Navegando por Palavras-chave "Estudos de casos e controles"
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- ItemAcesso aberto (Open Access)Alexitimia em mulheres de baixa escolaridade e diagnóstico de fibromialgia: um estudo de caso-controle(Universidade Federal de São Paulo (UNIFESP), 2015-08-27) Fortes, Tatiana Roccato [UNIFESP]; Bordin, Isabel Altenfelder Santos [UNIFESP]; Semer, Norma Lottenberg [UNIFESP]; http://lattes.cnpq.br/1613056337284038; http://lattes.cnpq.br/8243102075060800; http://lattes.cnpq.br/0383704426857506; Universidade Federal de São Paulo (UNIFESP)A alexitimia é caracterizada pela dificuldade em falar das próprias emoções e em distinguir sentimentos de sensações físicas e por um tipo de pensamento operatório, concreto. A alexitimia é frequente nos pacientes com fibromialgia, doença de etiologia desconhecida, que se caracteriza por dor musculoesquelética difusa e crônica. A clientela de serviços públicos de saúde é predominantemente de baixa escolaridade e não se dispõe de instrumentos para avaliar a alexitimia, que sejam apropriados para essa população. Objetivos: (1) Verificar se a alexitimia está associada à dor crônica em mulheres de 38 a 65 anos com escolaridade de até oito anos de estudo; (2) Adaptar a versão brasileira da Escala de Alexitimia de Toronto de 26 itens (TAS-26) apropriada para universitários para que possa ser aplicada a indivíduos adultos de baixa escolaridade; (3) Verificar a consistência interna da TAS-26 adaptada, considerando tanto a pontuação total, como a pontuação obtida na subescala correspondente ao fator 1 [Difficulty identifying feelings and distinguishing between feelings and bodily sensations (DIF)]. MÉTODOS: Foi realizado um estudo caso-controle, comparando 90 mulheres com dor crônica, pacientes do Ambulatório de Fibromialgia da Disciplina de Reumatologia da Universidade Federal de São Paulo (UNIFESP), com 90 mulheres sem dor crônica, provenientes do Ambulatório de Especialidades de um serviço municipal de saúde localizado nas proximidades da UNIFESP. Casos e controles foram pareados por idade e escolaridade. A presença de ansiedade/depressão foi identificada por pontuação superior a sete no Self-Reporting Questionnaire (SRQ-20), instrumento de rastreamento elaborado pela Organização Mundial de Saúde. A condição econômica familiar foi avaliada segundo o Critério de Classificação Econômica Brasil, desenvolvido pela Associação Brasileira de Empresas de Pesquisa. A análise de regressão logística multivariada foi utilizada para avaliar o efeito concomitante de fatores possivelmente associados à dor crônica. Para adaptar a TAS-26 a indivíduos adultos de baixa escolaridade, os 26 itens da escala foram traduzidos do inglês para o português, adotando uma linguagem mais coloquial, sem alterar o conteúdo original dos mesmos, para depois, ser realizada a retro-tradução por tradutor profissional. Resultados: Casos e controles diferiram quanto à presença de alexitimia (73,3% vs. 54,4%), presença de ansiedade/depressão (66,7% vs. 38,9%) e naturalidade (77,8% não nasceram na cidade de São Paulo vs. 45,6% dos controles), porém não diferiram quanto à condição econômica. A análise multivariada identificou a existência de uma interação entre alexitimia e escolaridade, além de dois outros fatores independentemente associados à dor crônica: apresentar ansiedade/depressão e não ter nascido em São Paulo. Entre as mulheres de baixa escolaridade (0-4 anos de estudo), a cada ponto de acréscimo na TAS-26, a chance de pertencer ao grupo casos aumentava 1,09 vezes. Entre as mulheres de maior escolaridade (5-8 anos de estudo), não se observou efeito da alexitimia sobre a dor crônica. A versão brasileira da TAS-26 adaptada apresentou consistência interna satisfatória para a pontuação total (alfa de Cronbach=0,65) e elevada para a pontuação obtida na subescala correspondente ao fator 1 (alfa de Cronbach=0,87). Conclusões: A alexitimia é mais frequente entre mulheres com dor crônica devido à fibromialgia do que entre mulheres sem dor crônica. Quando levados em conta os efeitos da ansiedade/depressão e migração sobre a dor crônica, a alexitimia permaneceu associada à dor crônica, porém somente entre as mulheres de baixa escolaridade. A versão brasileira da TAS-26 adaptada a indivíduos adultos de baixa escolaridade é adequada para essa população, quando aplicada através de entrevista individual.
