الفهرس 
Functional Constipation
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Abstract
Our scope was to detect the difference in psychosocial
function between children with functional constipation
and a comparable group of healthy controls with a normal
bowel habits , and to detect the effect of the problem on their
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life style , daily activity, behavioral performance and social
relations . Also we aimed at detecting the presence or
absence of significant correlation between FC and negative
impact on behavior and social relations to early detection
and referral of these patients for early treatment to get
better quality of life for those children and their families. .
The study was conducted on two groups;
Patients Group: Fifty patients with Functional constipation
recruited from the Pediatrics Gastrointestinal Clinic,
Children’s hospital, Faculty of Medicine, Ain Shams
University with age range from 4 to 12 years with a mean
age of 8 years . Patients are included in the study after
giving an informed consent.
Control Group: Fifty apparently healthy children without
constipation, age and sex matching to patient group. Thirty
four of them recruited from the healthy siblings of the
participating patients. recruited from the Pediatrics
Gastrointestinal Clinic, Children’s hospital, Faculty of
Medicine, Ain Shams University with age range from 4 to
12 years with a mean age of 8 years .
All children (patients and controls) undergone a detailed
history taking stressing on dietetic history including dietary
fibers and fluid intake, Careful physical examination including complete anthropometric measures, Psychosocial
assessment with the following:
1-IQ assessment using Stanford Binet intelligence scale.
2-Child Behavioral Chick List: CBCL 4/18 module
consisting of 113 question including several items of
psychosocial assessment including withdrawal, depression ,
sleep disorders, somatic problems, attention problems
,aggression and destructive behavior.
3-Pediatric Quality of Life Questionnaire: For child quality
of life assessment of children. the used module consists of
23 question assessing impact of functional constipation on
quality of life of child parents.
The results of our study revealed that the quality of life
among children with functional constipation was negatively
affected from its different aspects including social, physical
,emotional ,psychological and school disturbance with
highly significant difference between cases and
controls(p=0.00).
The psychosocial effect of FC on child’s life appears to be
prominent and considerable negative effect in which those
patients are were found to be more anxious ,depressed
,withdrawn, suffering from sleep disturbance ,more liable to
different types of somatic complains and social isolation
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with highly significant difference between cases and controls
(p<0.01).
Other hand there is no significant difference in IQ
assessment between cases and controls (P=0.26). Revealed
that there was no detected relation between the studied
disease (FC) and IQ as regard our study sample.
So, functional constipation had a direct impact on the
child physical and psychological well being, and
behavioral screening should be incorporated into the
diagnostic workup of children with constipation.
In conclusion, functional constipation have a
negative effect on all items of psychosocial
assessment and quality of life of child.
Our study recommendations including complete
psychosocial assessment assessment of children with
functional constipation with behavior screening
program ,management of child with FC should be
performed with multi- disciplinary team of
pediatrician, psychiatrist and psychologist.
Behavioral rehabilitation program for children with
functional constipation is recommended . Finally ,other studies on larger number of patients
are recommended.