Understanding the Psycho-social Differences Between Mothers of Infants Who Do and Do not Have Dyschezia

Year 2020, , 503 - 510, 20.10.2020

Ayla Uzun Çiçek , Kibar Gultekin Gülbahtiyar Demirel

https://doi.org/10.18521/ktd.761549

Cited By: 1

Abstract

Objective: Infant dyschezia is one of the as yet little known infant functional gastrointestinal disorders and data on dyschezia is extremely limited. In this study, thus, we aimed to investigate the relationship between the psychological and psycho-social states of mothers of 1-6 month-old infants with dyschezia, and the dyschezia of their infants.

Method: The sample consisted of 127 mothers of 1-6 months old infants with dyschezia and 127 mothers of 1-6 months old infants without dyschezia. The psychiatric symptoms of mothers were evaluated using the Brief Symptom Inventory (BSI). The data within the specially prepared personal information sheet were obtained by face-to-face interviews.

Results: We found that the mothers of infants with dyschezia had more social and economic difficulties such as lower education and income levels, lower employment rate, having more children, and less support from their partners in infant care. Compared to the mothers in the control group, the scores of the mothers, whose infants had dyschezia, were significantly higher in both the total, and all of 9 subscales in the BSI.

Conclusion: In conclusion, the mothers of infants with dyschezia have more psychological problems and socioeconomic difficulties. It is possible to say that there may be a relationship between the mother's psychiatric symptoms and her infant's dyschezia problem. We believe that this report would be beneficial to pediatricians, child psychiatrists, pediatric surgeons, and physicians and nurses working in this field.

Keywords

maternal mental health, dyschezia, infants, defecation, mother-baby interaction

Supporting Institution

There are no funders to report for this submission.

Project Number

none

Thanks

The authors would like to thank all the mothers who participated in this study.

Diskezisi Olan ve Olmayan Bebeklerin Anneleri Arasındaki Psiko-sosyal Farklılıkları Anlamak

Abstract

Amaç: İnfant diskezisi henüz az bilinen bebeklik fonksiyonel gastrointestinal bozukluklarından biridir ve diskezi hakkındaki veriler son derece sınırlıdır. Bu nedenle, bu çalışmada, 1-6 aylık diskezisi olan bebeklerin annelerinin psikolojik ve psiko-sosyal durumları ile bebeklerinin diskezisi arasındaki ilişkiyi araştırmayı amaçladık.

Yöntem: Örneklemi 1-6 aylık diskezisi olan bebeklerin 127 annesi ile 1-6 aylık diskezisi olmayan bebeklerin 127 annesi oluşturdu. Annelerin psikiyatrik belirtileri Kısa Semptom Envanteri (KSE) kullanılarak değerlendirildi. Özel olarak hazırlanmış kişisel bilgi formundaki veriler yüz yüze görüşülerek elde edildi.

Bulgular: Bebeklerinde diskezi sorunu olan annelerin daha düşük eğitim ve gelir düzeyi, daha düşük istihdam oranı, daha fazla çocuk sahibi olma ve bebek bakımında eşlerinden daha az destek gibi daha fazla sosyal ve ekonomik güçlükler yaşadıklarını bulduk. Kontrol grubundaki annelerle karşılaştırıldığında, bebeğinde diskezi olan annelerin KSE'de hem toplam hem de 9 alt ölçeğin tümündeki puanları anlamlı olarak daha yüksekti.

Sonuç: Sonuç olarak, diskezisi olan bebeklerin annelerinin daha fazla psikiyatrik sorunları ve sosyoekonomik zorlukları bulunmaktadır. Annenin psikiyatrik belirtileri ile bebeğinin diskezi sorunu arasında bir ilişki olabileceğini söylemek mümkündür. Bu yazının çocuk doktorları, çocuk psikiyatristleri ve cerrahları, bu alanda çalışan doktorlar ve hemşireler için faydalı olacağına inanıyoruz.