- ItemAcesso aberto (Open Access)Amputações de extremidades inferiores por diabetes mellitus: estudo caso-controle(Faculdade de Saúde Pública da Universidade de São Paulo, 2004-06-01) Gamba, Mônica Antar [UNIFESP]; Gotlieb, Sabina Léa Davidson; Bergamaschi, Denise Pimentel; Vianna, Lucila Amaral Carneiro [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)OBJECTIVE: Lower extremity amputation is an increasing problem among diabetic patients and an important public health problem. The study purpose was to identify factors associated with lower extremity amputation. METHODS: A matched case-control study was carried out among diabetic patients. Cases were selected in public health programs of the city of São Paulo, Brazil. One hundred and seventeen cases of diabetics with lower extremity amputation were compared to 234 controls of diabetics without amputation, matched by sex, age, and duration of disease. Sociodemographic variables, life habits (smoking and alcohol drinking), clinical aspects, and health education in diabetes were included. Univariate analyses and conditional logistic regression method were applied to data. RESULTS: Data showed evidence of association for: smoking, last glucose test >200 mg/dl, presence of peripheral somatic neuropathy and vibratory perception (tuning fork 128 Hz), and peripheral vascular disease. Diabetes treatment and attending nursing appointments for diabetes education were important factors for preventing lower extremity amputation in diabetic patients. CONCLUSIONS: The knowledge of determinants and intervening factors for this condition will lead to cost reduction and better quality of care delivered in public health services.
- ItemAcesso aberto (Open Access)Aplicação de modelos epidemiológicos para determinar fatores associados a qualidade de córneas em banco de olhos(Universidade Federal de São Paulo (UNIFESP), 2016-11-29) Aquino, Nathalia Mayumi Thomaz de [UNIFESP]; Hirai, Flavio Eduardo [UNIFESP]; http://lattes.cnpq.br/6575096591259140; http://lattes.cnpq.br/9462387847581411; Universidade Federal de São Paulo (UNIFESP)Objective: To develop a methodology using epidemiological models to identify factors related to transplanted cornea?s quality in Eye Banks. Methods: A case-control study was conducted to determine factors related to primary graft failure in the state of São Paulo between January 2010 and December 2013. Primary graft failure cases were defined as irreversible corneal edema in the immediately postoperative period, unresponsive to topical treatment. Controls were randomly selected from corneal transplants performed one week before or after the cases. Donors data were evaluated as cause of death, sex, age, endothelial cell count, time between death and enucleation, time to corneal preservation and preservation time before surgery. Statistical analysis between groups was performed and the odds ratio was calculated to determine factors related to primary failure. Results: Thirty-eight cases of primary graft failure were reported to the São Paulo State Transplant Center during the study period, leading to a selection of 152 controls. The cases had between 16 years to 79 years, averaging 46.1 years (SD = 16.5 years) and controls 4-79 years, mean 39.8 years (SD = 16.5 years) (p = 0.037). There were more men in both groups, 60.5% among cases and 66.4% among controls (p = 0.493). Time between death and enucleation was 4.6 hours for cases (sd = 3.7 hours) and 3.5 hours for controls (sd = 5.8horas), p = 0.255. Time between enucleation and tissue preservation was 5.7 hours (SD = 3.5 hours) for cases and 4.6 hours (SD = 5.1 hours) for controls, p 0.238. It was also verified that the time between the preservation and transplantation in cases averaged 9.5 days (SD = 2.7 days) and controls 7.9 days (SD = 2.8 days) (p = 0.001). In the multivariate analysis, each extra day of preservation increased the risk of primary failure by 23%. Regarding endothelial cell count, were verified 2518.3 cells / mm 2 (SD = 259.4 cells / mm2) in cases and 2627.0 cells / mm 2 (SD = 346.1 cells / mm2) in controls (p = 0.084). The main cause of death in both groups were cardiovascular disease (50.0% of cases and 49.3% among controls). Death from external causes were found in 18.4% of cases and 45.4% of controls. Other causes, such as cancer, accounted for 31.6% of deaths among cases and 5.3% among controls. The corneas of those who died from other causes than cardiovascular disease were 6.6 times more likely to develop primary graft failure after adjusting for other variables (odds ratio 6.6 (2.1 to 20.5)). Conclusion: The case-control study was useful to determine factors associated with primary graft failure and could be used as a tool for quality control in Eye Banks. In this study, primary graft failure was multifactorial and reflects directly the tissues quality and it?s processing. Factors such as gender, endothelial cell count, time between death and enucleation and time between enucleation and preservation were not associated with the morbidity. However, age, time between preservation and surgery and cause of death could influence the tissue?s quality, leading to higher rates of primary graft failure. Therefore, may be factors to be considered during the selection of corneas in Eye Banks.
