Psychosocial risks for constipation and soiling in primary school children.
Psychosocial risks for constipation and soiling in primary school children.
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DOI：
10.1007/s00787-018-1162-8
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发表时间：
2019-03
影响因子：
6.4
通讯作者：
Heron J
中科院分区：
文献类型：
--
作者：
Joinson C;Grzeda MT;von Gontard A;Heron J
探讨心理社会问题与儿童期便秘和脏污之间的前瞻性关联。我们使用了从ALSPAC队列的8435名儿童（4353名男性，4082名女性）的纵向母亲报告的便秘（4-10岁）和污垢（4-9岁）数据中提取的便秘和污垢的潜在类别（“单纯便秘”，“单纯污垢”，“便秘伴污垢”）。我们研究了2-3岁时母亲报告的心理社会问题（难相处的气质、行为/情绪问题、发脾气、行为睡眠问题和压力事件）与潜在类别之间的关联，使用多项逻辑回归对与儿童和家庭相关的一系列混杂因素进行了调整（参考类别=便秘/弄脏概率非常低的规范性潜在类别）。难相处的气质和情绪/行为问题与便秘和弄脏的几率增加有关。与“便秘伴污垢”的关联通常最强，例如情绪不好：1.42（1.23-1.64）;行为问题：1.48（1.28-1.71）;发脾气：1.89（1.34-2.65）;缺乏规律的睡眠2.09（1.35-3.25）。应激性生活事件与单纯便秘[1.23（1.12-1.36）]和便秘伴脏污[1.32（1.14-1.52）]相关，但与单纯脏污无关。对非规范性潜在类别的额外比较提供了与风险因素差异相关的证据，例如，与单纯便秘相比，频繁发脾气与便秘伴污垢的几率增加两倍以上相关。儿童早期的心理社会问题是学龄期便秘和弄脏的危险因素。增加对便秘和污物的早期风险因素的了解可以帮助识别需要治疗的儿童。本文的在线版本（10.1007/s 00787 -018-1162-8）包含补充材料，可供授权用户使用。
To examine prospective associations between psychosocial problems and childhood constipation and soiling. We used latent classes of constipation and soiling (‘constipation alone’, ‘soiling alone’, ‘constipation with soiling’) extracted from longitudinal maternally reported data on constipation (4–10 years) and soiling (4–9 years) from 8435 children (4353 males, 4082 females) from the ALSPAC cohort. We examined the association between maternally reported psychosocial problems at 2–3 years (difficult temperament, behaviour/emotional problems, temper tantrums, behavioural sleep problems and stressful events) and the latent classes using multinomial logistic regression adjusted for a range of confounders relating to the child and family (reference category = normative latent class with very low probability of constipation/soiling). Difficult temperament and emotional/behaviour problems were associated with increased odds of constipation and soiling. Associations were generally strongest for ‘constipation with soiling’, e.g. difficult mood: 1.42 (1.23–1.64); behaviour problems: 1.48 (1.28–1.71); temper tantrums: 1.89 (1.34–2.65); lack of a regular sleep routine 2.09 (1.35–3.25). Stressful life events were associated with constipation alone [1.23 (1.12–1.36)] and constipation with soiling [1.32 (1.14–1.52)], but not soiling alone. Additional comparisons of the non-normative latent classes provided evidence for differential associations with the risk factors, e.g. frequent temper tantrums were associated with a greater than twofold increase in the odds of constipation with soiling versus constipation alone. Psychosocial problems in early childhood are risk factors for constipation and soiling at school age. An increased understanding of early risk factors for constipation and soiling could aid the identification of children who require treatment. The online version of this article (10.1007/s00787-018-1162-8) contains supplementary material, which is available to authorized users.
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影响因子：
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