This requires an assessment tool to identify evacuation issues in children with sensory dysfunction. Therefore, the purpose of this study is to validate the Italian version of The Toileting Habit Profile Questionnaire-Revised (THPQ-R) in children with ASD.
The inclusion criteria were a confirmed diagnosis of ASD and an age between 3 and 8 years old. The Toileting Habit Profile Questionnaire Revised (THPQ-R) was recently validated in the Italian language on a healthy population. The Italian version has 17 items with two alternative response options, frequently/always or never/rarely, based on how often the behavior occurs. The THPQ-R questionnaire is easy to administer, interpret, and manage. For concurrent validity, we used the Italian version of the Sensory Processing Measure and Sensory Processing Measure-Preschool.
For the THPQ-R validation, 43 participants were recruited. The internal consistency, reporting an α value of 0.763, showed that the THPQ-R was a very reliable scale. The THPQ-R appears to be correlated only with the domains "Social Participation T-point", "Hearing T-point", and "Planning and Ideas T-point". However, these correlations are not statistically significant. : The THPQ-R highlights positive results regarding validity and reliability and shows a positive correlation between defecation disorders and social participation.
自闭症谱系障碍（ASD）儿童无论处于何种环境，似乎都没有上厕所的需求，可能存在反应迟钝的问题。最近的研究表明，儿童的感觉问题、便秘和大便失禁之间存在关联。这就需要一种评估工具来识别感觉功能障碍儿童的排泄问题。因此，本研究的目的是验证《如厕习惯概况问卷修订版》（THPQ-R）意大利语版在ASD儿童中的有效性。
纳入标准为确诊为ASD且年龄在3至8岁之间。《如厕习惯概况问卷修订版》（THPQ-R）最近在意大利语版中针对健康人群进行了验证。意大利语版有17个项目，根据行为发生的频率有两个备选答案选项，即经常/总是或从不/很少。THPQ-R问卷易于实施、解释和管理。为了验证同时效度，我们使用了意大利语版的感觉统合量表和感觉统合量表-学龄前版。
为了验证THPQ-R，招募了43名参与者。内部一致性方面，α值为0.763，表明THPQ-R是一个非常可靠的量表。THPQ-R似乎仅与“社会参与T分”、“听力T分”和“计划与想法T分”领域相关。然而，这些相关性在统计学上并不显著。THPQ-R在效度和信度方面取得了积极成果，并显示排便障碍与社会参与之间存在正相关。
