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Associations of Autistic Traits and Autism with Incontinence and Constipation in a UK Birth Cohort.

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Title: Associations of Autistic Traits and Autism with Incontinence and Constipation in a UK Birth Cohort.
Authors: Gyamenah, Prince (AUTHOR), Burrows, Kimberley (AUTHOR), Rai, Dheeraj (AUTHOR), Joinson, Carol (AUTHOR)
Source: Journal of Autism & Developmental Disorders. May2026, Vol. 56 Issue 5, p1999-2008. 10p.
Subjects: Diagnosis of autism, Constipation -- Risk factors, Fecal incontinence -- Risk factors, Documentation, Research funding, Sense of coherence, Autism, Logistic regression analysis, Questionnaires, Enuresis, Multivariate analysis, Descriptive statistics, Chi-squared test, Longitudinal method, Communicative disorders, Medical records, Asperger's syndrome, Data analysis software, Nosology, Phenotypes, Disease risk factors, Disease complications, Adolescence, Children
Geographic Terms: United Kingdom
Abstract: There is evidence that children with autism/autistic traits have higher risks of incontinence and constipation, but no studies have examined this in a large community-based cohort. Aim/Research question: are autistic traits and diagnosed autism prospectively associated with increased odds of incontinence and constipation in children and adolescents? This was a population-based cohort study based on data from the Avon Longitudinal Study of Parents and Children (n = 4233–4490 at age 9 years; n = 3403–3697 at age 14). We used multivariable logistic regression to examine associations of parent-reported autistic traits (sociability, repetitive behaviours, social-communication, coherence) (at ages 3–9 years) and autism with incontinence (bedwetting, daytime-wetting, soiling) and constipation (parent-reported at age 9, self-reported at age 14). We adjusted for parity, maternal age at delivery, child's sex and developmental level, maternal depression, and anxiety (antenatal and postnatal), and indicators of family socioeconomic status. Social-communication and speech coherence difficulties showed the strongest associations with incontinence, e.g., adjusted odds ratio (OR) and 95% confidence interval (CI) for the association between social-communication difficulties and daytime-wetting was 2.21 (1.47–3.32) and for coherence was 2.34 (1.60–3.43). The odds of soiling were also higher in children with social-communication (OR: 1.88, 95% CI 1.28–2.75) and coherence difficulties (OR: 2.04, 95% CI 1.43–2.93). Diagnosed autism was only associated with an increase in the odds of daytime-wetting (OR: 3.18, 95% CI 1.44–7.02). At 14 years, there was less evidence of associations between autistic traits and incontinence but there was evidence of associations between autistic traits and constipation: social-communication (OR: 1.68, 95% CI 1.13–2.49), coherence difficulties (OR: 1.64, 95% CI 1.11–2.41). Early assessment and treatment of incontinence/constipation should be considered for children with autistic traits. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Associations of Autistic Traits and Autism with Incontinence and Constipation in a UK Birth Cohort.
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  Data: <searchLink fieldCode="AR" term="%22Gyamenah%2C+Prince%22">Gyamenah, Prince</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burrows%2C+Kimberley%22">Burrows, Kimberley</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rai%2C+Dheeraj%22">Rai, Dheeraj</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Joinson%2C+Carol%22">Joinson, Carol</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. May2026, Vol. 56 Issue 5, p1999-2008. 10p.
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: There is evidence that children with autism/autistic traits have higher risks of incontinence and constipation, but no studies have examined this in a large community-based cohort. Aim/Research question: are autistic traits and diagnosed autism prospectively associated with increased odds of incontinence and constipation in children and adolescents? This was a population-based cohort study based on data from the Avon Longitudinal Study of Parents and Children (n = 4233–4490 at age 9 years; n = 3403–3697 at age 14). We used multivariable logistic regression to examine associations of parent-reported autistic traits (sociability, repetitive behaviours, social-communication, coherence) (at ages 3–9 years) and autism with incontinence (bedwetting, daytime-wetting, soiling) and constipation (parent-reported at age 9, self-reported at age 14). We adjusted for parity, maternal age at delivery, child's sex and developmental level, maternal depression, and anxiety (antenatal and postnatal), and indicators of family socioeconomic status. Social-communication and speech coherence difficulties showed the strongest associations with incontinence, e.g., adjusted odds ratio (OR) and 95% confidence interval (CI) for the association between social-communication difficulties and daytime-wetting was 2.21 (1.47–3.32) and for coherence was 2.34 (1.60–3.43). The odds of soiling were also higher in children with social-communication (OR: 1.88, 95% CI 1.28–2.75) and coherence difficulties (OR: 2.04, 95% CI 1.43–2.93). Diagnosed autism was only associated with an increase in the odds of daytime-wetting (OR: 3.18, 95% CI 1.44–7.02). At 14 years, there was less evidence of associations between autistic traits and incontinence but there was evidence of associations between autistic traits and constipation: social-communication (OR: 1.68, 95% CI 1.13–2.49), coherence difficulties (OR: 1.64, 95% CI 1.11–2.41). Early assessment and treatment of incontinence/constipation should be considered for children with autistic traits. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s10803-024-06663-1
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 1999
    Subjects:
      – SubjectFull: Diagnosis of autism
        Type: general
      – SubjectFull: Constipation -- Risk factors
        Type: general
      – SubjectFull: Fecal incontinence -- Risk factors
        Type: general
      – SubjectFull: Documentation
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Sense of coherence
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Enuresis
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Communicative disorders
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Asperger's syndrome
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      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Disease complications
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      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: United Kingdom
        Type: general
    Titles:
      – TitleFull: Associations of Autistic Traits and Autism with Incontinence and Constipation in a UK Birth Cohort.
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
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