CLINICAL CHARACTERISTICS OF FUNCTIONAL CONSTIPATION IN CHILDREN WITH AUTISM SPECTRUM DISORDER
DOI:
https://doi.org/10.59354/ydth175.2024.323Keywords:
: Autism spectrum disorder, functional constipation, childrenAbstract
This study aims to describe the clinical characteristics of functional constipation (FC) in children with autism spectrum disorder (ASD) and to assess the impact of this condition on the caregivers’ emotions. A cross-sectional study was conducted on 37 children aged 24 to 72 months who were being followed up at the Department of Psychiatry, Vietnam National Children’s Hospital. The results showed that the main symptoms included decreased frequency of bowel movements (≤ 2 times/week), hard stools according to Bristol Stool Scale types 1 and 2, and other manifestations such as straining during defecation, fecal incontinence. This condition caused significant stress for caregivers, with over 90% reporting anxiety and concern related to the child’s constipation issues. The study concludes that FC is a serious problem in children with ASD, requiring early and effective intervention to mitigate negative impacts, thereby improving the quality of life for both the children and their families.
References
Benach JL, Li E, McGovern MM. A Microbial Association with Autism. mBio. 2012;3(1):e00019-12. doi:10.1128/mBio.00019-12
Vahia VN. Diagnostic and statistical manual of mental disorders 5: A quick glance. Indian J Psychiatry. 2013;55(3):220-223. doi:10.4103/0019-5545.117131
Maenner MJ, Shaw KA, Baio J, et al. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. MMWR Surveill Summ. 2020;69(4):1- 12. doi:10.15585/mmwr.ss6904a1
Hoang VM, Le TV, Chu TTQ, et al. Prevalence of autism spectrum disorders and their relation to selected socio-demographic factors among children aged 18-30 months in northern Vietnam, 2017. Int J Ment Health Syst. 2019;13:29. doi:10.1186/s13033-019-0285-8
C H, C N, Lc L, Pj P, M DF. Gastrointestinal symptoms in autism spectrum disorder: A review of the literature on ascertainment and prevalence. Autism research : official journal of the International Society for Autism Research. 2018;11(1). doi:10.1002/aur.1854
Sparks B, Cooper J, Hayes C, Williams K. Constipation in Children with Autism Spectrum Disorder Associated with Increased Emergency Department Visits and Inpatient Admissions. J Pediatr. 2018;202:194-198. doi:10.1016/j.jpeds.2018.05.004
Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997;32(9):920-924. doi:10.3109/00365529709011203
McElhanon BO, McCracken C, Karpen S, Sharp WG. Gastrointestinal symptoms in autism spectrum disorder: a meta-analysis. Pediatrics. 2014;133(5):872- 883. doi:10.1542/peds.2013-3995
van Dijk MWG, Buruma ME, Blijd-Hoogewys EMA. Detecting Feeding Problems in Young Children with Autism Spectrum Disorder. J Autism Dev Disord. 2021;51(11):4115-4127. doi:10.1007/s10803-021-04869-1


