ĐẶC ĐIỂM LÂM SÀNG CỦA TÁO BÓN CƠ NĂNG Ở TRẺ RỐI LOẠN PHỔ TỰ KỶ

Nhâm Nguyễn Thị; Hiền Phạm Thị; Quỳnh Nguyễn Thị; Luyến Nguyễn Thị; Tiến Nguyễn Trọng

doi:10.59354/ydth175.2024.323

Keywords:

: Autism spectrum disorder, functional constipation, children

Abstract

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