- ItemAcesso aberto (Open Access)Aspectos psicológicos das crianças com glaucoma do desenvolvimento(Conselho Brasileiro de Oftalmologia, 2004-12-01) Ferracina, Carla [UNIFESP]; Rodrigues, Adriana Maria [UNIFESP]; Belfort, Ricardo [UNIFESP]; Mello, Paulo Augusto de Arruda [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To evaluate the following psychological aspects of children with developmental glaucoma: immaturity, anxiety, dependence and sociability. METHODS: Fifteen children with developmental glaucoma from the Congenital Glaucoma department and fifteen children without any visual problem were evaluated through the projective technique of free drawing. RESULTS: In the group of children with glaucoma, 66.6% were immature, 86.6% were anxious, 73.3% were dependent and 80% had difficulties in sociability. In the control group, 46.6% were immature, 40% were anxious, 40% were dependent and 33.3% had difficulties in sociability. CONCLUSION: Children with glaucoma were considered more immature, more anxious, more dependent and less sociable than children without any visual problem.
- ItemSomente MetadadadosA associação entre as complicações maternas e fetais em gestantes hipertensas e alterações no exame de fundo de olho(Universidade Federal de São Paulo (UNIFESP), 2002) Aguiar, Jose Osman Gomes [UNIFESP]; Atallah, Álvaro Nagib [UNIFESP]Introdução: A Hipertensao Arterial na Gravidez, nas diversas formas, ocupa o primeiro lugar nos casos de mortalidade materna, constituindo um risco importante para mae e feto. Diversos testes laboratoriais e clinicos ja foram descritos na tentativa de predizer com seguranca a possibilidade de ocorrencia da doenca. Baseado no estudo Cohort, de Atallah em 1990, buscamos estudar as possiveis associacoes entre as complicacoes maternas e fetais em pacientes gestantes hipertensas com os achados do exame de fundo de olho nestas pacientes, uma vez que se trata de exame simples, de baixo custo, podendo ser de grande utilidade particularmente em paises pobres. Objetivo: Estudar as possiveis associacoes entre parametros encontrados na avaliacao clinica e no exame de fundo de olho, em gestantes hipertensas e a sua associacao com complicacoes maternas e fetais. Metodo: Desenho: Estudo de casos e controles. Criterios de inclusao: Pacientes hipertensas no 3º trimestre da gestacao. Criterios de exclusao: Pacientes portadoras de colagenoses, diabetes tipo I, InsufiCiência cardiaca. Desfechos: Maternos - pre-eclampsia, eclampsia, hemorragia intra-hepatica, insufiCiência ventricular esquerda, insufiCiência renal aguda, sangramento intra-cerebral. Fetais - morte intra-uterina, morte neonatal precoce, recem-nascidos de baixo peso, prematuridade e pequeno para a idade gestacional (P.I.G). Amostragem: Calculamos que com 102 pacientes, teremos 90 por cento de poder estatistico para detectar razao de risco de 4.0, assumindo 30 por cento de pacientes para alteracoes de fundo de olho. Conclusao: O estudo sera realizado na maternidade Jana Moroni Barroso, do Hospital Alcides Carneiro (Faculdade de Medicina de Petropolis), onde respondemos pelo servico de Cardiopatia e Gravidez, alem de outras maternidades
- ItemAcesso aberto (Open Access)Dietary patterns and risk of oral cancer: a case-control study in São Paulo, Brazil(Faculdade de Saúde Pública da Universidade de São Paulo, 2007-02-01) Marchioni, Dirce Maria Lobo; Fisberg, Regina Mara; Góis Filho, José Francisco de; Kowalski, Luiz Paulo [UNIFESP]; Carvalho, Marcos Brasilino de; Abrahão, Márcio [UNIFESP]; Latorre, Maria Do Rosário Dias de Oliveira; Eluf-Neto, José; Wünsch Filho, Victor; Universidade de São Paulo (USP); Instituto do Câncer Arnaldo Vieira de Carvalho Departamento de Cabeça e Pescoço; Hospital do Câncer A.C.Camargo Departamento de Cabeça, Pescoço e Otorrinolaringologia; Hospital Heliópolis Departamento de Cabeça e Pescoço; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To analyze the association between dietary patterns and oral cancer. METHODS: The study, part of a Latin American multicenter hospital-based case-control study, was conducted in São Paulo, Southeastern Brazil, between November 1998 and March 2002 and included 366 incident cases of oral cancer and 469 controls, frequency-matched with cases by sex and age. Dietary data were collected using a