OBJECTIVES: With a disease-specific questionnaire, this study aimed to evaluate health-related quality of life (HRQoL) in children with constipation in association with clinical characteristics. STUDY DESIGN: Children with constipation-associated fecal incontinence (n = 114), 8 to 18 years, filled out the Defecation Disorder List at a Dutch tertiary hospital. Correlations and linear regression analysis between clinical characteristics and scores on emotional and social functioning were calculated. Specific concerns of children were described by individual item scores of these domains. RESULTS: Higher frequency of fecal incontinence episodes was associated with lower emotional and social functioning. Linear regression analysis showed a significant association between social functioning and fecal incontinence, but the variance of the model was low (adjusted R(2)= 0.08). Between 70% to 80% of children were concerned about experiencing fecal incontinence unnoticeably and the attendant social consequences. Children did not report having fewer friends and participated well in social events. CONCLUSION: Lower HRQoL regarding disease-specific emotional and social functioning was reported in children with frequent episodes of constipation-associated fecal incontinence. However, other nonspecified factors may also influence HRQoL of these children. Most children reported relatively more emotional concerns than social consequences.
OBJECTIVES: With a disease-specific questionnaire, this study aimed to evaluate health-related quality of life (HRQoL) in children with constipation in association with clinical characteristics. STUDY DESIGN:Children with constipation-associated fecal incontinence (n = 114), 8 to 18 years, filled out the Defecation Disorder List at a Dutch tertiary hospital. Correlations and linear regression analysis between clinical characteristics and scores on emotional and social functioning were calculated. Specific concerns of children were described by individual item scores of these domains. RESULTS: Higher frequency of fecal incontinence episodes was associated with lower emotional and social functioning. Linear regression analysis showed a significant association between social functioning and fecal incontinence, but the variance of the model was low (adjusted R(2)= 0.08). Between 70% to 80% of children were concerned about experiencing fecal incontinence unnoticeably and the attendant social consequences. Children did not report having fewer friends and participated well in social events. CONCLUSION: Lower HRQoL regarding disease-specific emotional and social functioning was reported in children with frequent episodes of constipation-associated fecal incontinence. However, other nonspecified factors may also influence HRQoL of these children. Most children reported relatively more emotional concerns than social consequences.
Authors: Eleni Athanasakos; Sally Dalton; Susan McDowell; Tara Shea; Kate Blakeley; David Rawat; Stewart Cleeve Journal: Pediatr Surg Int Date: 2019-12-16 Impact factor: 1.827
Authors: João H F Colares; Marionescu Purcaru; Guilherme P F da Silva; Mirna A Frota; Carlos A B da Silva; Antônio A Melo-Filho; Andrea Bischoff; Alberto Peña Journal: Pediatr Surg Int Date: 2016-02-13 Impact factor: 1.827
Authors: Jojanneke J G T van Summeren; Jan Willem Klunder; Gea A Holtman; Boudewijn J Kollen; Marjolein Y Berger; Janny H Dekker Journal: J Pediatr Gastroenterol Nutr Date: 2018-12 Impact factor: 2.839
Authors: Jojanneke J G T van Summeren; Gea A Holtman; Yvonne Lisman-van Leeuwen; Lisa E A M Louer; Alice H C van Ulsen-Rust; Karin M Vermeulen; Boudewijn J Kollen; Janny H Dekker; Marjolein Y Berger Journal: BMC Pediatr Date: 2018-07-31 Impact factor: 2.125