Empirically Derived Patterns of Pain, Stooling, and Incontinence and Their Relations to Health-Related Quality of Life Among Youth With Chronic Constipation

Chronic constipation is associated with pain, stress, and fecal incontinence, which negatively impact health-related quality of life (HRQoL); however, it is unclear if patterns of pain, stool frequency, and incontinence are differentially associated with HRQoL in youth with chronic constipation. 410...

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Bibliographic Details
Published in:Journal of pediatric psychology 2017-04, Vol.42 (3), p.325-334
Main Authors: Klages, Kimberly L, Berlin, Kristoffer S, Silverman, Alan H, Mugie, Suzanne, Di Lorenzo, Carlo, Nurko, Samuel, Ponnambalam, Ananthasekar, Sanghavi, Rina, Sood, Manu R
Format: Article
Language:English
Subjects:
Adolescent
Caregivers - psychology
Child
Child, Preschool
Chronic Disease
Constipation - complications
Constipation - psychology
Family Conflict - psychology
Fecal Incontinence - complications
Fecal Incontinence - psychology
Female
Humans
Male
Pain - complications
Pain - psychology
Parents - psychology
Quality of Life - psychology
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Summary:Chronic constipation is associated with pain, stress, and fecal incontinence, which negatively impact health-related quality of life (HRQoL); however, it is unclear if patterns of pain, stool frequency, and incontinence are differentially associated with HRQoL in youth with chronic constipation. 410 caregivers completed a demographics and symptoms form, the Parental Opinions of Pediatric Constipation, Pediatric Symptom Checklist, and the Functional Disability Inventory. Stooling patterns were derived using Latent Variable Mixture Modeling. A three-class model emerged: withholding/avoiding ( WA ), pain , and fecal incontinence ( FI ). The pain class reported the greatest amount of disease burden/distress, greatest impairments in illness-related activity limitations, more psychosocial problems, and, along with the FI class, elevated levels of family conflict. The FI class reported the greatest amount of parental worry of social impact. Youth with chronic constipation who experience pain or fecal incontinence may be at a greater risk for specific HRQoL problems such as illness-related activity limitations, psychosocial issues, disease burden and worry, and family conflict.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jsw068