Examining hyper-reactivity to defecation related sensations in children with functional defecation disorders

Background: Adequate sensory perception and reactivity to sensory stimuli associated with defecation is key to successful stool toileting. Preliminary reports suggests that some of the difficulties that many children with FDD experience with toileting could be related to sensory hyper-reactivity. Ob...

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Autores principales: Isabelle Beaudry-Bellefeuille, Alison Lane, Eduardo Ramos-Polo, Shelly Lane
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Lenguaje:EN
Publicado: Shiraz University of Medical Sciences 2019
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spelling oai:doaj.org-article:75eb60924ae14d39ba2d6a6aa4c072c22021-11-14T08:42:28ZExamining hyper-reactivity to defecation related sensations in children with functional defecation disorders2783-243010.30476/acrr.2019.45965https://doaj.org/article/75eb60924ae14d39ba2d6a6aa4c072c22019-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45965_b14ec477e901863133fd20b63252922c.pdfhttps://doaj.org/toc/2783-2430Background: Adequate sensory perception and reactivity to sensory stimuli associated with defecation is key to successful stool toileting. Preliminary reports suggests that some of the difficulties that many children with FDD experience with toileting could be related to sensory hyper-reactivity. Objective: This study investigated the relationship between sensory hyper-reactivity and functional defecation disorders (FDD). Methods: Parents of three to six-year-old children with and without FDD completed two questionnaires; the Toileting Habit Profile Questionnaire-Revised (THPQ-R; tool that measures sensory hyper-reactivity to defecation related sensations) and the Short Sensory Profile (SSP). On both questionnaires, low scores indicate more concerns. Between group comparisons and the relationship between scores on the THPQ-R and on the sensory hyper-reactivity items of the SSP were examined. Results: The sensory hyper-reactivity mean score of the SSP was lower for children with FDD. The difference was statistically significant (p < .0005). There was a positive correlation between THPQ-R and SSP hyper-reactivity scores (r274 = .485, p < .0005). Further, higher levels of sensory hyperreactivity (low SSP score) were associated with a higher frequency of the challenging defecation behaviors described in the THPQ-R (low THPQ-R score). Conclusion: Health practitioners do not usually consider sensory hyper-reactivity as a possible factor contributing to the difficulties of the child with FDD. Our results indicate that routine screening for sensory hyper-reactivity may be an important practice element when working with children with FDD. In addition, the present study adds support to the validity of the THPQ-R in identifying behaviors potentially linked to sensory hyper-reactivity.Isabelle Beaudry-BellefeuilleAlison LaneEduardo Ramos-PoloShelly LaneShiraz University of Medical Sciencesarticlefunctional constipationfunctional defecation disorderschildrensensation disordersMedicineRENIranian Journal of Colorectal Research, Vol 7, Iss 4, Pp 1-7 (2019)
institution DOAJ
collection DOAJ
language EN
topic functional constipation
functional defecation disorders
children
sensation disorders
Medicine
R
spellingShingle functional constipation
functional defecation disorders
children
sensation disorders
Medicine
R
Isabelle Beaudry-Bellefeuille
Alison Lane
Eduardo Ramos-Polo
Shelly Lane
Examining hyper-reactivity to defecation related sensations in children with functional defecation disorders
description Background: Adequate sensory perception and reactivity to sensory stimuli associated with defecation is key to successful stool toileting. Preliminary reports suggests that some of the difficulties that many children with FDD experience with toileting could be related to sensory hyper-reactivity. Objective: This study investigated the relationship between sensory hyper-reactivity and functional defecation disorders (FDD). Methods: Parents of three to six-year-old children with and without FDD completed two questionnaires; the Toileting Habit Profile Questionnaire-Revised (THPQ-R; tool that measures sensory hyper-reactivity to defecation related sensations) and the Short Sensory Profile (SSP). On both questionnaires, low scores indicate more concerns. Between group comparisons and the relationship between scores on the THPQ-R and on the sensory hyper-reactivity items of the SSP were examined. Results: The sensory hyper-reactivity mean score of the SSP was lower for children with FDD. The difference was statistically significant (p < .0005). There was a positive correlation between THPQ-R and SSP hyper-reactivity scores (r274 = .485, p < .0005). Further, higher levels of sensory hyperreactivity (low SSP score) were associated with a higher frequency of the challenging defecation behaviors described in the THPQ-R (low THPQ-R score). Conclusion: Health practitioners do not usually consider sensory hyper-reactivity as a possible factor contributing to the difficulties of the child with FDD. Our results indicate that routine screening for sensory hyper-reactivity may be an important practice element when working with children with FDD. In addition, the present study adds support to the validity of the THPQ-R in identifying behaviors potentially linked to sensory hyper-reactivity.
format article
author Isabelle Beaudry-Bellefeuille
Alison Lane
Eduardo Ramos-Polo
Shelly Lane
author_facet Isabelle Beaudry-Bellefeuille
Alison Lane
Eduardo Ramos-Polo
Shelly Lane
author_sort Isabelle Beaudry-Bellefeuille
title Examining hyper-reactivity to defecation related sensations in children with functional defecation disorders
title_short Examining hyper-reactivity to defecation related sensations in children with functional defecation disorders
title_full Examining hyper-reactivity to defecation related sensations in children with functional defecation disorders
title_fullStr Examining hyper-reactivity to defecation related sensations in children with functional defecation disorders
title_full_unstemmed Examining hyper-reactivity to defecation related sensations in children with functional defecation disorders
title_sort examining hyper-reactivity to defecation related sensations in children with functional defecation disorders
publisher Shiraz University of Medical Sciences
publishDate 2019
url https://doaj.org/article/75eb60924ae14d39ba2d6a6aa4c072c2
work_keys_str_mv AT isabellebeaudrybellefeuille examininghyperreactivitytodefecationrelatedsensationsinchildrenwithfunctionaldefecationdisorders
AT alisonlane examininghyperreactivitytodefecationrelatedsensationsinchildrenwithfunctionaldefecationdisorders
AT eduardoramospolo examininghyperreactivitytodefecationrelatedsensationsinchildrenwithfunctionaldefecationdisorders
AT shellylane examininghyperreactivitytodefecationrelatedsensationsinchildrenwithfunctionaldefecationdisorders
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