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ICCS S6: BBD - BLADDER AND BOWEL
DYSFUNCTION
Moderators: Michal Maternik (Poland) & Charlotte Siggaard (Denmark)
ICCS Meeting on Friday 16, October 2015, 15:30 - 16:30
15:30 - 15:36
ICCS S6-1
(LO)
CENTRAL NERVOUS SYSTEM PROCESSING OF EMOTIONS IN CHILDREN WITH
FECAL INCONTINENCE
Alexander VON GONTARD, Anna BECKER, Mathias RUBLY, Justine NIEMCZYK, Anna KLUTH, Carla THOMAS and Monika
EQUIT
Saarland University Hospital, Department of Child and Adolescent Psychiatry, Homburg, GERMANY
PURPOSE
Fecal incontinence (FI) and constipation are common disorders in childhood. The aim of the study was to analyse
neurophysiologically the central processing of emotions in children with FI and constipation in comparison to healthy
controls.
MATERIAL AND METHODS
30 children with FI and constipation (70% male, mean age=8.6 years) and 15 controls (66.7% male, mean age=9.2
years) were examined by a physical exam, sonography, the Child Behavior Checklist (CBCL), a psychiatric interview and
intelligence test. Acoustic evoked potentials were recorded according to standardized methodology. For event-related
potentials, 80 neutral, 40 positive, 40 negative pictures from the International Affective Picture System (IAPS) and 40
stool pictures were presented.
RESULTS
Compared to controls, children with FI and constipation had significantly more intense responses to negative pictures
over the parietal and central regions at the time interval 650-850 ms. Children with FI and psychological comorbidity, as
well as children with FI and urinary incontinence did not differ from children with FI only.
CONCLUSIONS
Children with FI and constipation have increased responses only in the processing of negative emotions. Additional
psychological comorbidity or urinary incontinence does not affect the processing of emotions in children with FI and
constipation.