[Adaptation and quality of life in anorectal malformation: empirical findings, theoretical concept, Psychometric assessment, and cognitive-behavioral intervention]

Prax Kinderpsychol Kinderpsychiatr. 2010;59(1):52-70. doi: 10.13109/prkk.2010.59.1.52.
[Article in German]


Anorectal malformations are inborn developmental defects that are associated with multiple functional Impairments (especially incontinence) and psychosocial burden with a major impact on body schema and self-esteem. Child psychology and psychiatry research begin to identify disorder-dependent and -independent risk and protective factors that predict the outcome of psychological adaptation and quality of life. The present paper analyses the interference of structural and functional disease parameters with the achievement of regular developmental tasks, presents a hypothetical conceptual framework concerning the development of psychological adaptation and quality of life in ARM, integrates findings from empirical research with the framework presented and outlines strategies of psychological support from a cognitive-behavioural perspective within a multidisciplinary treatment approach to enhance medical, functional, and psychosocial quality of life.

MeSH terms

  • Abnormalities, Multiple / psychology
  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anus, Imperforate / psychology*
  • Child
  • Child, Preschool
  • Cognitive Behavioral Therapy / methods*
  • Constipation / psychology
  • Fecal Incontinence / psychology
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Personality Assessment / statistics & numerical data*
  • Quality of Life / psychology*
  • Resilience, Psychological
  • Self Concept
  • Sick Role
  • Young Adult