This page has only limited features, please log in for full access.
Few studies have compared youth constipation in autism spectrum disorder (ASD) to constipation in other developmental-behavioral (DB) disorders. Children and caregivers presenting to a DB pediatrics and psychology clinic completed written questionnaires on constipation. Comparison groups were ASD vs without ASD and caregiver vs child responses. Binary logistic regression were conducted to compare categorical variables. Caregivers of 169 toilet trained children and 26 non-toilet trained children completed the survey; 30 % of the toilet trained and 62 % of the non-toilet trained children had ASD. 88 toilet trained children completed the survey. Based on caregiver response, toilet trained youth with ASD were more likely to have been constipated in the past and to currently or previously taken medication to manage constipation. In both the total toilet trained and non-toilet trained sample, more caregivers endorsed their child meeting Rome IV criteria for functional constipation than endorsed current constipation. 37 % of parent/child pairs disagreed on whether the child met the Rome IV criteria. Caregivers of toilet trained youth with ASD were more likely to endorse specific barriers and impairment due to managing constipation in comparison to caregivers of youth without ASD. Children with ASD may be at a higher lifetime risk of constipation and of needing medication compared to children with other DB disorders. Providers should use thorough questions to identify constipation and gather information from both caregiver and child when possible. Clinicians should consider targeting behavioral treatment recommendations to perceived caregiver concerns.
Carrie Cuffman; Kimberly Burkhart. Constipation prevalence and perceptions: Comparison of children and adolescents with ASD and other developmental-behavioral disorders. Research in Autism Spectrum Disorders 2020, 80, 101710 .
AMA StyleCarrie Cuffman, Kimberly Burkhart. Constipation prevalence and perceptions: Comparison of children and adolescents with ASD and other developmental-behavioral disorders. Research in Autism Spectrum Disorders. 2020; 80 ():101710.
Chicago/Turabian StyleCarrie Cuffman; Kimberly Burkhart. 2020. "Constipation prevalence and perceptions: Comparison of children and adolescents with ASD and other developmental-behavioral disorders." Research in Autism Spectrum Disorders 80, no. : 101710.
To reduce lapses in care for pediatric inflammatory bowel disease (IBD) patients approaching adulthood, a health maintenance transition visit (HMV) was developed to supplement standard medical care (SMV). Our aim was to assess the effect of the HMV on transition readiness. A retrospective chart review was conducted at a single center with demographics and clinical data from HMV and SMV visits. Effectiveness of the HMV was assessed by the patient health questionanaire-9 (PHQ-9) and transition readiness assessment questionnaire (TRAQ) scores. A total of 140 patients, 80% Caucasian and 59% male completed an HMV. The mean age was 18 ± 2 years old, and 93% of patients reported inactive or mild disease. Patients who completed at least 1 prior HMV scored significantly higher on the TRAQ when transferring to adult care compared to patients transferred at their first HMV visit (92 vs. 83, p < 0.05). Of patients with no prior depression diagnosis, 36% had a positive screen for depression. A significant relationship was identified between disease status and PHQ-9 (p < 0.05). This study demonstrated a structured HMV increased transition readiness and quantified the significant under-diagnosis of depression in this population, emphasizing the importance of screening. These results indicate depression may affect patients’ transition preparedness.
Jennifer Lynne Shearer; Sharon Perry; Nicole Lidyard; Carolyn Apperson-Hensen; Sarah DeLozier; Kimberly Burkhart; Jeffry Katz; Jonathan Moses. Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients. Children 2020, 7, 271 .
AMA StyleJennifer Lynne Shearer, Sharon Perry, Nicole Lidyard, Carolyn Apperson-Hensen, Sarah DeLozier, Kimberly Burkhart, Jeffry Katz, Jonathan Moses. Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients. Children. 2020; 7 (12):271.
Chicago/Turabian StyleJennifer Lynne Shearer; Sharon Perry; Nicole Lidyard; Carolyn Apperson-Hensen; Sarah DeLozier; Kimberly Burkhart; Jeffry Katz; Jonathan Moses. 2020. "Evaluating a Standardized Transition of Care Process for Pediatric Inflammatory Bowel Disease Patients." Children 7, no. 12: 271.
This chapter defines child maltreatment and provides an overview of how maltreatment presents in healthcare settings. Protective and risk factors associated with child maltreatment are identified. Reporting rules for suspected child maltreatment are outlined, as is the role of the consulting psychologist in the hospital setting, child advocacy center, and in the patient-centered medical home. Provision of anticipatory guidance on adverse childhood experiences (ACEs) and toxic stress will be provided as will suggestions for brief intervention on managing common physiological symptoms often associated with trauma. This chapter addresses the role of the consulting psychologist in educating healthcare professionals about the negative effects of child maltreatment including corporal punishment. Evidence-based interventions to address child maltreatment in the outpatient setting are provided. A case example is provided to demonstrate the role of a consulting psychologist in an integrated pediatric primary care setting.
Kimberly Burkhart; Michele Knox. The Presentation of Child Maltreatment in Healthcare Settings. Issues in Clinical Child Psychology 2020, 451 -461.
AMA StyleKimberly Burkhart, Michele Knox. The Presentation of Child Maltreatment in Healthcare Settings. Issues in Clinical Child Psychology. 2020; ():451-461.
Chicago/Turabian StyleKimberly Burkhart; Michele Knox. 2020. "The Presentation of Child Maltreatment in Healthcare Settings." Issues in Clinical Child Psychology , no. : 451-461.