慢性功能性便秘儿童的精神特征：以自闭症谱系障碍个体为重点。
Psychiatric Features of Children with Chronic Functional Constipation: Focusing on Individuals with Autism Spectrum Disorder.
作者信息
Akama Fumiaki, Mikami Katsunaka, Orihashi Yasushi, Takase Syunya, Hanawa Kyuta, Nishikawa Keita, Watanabe Natsuru, Kimoto Keitaro, Takahashi Yuki, Onishi Yuichi, Salas Juan, Yamamoto Kenji, Ueno Shigeru
机构信息
Department of Psychiatry, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Division of Clinical Research, Kitasato University Hospital, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0375, Japan.
出版信息
J Autism Dev Disord. 2025 Feb;55(2):585-591. doi: 10.1007/s10803-023-06228-8. Epub 2024 Jan 24.
PURPOSE
The present study aimed to assess the psychiatric characteristics of children with chronic functional constipation using the Aberrant Behavior Checklist-Japanese version and the Pervasive Developmental Disorders/Autism Society Japan Rating Scale, and to examine the frequency of autism spectrum disorder in children with chronic functional constipation. We also investigated differences in treatment duration between children with and without autism spectrum disorder.
METHODS
Treatment outcomes were examined retrospectively for 55 participants (chronic functional constipation group: n = 30, mean age 3.4 years; control group: n = 25, mean age, 4.5 years). The association between chronic functional constipation and autism spectrum disorder was evaluated using multivariable logistic regression analysis.
RESULTS
The mean Aberrant Behavior Checklist score and frequency of individuals with autism spectrum disorder were significantly higher in the chronic functional constipation group. After adjusting for age and sex, chronic functional constipation was significantly associated with autism spectrum disorder. In the chronic functional constipation group, the frequency of onset was significantly higher in children with autism spectrum disorder under 1 year of age. When treated, the mean duration of constipation was significantly longer in children with autism spectrum disorder.
CONCLUSION
Pediatricians, pediatric surgeons, and child psychiatrists should work closely to ensure appropriate treatment of chronic functional constipation in children with autism spectrum disorder.
目的
本研究旨在使用《异常行为检查表（日本版）》和《广泛性发育障碍/日本自闭症协会评定量表》评估慢性功能性便秘儿童的精神特征，并调查慢性功能性便秘儿童中自闭症谱系障碍的发生率。我们还研究了有无自闭症谱系障碍儿童在治疗持续时间上的差异。
方法
对55名参与者进行回顾性治疗结果检查（慢性功能性便秘组：n = 30，平均年龄3.4岁；对照组：n = 25，平均年龄4.5岁）。使用多变量逻辑回归分析评估慢性功能性便秘与自闭症谱系障碍之间的关联。
结果
慢性功能性便秘组的平均异常行为检查表得分和自闭症谱系障碍个体的频率显著更高。在调整年龄和性别后，慢性功能性便秘与自闭症谱系障碍显著相关。在慢性功能性便秘组中，1岁以下患有自闭症谱系障碍的儿童发病频率显著更高。接受治疗时，患有自闭症谱系障碍的儿童便秘的平均持续时间显著更长。
结论
儿科医生、小儿外科医生和儿童精神科医生应密切合作，以确保对自闭症谱系障碍儿童的慢性功能性便秘进行适当治疗。
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