dc.contributor.author |
Rajindrajith, S. |
en_US |
dc.contributor.author |
Devanarayana, N.M. |
en_US |
dc.contributor.author |
Lakmini, C. |
en_US |
dc.contributor.author |
Subasinghe, V. |
en_US |
dc.contributor.author |
de Silva, D.G.H. |
en_US |
dc.contributor.author |
Benninga, M.A. |
en_US |
dc.date.accessioned |
2014-10-29T09:43:31Z |
|
dc.date.available |
2014-10-29T09:43:31Z |
|
dc.date.issued |
2014 |
en_US |
dc.identifier.citation |
Journal of Pediatric Gastroenterology and Nutrition. 2014; 58(4): 486-90 |
en_US |
dc.identifier.issn |
0277-2116 (Print) |
en_US |
dc.identifier.issn |
1536-4801 (Electronic) |
en_US |
dc.identifier.uri |
http://repository.kln.ac.lk/handle/123456789/2337 |
|
dc.description.abstract |
Child abuse leads to multiple physical and psychosomatic sequelae. The aim of the present study was to evaluate the association between child abuse and constipation among schoolchildren. METHODS: Children 13 to 18 years of age were selected from 4 semiurban schools in Gampaha District, Sri Lanka. A self-administered questionnaire was used for data collection. Information regarding socio demographic factors and gastrointestinal symptoms, child abuse, and somatisation were collected. Constipation was diagnosed using Rome III criteria. RESULTS: A total of 1792 children were included in the analysis (boys 975 [54.4%], mean age 14.4 years, standard deviation [SD] 1.3 years). One hundred thirty-eight (7.7%) fulfilled Rome III criteria for constipation. The number of children exposed to physical, emotional, and sexual abuse were, respectively, 438 (24.4%), 396 (22.1%), and 51 (2.8%). The prevalence of constipation was significantly higher in those exposed to sexual (5.8% vs 2.6% P = 0.03), emotional (40.9% vs 20.8%, P < 0.0001), and physical abuse (41.6% vs 23.2%, P < 0.0001). Mean somatisation score was higher in the total group of abused children with constipation (mean 18.6, SD 12.5) compared with those without (mean 13.9, SD 12.3; P = 0.027). Children with a history of abuse did not seek health care more often than children without this history. Patient-perceived severity of bowel symptoms was higher in children with physical abuse (23.7 vs 19.7 P = 0.001) and emotional abuse (25.4 vs 19.3 P < 0.0001). CONCLUSIONS: Childhood constipation shows a significant association with physical, sexual, and emotional abuse. Children with constipation complain of more somatic symptoms and bowel symptoms when they are exposed to abuse. |
|
dc.publisher |
Lippincott Williams and Wilkins |
en_US |
dc.title |
Association between child maltreatment and constipation: a school Based survey using Rome III Criteria |
en_US |
dc.type |
Article |
en_US |
dc.identifier.department |
Paediatrics |
en_US |
dc.identifier.department |
Physiology |
en_US |
dc.creator.corporateauthor |
North American Society for Pediatric Gastroenterology and Nutrition |
en_US |
dc.creator.corporateauthor |
European Society for Paediatric Gastroenterology and Nutrition |
en_US |
dc.creator.corporateauthor |
European Society for Pediatric Gastroenterology Hepatology and Nutrition |
en_US |
dc.description.note |
Indexed in MEDLINE |
en_US |