food frequency questionnaire. The risk associated with the intake of food groups defined a posteriori, through factor analysis (called factors), was assessed. The first factor, labeled prudent, was characterized by the intake of vegetables, fruit, cheese, and poultry. The second factor, traditional, consisted of the intake of rice, pasta, pulses, and meat. The third factor, snacks, was characterized as the intake of bread, butter, salami, cheese, cakes, and desserts. The fourth, monotonous, was inversely associated with the intake of fruit, vegetables and most other food items. Factor scores for each component retained were calculated for cases and controls. After categorization of factor scores into tertiles according to the distribution of controls, odds ratios and 95% confidence intervals were calculated using unconditional multiple logistic regression. RESULTS: Traditional factor showed an inverse association with cancer (OR=0.51; 95% CI: 0.32; 0.81, p-value for trend 0.14), whereas monotonous was positively associated with the outcome (OR=1.78; 95% CI: 1.78; 2.85, p-value for trend <0.001). CONCLUSIONS: The study data suggest that the traditional Brazilian diet, consisting of rice and beans plus moderate amounts of meat, may confer protection against oral cancer, independently of any other risk factors such as alcohol intake and smoking.
- ItemSomente MetadadadosEstudo de valores angulares de quadris imaturos normais com tomografia axial computadorizada(Universidade Federal de São Paulo (UNIFESP), 1997) Kotzias Neto, Anastácio [UNIFESP]; Ishida, Akira [UNIFESP]Tomografias Axiais Computadorizadas de quadris normais de 50 pacientes portadores de patologias diversas foram estudadas com o intuito de mensurar os valores angulares dos Indices Acetabulares Anterior, (IAA) Posterior (IAP) e Axial (IAX); a Versao Acetabular (VA), os Angulos Centro-Borda Anterior (ACBA) e Posterior (ACBP) e a Anteversao Acetabular (AA). Trinta eram do sexo masculino e vinte do feminino e a idade variou dos seis meses aos treze anos, numa media de 6,2 anos. Trinta e oito pacientes eram brancos e doze nao brancos. A analise estatistica mostrou que nao havia diferenca significante entre os lados, sexo e cor, permitindo avaliar os angulos de cem articulacoes coxo-femorais. As medias dos angulos estudados foram apresentadas em faixas etarias de < 2; 2-3; 4-5; 6-7; 8-9; 10-11 e 12-13 anos e a media geral dos IAA, IAP, IAX, VA, ACBA, ACBP e AA foi de 54,49o, 55,8o,109,75o, 5,03o, 31o, 13,01o , e 13,76o respectivamente. Concluimos que com o crescimento os valores dos angulos vao diminuindo mostrando que a articulacao do quadril se torna mais estavel e a cabeca centra-se melhor no acetabulo. A Versao Acetabular ( VA ) as vezes torna-se negativa ( retroversao) mas no decorrer de todo o crescimento o quadril sempre se dirige anteriormente. Os valores da Anteversao Acetabular (AA) foram os unicos que mostraram tendencia ascendente mas sem significado estatistico
- ItemSomente MetadadadosFatores de risco para a gravidez na adolescência: um estudo de caso-controle(Universidade Federal de São Paulo (UNIFESP), 2001) Caputo, Valeria Garcia [UNIFESP]; Atallah, Álvaro Nagib [UNIFESP]Introdução: A gravidez na adolescencia e um problema de Saúde publica com serias repercussoes psicossociais para maes e filhos. Para elaborar programas de intervencao, adequados ao nosso meio, e necessario se conhecer os fatores de risco associados ao fenomeno, visto que no Brasil nao existem pesquisas neste sentido. Objetivos: (1) Identificar fatores de risco individuais e familiares para gravidez na adolescencia, (2) Identificar o melhor modelo associativo. Metodo - Desenho do estudo: Caso - controle. Amostragem: 500 adolescentes de 14 a 19 anos, com vida Sexual ativa, que nao sejam portadoras de algum problema na comunicacao, que impeca a entrevista. Casos: 250 pacientes dos servicos de pre-natal das UBSs de Marilia/SP, gravidas primagestas de qualquer idade gestacional, exceto peri-parto e puerperio imediato. Controles: 250 adolescentes, que nunca tenham engravidado, selecionadas aleatoriamente na vizinhaca dos casos(pareamento por idade). Medidas: Desfecho clinico: gravidez na adolescencia. Potenciais fatores de risco: cinco grupos de fatores pesquisados nos ultimos 12 meses e/ou ao longo