{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T04:23:19Z","timestamp":1754108599495},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T00:00:00Z","timestamp":1458604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006356","name":"Syddansk Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006356","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Constipation studies have only evaluated behavioural difficulties in children with faecal incontinence. This study evaluated changes in behavioural difficulties in childhood with functional constipation (<jats:styled-content style=\"fixed-case\">FC<\/jats:styled-content>) with and without faecal incontinence, based on treatment outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Children aged five to 16 years who fulfilled the Rome <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> criteria for <jats:styled-content style=\"fixed-case\">FC<\/jats:styled-content> received conventional treatment. The Strength and Difficulties Questionnaire was completed at inclusion and at the 12\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 116 children. The behaviour scores decreased in successfully treated boys (10.3 versus 7.9; p &lt; 0.001) and girls (10.0 versus 7.4; p = 0.0001) with and without faecal incontinence. There was no decrease in the behaviour scores in children with unsuccessful outcomes. Unsuccessfully treated boys had significantly higher behaviour scores than successfully treated boys at inclusion (13.2 versus 10.3; p = 0.006) and after 12 months (11.4 versus 7.9; p = 0.02). No difference was found between unsuccessfully treated and successfully treated girls at inclusion (10.5 versus 10.0; p = 0.77) or after 12 months (10.3 versus 7.4; p = 0.18).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings indicate that conventional treatment of <jats:styled-content style=\"fixed-case\">FC<\/jats:styled-content> had a positive impact on behavioural difficulties in constipated children with and without faecal incontinence. This study highlights the importance of proactive detection and treatment of <jats:styled-content style=\"fixed-case\">FC<\/jats:styled-content> in paediatric patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.13376","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T03:16:47Z","timestamp":1456456607000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Conventional treatment of functional constipation has a positive impact on the behavioural difficulties in children with and without faecal incontinence"],"prefix":"10.1111","volume":"105","author":[{"given":"Line","family":"Modin","sequence":"first","affiliation":[{"name":"Department of Paediatrics Hospital Lillebaelt Kolding Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ida Skytte","family":"Jakobsen","sequence":"additional","affiliation":[{"name":"University College Lillebaelt Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne Skytte","family":"Jakobsen","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Hospital Lillebaelt Kolding Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00771.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2402"},{"key":"e_1_2_10_4_1","first-page":"13","article-title":"Colonic transit times and behaviour profiles in children with defecation disorders","volume":"89","author":"Benninga MA","year":"2004","journal-title":"Arch Dis Child"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3055"},{"key":"e_1_2_10_6_1","first-page":"Cd002240","article-title":"Behavioural and cognitive interventions with or without other treatments for the management of faecal incontinence in children","author":"Brazzelli M","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.75.5.367"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004703-199508000-00003"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000266"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c2585"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e3181985068"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-010-9434-x"},{"key":"e_1_2_10_13_1","first-page":"462","article-title":"[Strengths and Difficulties Questionnaire (SDQ\u2010Dan). 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