Breaking the cycle: Psychological and social dimensions of pediatric functional gastrointestinal disorders
World Journal of Clinical Pediatrics,
Год журнала:
2025,
Номер
14(2)
Опубликована: Март 18, 2025
BACKGROUND
Functional
gastrointestinal
disorders
(FGIDs)
in
children
present
with
chronic
symptoms
like
abdominal
pain,
diarrhea,
and
constipation
without
identifiable
structural
abnormalities.
These
are
closely
linked
to
gut-brain
axis
dysfunction,
altered
gut
microbiota,
psychosocial
stress,
leading
psychiatric
comorbidities
such
as
anxiety,
depression,
behavioral
issues.
Understanding
this
bidirectional
relationship
is
crucial
for
developing
effective,
holistic
management
strategies
that
address
physical
mental
health.
AIM
To
examine
the
impacts
of
FGIDs
children,
focusing
on
anxiety
depression
their
association
other
neurodevelopmental
childhood,
attention-deficit/hyperactivity
disorder,
emphasizing
role
axis,
emotional
dysregulation,
stress.
Key
mechanisms
explored
include
neurotransmitter
microbiota
imbalance,
central
sensitization,
heightening
stress
reactivity,
symptom
perception.
The
review
also
evaluates
family
dynamics
coping
exacerbating
FGID
contributing
conditions.
METHODS
A
narrative
was
conducted
using
328
studies
sourced
from
PubMed,
Scopus,
Google
Scholar,
covering
research
published
over
past
20
years.
Inclusion
criteria
focused
examining
diagnosis,
mechanisms,
comorbidities,
factors
pediatric
populations.
commonly
affecting
including
functional
constipation,
irritable
bowel
syndrome,
gastroesophageal
reflux,
cyclic
vomiting
were
analyzed
concerning
psychological
impacts.
RESULTS
highlights
a
strong
connection
between
symptoms,
mediated
by
dysregulated
sensitization.
physiological
disruptions
increase
children’s
vulnerability
while
-
early-life
trauma,
maladaptive
dynamics,
ineffective
intensify
cycle
distress.
CONCLUSION
Effective
requires
biopsychosocial
approach
integrating
medical,
psychological,
dietary
interventions.
Parental
education,
early
intervention,
multidisciplinary
care
coordination
critical
mitigating
long-term
improving
both
health
outcomes
FGIDs.
Язык: Английский
The psychosocial impact of childhood constipation on the children and family: A scoping review
Journal of Pediatric Nursing,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 1, 2025
Constipation
is
a
common
and
complex
health
issue
among
children
that
negatively
affects
multiple
domains
of
children's
families'
lives.
Emotional,
psychological,
behavioural
problems
in
children,
as
well
anxiety,
distress
frustration
parents,
are
some
the
reported
effects.
This
manuscript
presents
systematic
scoping
review
synthesising
current
evidence
on
psychosocial
impact
childhood
constipation
their
families.
was
guided
by
Arksey
O'Malley's
five-stage
framework,
updated
Levac,
Colquhoun
O'Brien
Joanna
Briggs
Institute.
Five
databases
were
systematically
searched:
PUBMED,
CINAHL,
ASSIA,
PsycINFO
Google
Scholar,
which
yielded
2836
records.
Following
screening
process,
32
articles
met
inclusion
criteria.
Results
analysed,
discussed
presented
using
PAGER
framework.
The
four
key
patterns
emerged
school
academic
life,
parental
factors
associated
with
constipation.
Childhood
significantly
impacts
quality
life
for
both
performance.
Various
linked
to
higher
prevalence
children.
Neglecting
assess
address
issues
can
prolong
condition
reduce
overall
contributing
multimorbidity.
Adopting
holistic
approach
managing
families
essential
promoting
well-being.
Язык: Английский
Pediatric Functional Constipation: A New Challenge
Advanced Gut & Microbiome Research,
Год журнала:
2024,
Номер
2024(1)
Опубликована: Янв. 1, 2024
Functional
constipation
is
a
common
gastrointestinal
disorder
worldwide
in
children,
adolescents,
and
adults.
persistent,
difficult,
infrequent
hard
stooling
with
incomplete
rectal
emptying
that
does
not
have
an
identifiable
cause,
such
as
underlying
illness,
anatomical
abnormality,
or
medication,
diagnosis
of
exclusion
causes
psychological
physical
symptoms
the
individual.
For
early
identification
functional
physician
must
exclude
organic
children
by
history,
examination,
lab
studies.
Multiple
complex
pathophysiological
mechanisms
been
linked
to
childhood
constipation,
which
stool‐withholding
behavior
most
factor.
Toilet
training
along
osmotic
laxative
use
currently
therapy
for
constipation.
Despite
being
condition
novel
therapies
prosecretory
agents,
neuromodulation,
transanal
irrigation
modalities,
it
challenging
sometimes
manage
children.
This
due
lack
knowledge
among
parents
about
nature
poor
adherence
treatment
ultimately
worsen
condition.
The
complaint
child
should
be
ignored
evaluation
beneficial
child’s
growth.
More
research
needed
prevent
review
article
highlights
factors
responsible
pediatric
its
management,
therapies,
challenges
managing
this
Язык: Английский
The psychosocial implication of childhood constipation on the children and family: A scoping review protocol.
HRB Open Research,
Год журнала:
2023,
Номер
6, С. 48 - 48
Опубликована: Сен. 13, 2023
Constipation
is
a
common
problem
in
childhood
that
can
have
psychological,
emotional,
social,
and
health-related
quality-of-life
(HRQOL)
consequences
on
children
their
families.
Primary
or
functional
constipation
(FC)
has
no
known
underlying
pathology
but
associated
with
lifestyle,
behavioural
factors.
Misdiagnosis
inadequate
management
of
result
chronicity
continue
to
adulthood,
reducing
quality
life
for
the
child
parents/family.
It
also
causes
psychological
emotional
distress
concern
This
scoping
review
aims
answer
research
question,
"What
been
reported
about
psychosocial
implication
among
families?"
Язык: Английский