da vida(caracteristicas do ambiente familiar, educacionais, atividades, uso de substancias psicoativas e comportamento sexual e contraceptivo). Instrumento: Questionario sobre fatores de risco para gravidez na adolescencia elaborado pela pesquisadora, a ser aplicado por entrevistadoras treinadas. Ha duas versoes do questionario, uma para adolescentes gravidas e outra para nao gravidas. Procedimentos para coleta de dados: Agentes de Saúde farao visitas domiciliares na mesma regiao de moradia dos casos, para identificacao dos controles e marcacao de entrevistas. Aplicacao padronizada do questionario(anonimo) em casos e controles atraves de entrevista individual nas UBSs. As entrevistas serao realizadas com o consentimento livre e esclarecido dos sujeitos, ou de um dos pais ou responsavel, quando a adolesente for menor de 18 anos. Analise estatistica: (1) Analise descritiva das variaveis pesquisadas nos dois grupos de adolescentes, (2) analise univariada, examinando associacoes entre potenciais fatores de risco e gravidez na adolescencia, e (3) analise multivariada, utilizando-se modelos de regressao logistica para identificar o melhor modelo associativo
- ItemAcesso aberto (Open Access)Fatores maternos e neonatais associados a prematuridade em maternidades públicas do acre(Universidade Federal de São Paulo (UNIFESP), 2018-06-28) Santos, Clisangela Lago [UNIFESP]; Schirmer, Janine [UNIFESP]; Dotto, Leila Maria Geromel; http://lattes.cnpq.br/3721636964139813; http://lattes.cnpq.br/1379096849417363; Universidade Federal de São Paulo (UNIFESP)Objective: To analyze the maternal and neonatal factors associated with prematurity in public maternity hospitals in Acre. Methods: Casecontrol studies we selected 383 preterm births (cases) and 396 fullterm births (controls) of mothers who delivered at the highrisk reference maternity hospitals located in Rio Branco and Cruzeiro do Sul, Acre, between October, 2016 and July, 2017. Mothers were interviewed using a validated instrument. Additionally, information was collected from the hospital records regarding the newborns and their mothers, participating of the research. Newborns with divergences between reported Gestational Age (GA) registries that interfered with preterm/term classification were excluded. The variables were divided into five blocks and analyzed according to the conceptual hierarchical model. Descriptive and inferential analyzes were performed using: chisquare test, p value ≤0,20 for the inclusion of variables in the multiple logistic regression analysis between the blocks, and crude and adjusted Odds Ratio with the correspondent intervals of confidence, after established a new cut p value ≤0,05 for inclusion in the multiple regression logistic for hierarquical analysis. Results: 287 (75%) of the mothers had deliveries classified as spontaneous and 96 (25%) by medical indication (all by caesarean section) due to pregnancy complications. Births between 32 and 36 weeks accounted for 89% of all preterm births. Among the cases, 61.1% were classified as underweight while only 3.5% had this status in the control group. After block modeling, newborns born from premature mothers (p = 0.010), with low BMI (p = 0.003), with an interval between pregnancies < 12 months (p = 0.028), previos preterm birth (p<0.001) and maternal stress (p=0.003), maternal physical injury (p=0,045), with inadequate prenatal care type I (p = 0.020) and type II (p = 0.029), with gestation twin (p <0.001), altered volume of uterine fluid (p <0.001), preeclampsia/eclampsia (p <0.001), and hospitalization during pregnancy (p <0.001) had a greater chance of preterm birth. Maternal education level and occupation had a protective effect. Conclusion: Biological characteristics, maternal psychological and emotional conditions, insufficient prenatal care, gestation twin, complications such as bleeding, preeclampsia/eclampsia, and changes in uterine fluid volume were the main risk factors identified. Due to the multicausality of preterm birth, further research with primary data may contribute to the evaluation of the phenotypes of spontaneous and medically indicated preterm delivery in order to verify if there is a difference between the associated factors, seeking to contribute to the elucidation of the riddle of prematurity.
