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Título

ASSOCIATION BETWEEN SELF-MUTILATION AND CONSTIPATION IN PATIENTS WITH AUTISM SPECTRUM DISORDER

Resumo

INTRODUCTION: Self-injurious behavior (SIB) is defined as any intentional action that generates direct aggression to one's own body without conscious intention of suicide or exposure, as in the case of tattoos and piercings. SIB is considered a psychiatric disorder that is common in children with Autism Spectrum Disorder (ASD). In addition, gastrointestinal symptoms, such as functional constipation (FBC), are also associated with mental and behavioral health in children with ASD. OBJECTIVES: To investigate the existence of an association between CIF and SIB in a patient with ASD. METHODS: This was a transversal study of applied, observational and exploratory nature with a quantitative and descriptive approach. For this, we used a questionnaire applied to patients with ASD in a care and rehabilitation institution. Therefore, the inclusion criteria according to the DSM-V were used. In addition, the FASM scales and the Rome IV criteria were applied for the diagnosis of BIS and ICF, respectively, and Fisher's Exact Test was used to assess the association between these variables. RESULTS: A total of 74 patients with ASD were obtained, with a predominance of men, with 59 cases (79.7%). Mean age was not statistically significant enough to be considered a predictor variable for SIB or ClF. As for the level of education of the responsible family member, there was a prevalence in patients whose parents had a higher level of education, the most prevalent being those with complete high school and incomplete college education, about 33.8% (25) of cases, followed by those with complete college education, with 29.7% (22). To clinically stratify ASD, the CARS was used, in which 70.3% of participants were classified as mild/intermediate. Additionally, the prevalence of ICF was 37.8% and of SIB 37.8%, with no statistical association between them (p of 0.769). CONCLUSION: Thus, it was noted that there was a high prevalence of SIB and ICF in the study sample. There was no association between CIF and SIB in patients with ASD.

Palavras Chave

Autism Spectrum Disorder; Self-injurious behavior; Functional constipation

Área

Neurologia Infantil