Keywords

Anne ruh sağlığı, Diskezi, Bebek, Dışkılama, Anne-bebek etkileşimi

Project Number

none

References

• References 1. Koppen IJ, Nurko S, Saps M, Di Lorenzo C, Benninga MA. The pediatric Rome IV criteria: what's new?. Expert Rev Gastroenterol Hepatol. 2017;11(3):193-201. doi:10.1080/17474124.2017.1282820.
• 2. Zeevenhooven J, Koppen IJ, Benninga MA. The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers. Pediatr Gastroenterol Hepatol Nutr. 2017;20(1):1-13. doi:10.5223/pghn.2017.20.1.1.
• 3. Hyman PE, Cocjin J, Oller M. Infant dyschezia. Clin Pediatr (Phila). 2009;48(4):438-439. doi:10.1177/0009922808327109.
• 4. den Hertog J, van Leengoed E, Kolk F, van den Broek L, Kramer E, Bakker EJ, et al. The defecation pattern of healthy term infants up to the age of 3 months. Arch Dis Child Fetal Neonatal Ed. 2012;97(6):F465-F470. doi:10.1136/archdischild-2011-300539.
• 5. Kramer EA, den Hertog-Kuijl JH, van den Broek LM, van Leengoed E, Bulk AM, Kneepkens CF, Benninga MA. Defecation patterns in infants: a prospective cohort study. Arch Dis Child. 2015;100(6):533-536. doi:10.1136/archdischild-2014-307448.
• 6. Iacono G, Merolla R, D’Amico D, Bonci E, Cavataio F, Di Prima L, et al. Gastrointestinal symptoms in infancy: a population-based prospective study. Dig Liver Dis. 2005;37(6):432-438. doi:10.1016/j.dld.2005.01.009.
• 7. Hyman PE, Milla PJ, Benninga MA, Davidson GP, Fleisher DF, Taminiau J. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2006;130(5):1519-1526. doi:10.1053/j.gastro.2005.11.065.
• 8. Drapkin Z, Franchek-Roa K, Srinivas GL, Buchi KF, Miescier MJ. Is my baby normal? A review of seemingly worrisome but normal newborn signs, symptoms and behaviors. Am J Emerg Med. 2019;37(6):1153-1159. doi:10.1016/j.ajem.2019.03.028
• 9. Chogle A, Velasco-Benitez CA, Chanis R, Mejia M, Saps M. Multicountry cross-sectional study found that functional gastrointestinal disorders such as colic and functional dyschezia were common in South American infants. Acta Paediatr. 2018;107(4):708-713. doi:10.1111/apa.14196.
• 10. van den Berg MM, Benninga MA, Di Lorenzo C. Epidemiology of childhood constipation: a systematic review. Am J Gastroenterol. 2006;101(10):2401-2409. doi:10.1111/j.1572-0241.2006.00771.x
• 11. Şahin Ş, Gülerman F, Köksal T, Köksal AO. Evaluation of Cases with Chronic Constipation in Children. Turkish J Pediatr Dis. 2014; 8(3): 117-123. doi: 10.12956/tjpd.2014.67.
• 12. Öznalcin B. Temperament, attitude and psychological feature examination of 4 to 12 months infants’ mothers [master’s thesis]. Maltepe University, Institute of Social Sciences; 2018.
• 13. Emanuel L. Holding on; being held; letting go: the relevance of Bion's thinking for psychoanalytic work with parents, infants and children under five. J Child Psychother. 2012;38(3):268-283. doi: 10.1080/0075417X.2012.720101.
• 14. Derogatis LR. SCL-90: Administration, scoring and procedures manual-I for the (revised) version and other instruments of the psychopathology rating scale series. Baltimore, Johns Hopkins University School of Medicine, Clinical Psychometrics Research Unit; 1977.
• 15. Sahın NH, Durak A. A study of the Brief Symptom Inventory in Turkish Youth. Turk Psikol Derg. 1994;9(31):44-56.
• 16. Winnicott DW. Primary Maternal Preoccupation. Psychoanalytical Writings. 2002;4:101-107.
• 17. Kreisler L, Fain M, Soulé M, Lebovici S. L'enfant et son corps: études sur la clinique psychosomatique du jeune âge. Paris: Presses universitaires de France; 1974.
• 18. Knauer D. DDouleur chez l'enfant, une complexité à explorer. Douleur, Rev Med Suisse. 2014;436(25):1401-1405.
• 19. Ulusoy MN. A Longitudinal Study of The Relationship between The Frequency of Postpartum Depression in The Postpartum 6-Month Period and Nutrition and Growth on The Infants [master’s thesis]. Selcuk University, Institute of Health Sciences; 2010.
• 20. Öztürk N, Aydın N . The importance of maternal mental health. Marmara University Journal of Women and Gender Studies. 2017;1(2):29-36. doi: 10.26695/mukatcad.2018.9.
• 21. Williams J. Best practice guidelines for mental health disorders in the perinatal period. BC Reproductive Mental Health Programme and Perinatal Services BC; 2014.
• 22. Nur N, Çetinkaya S, Arzu Bakır D, Demirel Y. Postnatal depression prevalence and risk factors of women in Sivas city center. Cumhuriyet Medical Journal. 2004:26(2):55–59.
• 23. Norhayati MN, Hazlina NH, Asrenee AR, Emilin WM. Magnitude and risk factors for postpartum symptoms: a literature review. J Affect Disord. 2015;175:34-52. doi:10.1016/j.jad.2014.12.041
• 24. Yağmur Y, Ulukoca N. Social support and postpartum depression in low-socioeconomic level postpartum women in Eastern Turkey. Int J Public Health. 2010;55(6):543-549. doi:10.1007/s00038-010-0182-z.