- ItemSomente MetadadadosHomocisteína, ácido fólico, vitamina B12 em adolescentes obesos de escola pública da cidade de São Paulo: estudo de caso-controle(Universidade Federal de São Paulo (UNIFESP), 2004) Brasileiro, Rosana Sarmento [UNIFESP]; López, Fábio Ancona [UNIFESP]
- ItemAcesso aberto (Open Access)A posição de amamentar determina o aparecimento do trauma mamilar?(Universidade de São Paulo, Escola de Enfermagem, 2009-06-01) Coca, Kelly Pereira [UNIFESP]; Gamba, Mônica Antar [UNIFESP]; Silva, Rebeca de Souza e [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The aim of the study was to identify the breast feeding position and holding variables related to nipple trauma. This case-control study assessed the onset of nipple trauma among women hospitalized at a University Hospital in the city of São Paulo, in 2004 and 2005. Subjects were puerperae diagnosed with unilateral or bilateral nipple trauma. Data analysis was performed using chi-square, Student's t, and odds ratio tests (CI= 95%) and correspondence analysis. Participants were 146 puerperal women and their newborns, being 73 cases and 73 controls. Statistically significant position and holding variables for causing lesions were the following: newborns with their necks bent/contorted, chin away from the breast and lip-related defect (turned inward). Trauma prevention at the beginning of breast feeding is crucial for continuing this practice. Following adequate positioning is decisive for establishing effective and prolonged breast feeding.
- ItemSomente MetadadadosPráticas parentais de mães de crianças com e sem constipação intestinal funcional(Universidade Federal de São Paulo (UNIFESP), 2014-10-24) Galano, Juliana [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; http://lattes.cnpq.br/5056114729141952; Universidade Federal de São Paulo (UNIFESP)Objective: To assess the parenting practices of mothers of children with functional chronic constipation and compare them to parenting practices of mothers of children without constipation. Methods: Case-control study, with 58 mothers and their children (29 mothers of children with functional chronic constipation and 29 paired controls, based on children?s gender and age). The constipation group was recruited at a pediatric gastroenterology unit and the control group in two public schools in the city of São Paulo. Constipation was classified according to the Rome III Criteria. Parenting practices were assessed through the Egna Minnen Beträffande Uppfostran (EMBU)and the Parenting Dimensions Inventory (PDI-S); children?s mental health problems were assessed through the Strenghts and Difficulties Questionnaires; mothers? anxiety and depression symptoms were assessed through the Self-report Questionnaire. The association between constipation and parenting practices were assessed through multiple linear regressions. Results: There was no difference regarding maternal mental health problems between the constipation and control groups (55,2% vs. 41.2%; p=0.29). Mothers of children with functional chronic constipation showed less control practices (17.55±3.95) than the mothers in the control group (20.31±4.89, p=0.03). Constipated children scored higher for hyperactivity (48.2%, p=0.05) and anxiety/depression symptoms (62.1%, p=0.06) in comparison with the control group (24.1% and 37.9% respectively). Children with functional chronic constipation suffered more severe punishment than controls (20,6% against 3,4%, p=0,05). Conclusions: Mothers of constipated children show less control practices in comparison with mothers of children without constipation, such practices are associated with hyperactivity symptoms and constipation.