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High and intermedia...
High and intermediate imperforate anus : psychosocial consequences among school-aged children
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- Öjmyr-Joelsson, Maria (author)
- Karolinska Institutet,Division of Pediatric Surgery, Q2:03, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm
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- Nisell, Margret (author)
- Karolinska Institutet,Child and Adolescent Psychiatric Unit, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm
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- Frenckner, Björn (author)
- Karolinska Institutet,Division of Pediatric Surgery, Q2:03, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm
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- Rydelius, Per-Anders (author)
- Karolinska Institutet,Child and Adolescent Psychiatric Unit, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm
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- Christensson, Kyllike (author)
- Karolinska Institutet,Mälardalens högskola,Akademin för hälsa, vård och välfärd,Karolinska University, Sweden,Reproductive and Perinatal Health Care, Department of Woman and Child Health, Karolinska Institutet, Stockholm
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(creator_code:org_t)
- Elsevier, 2006
- 2006
- English.
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In: Journal of Pediatric Surgery. - : Elsevier. - 0022-3468 .- 1531-5037. ; 41:7, s. 1272-1278
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Background/PurposeImperforate anus is an unusual malformation, which, even after surgical intervention, usually entails constipation and fecal incontinence. This study aimed to evaluate ongoing psychosocial effects of this birth defect in school-aged children.MethodsTwenty-five children born with high and intermediate imperforate anus participated in the study, along with their parents and classroom teachers. One group of healthy children and 1 group of children with juvenile chronic arthritis, along with their parents, served as controls. Children and parents individually answered a questionnaire devised for this study. Parents filled out the Child Behavior Checklist and the children's teacher filled out the Teacher's Report Form.ResultsAccording to test results, children with imperforate anus were happy and optimistic. They liked school better and reported better relationships with schoolmates than the other children. The index group reported statistically significantly more frequent constipation. According to parental responses, the imperforate-anus children suffered from fecal incontinence and odor, as well as constipation (P < .001). Index-group parents reported on the Child Behavior Checklist that their children had more emotional and behavioral problems. On the Teacher's Report Form, teachers reported few problems for the same children.ConclusionsPatients with imperforate anus did not experience psychosocial impairment despite significant functional problems.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Keyword
- Imperforate anus
- Malformation
- Psychosocial
- Children
- Fecal incontinence
- Constipation
Publication and Content Type
- ref (subject category)
- art (subject category)
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