A Prospective School-based Study of Abdominal Pain and Other Common Somatic Complaints in Children

Saps, Miguel; Seshadri, Roopa; Sztainberg, Marcelo; Schaffer, Gilda; Marshall, Barbara; Lorenzo, Carlo Di

doi:10.1016/j.jpeds.2008.09.047

Cited by 289 publications

(275 citation statements)

References 26 publications

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“…Pediatrics 2013;132:475-482 AUTHORS: Grace D. Shelby, PhD, a Kezia C. Shirkey, PhD, Dr Shelby conducted psychiatric diagnostic interviews, drafted the initial manuscript, conducted data analyses, and reviewed and revised the manuscript; Dr Shirkey and Ms Sherman conducted psychiatric diagnostic interviews and critically reviewed the manuscript; Dr Beck supervised and conducted psychiatric diagnostic interviews, conducted data analysis, and critically reviewed the manuscript; Dr Haman supervised psychiatric diagnostic interviews, conducted data analysis, and critically reviewed the manuscript; Ms Shears coordinated data collection and critically reviewed the manuscript; Dr Horst reviewed medical records, conducted data analysis, and critically reviewed the manuscript; Dr Smith contributed to conceptualizing and designing the study, supervised data analysis and critically reviewed the manuscript; Dr Garber contributed to conceptualizing and designing the study, provided oversight of psychiatric diagnostic interviewing, and critically reviewed the manuscript; Dr Walker contributed to conceptualizing and designing the study, supervised research activities, oversaw writing of the manuscript, and critically reviewed and revised the manuscript; and all authors approved the final manuscript as submitted. Chronic or recurrent abdominal pain affects 8% to 25% of school-age youth, [1][2][3] is associated with frequent school absences, [4][5][6] and accounts for 2% to 4% of pediatric clinic visits. 7 Many patients, however, have no evidence of structural or biochemical abnormalities underlying their pain, and hence are considered to have medically unexplained or "functional" abdominal pain (FAP).…”

Section: Discussionmentioning

confidence: 99%

Functional Abdominal Pain in Childhood and Long-term Vulnerability to Anxiety Disorders

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: At the time of their pediatric medical evaluation, patients with functional abdominal pain (FAP) have higher levels of emotional symptoms compared with youth without FAP. No controlled prospective study has evaluated psychiatric outcomes for FAP patients in adulthood. WHAT THIS STUDY ADDS:This prospective study showed that pediatric FAP was associated with high risk of anxiety disorders in adolescence and young adulthood. Risk was highest if abdominal pain persisted, but was significantly higher than in controls even if pain resolved. abstract BACKGROUND: Cross-sectional studies link functional abdominal pain (FAP) to anxiety and depression in childhood, but no prospective study has evaluated psychiatric status in adulthood or its relation to pain persistence.METHODS: Pediatric patients with FAP (n = 332) and control subjects (n = 147) were tracked prospectively and evaluated for psychiatric disorders and functional gastrointestinal disorders (FGIDs) at followup in adolescence and young adulthood (mean age = 20.01 years). Participants were classified according to presence (FGID-POS) or absence (FGID-NEG) of FGIDs at follow-up.RESULTS: Lifetime and current risk of anxiety disorders was higher in FAP than controls (lifetime: 51% vs 20%; current: 30% vs 12%). Controlling for gender and age, the odds ratio was 4.9 (confidence interval = 2.83-7.43) for lifetime anxiety disorder and 3.57 (confidence interval = 2.00-6.36) for current anxiety disorder at follow-up for FAP versus controls. Lifetime risk of depressive disorder was significantly higher in FAP versus controls (40% vs. 16%); current risk did not differ. In most cases, initial onset of anxiety disorders was before pediatric FAP evaluation; onset of depressive disorders was subsequent to FAP evaluation. Within the FAP group, risk of current anxiety disorders at follow-up was significantly higher for FGID-POS versus FGID-NEG (40% vs 24%), and both were higher than controls (12%); current depressive disorders did not differ across FGID-POS, FGID-NEG, and controls. CONCLUSIONS:

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Section: Discussionmentioning

confidence: 99%

Functional Abdominal Pain in Childhood and Long-term Vulnerability to Anxiety Disorders

et al. 2013

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“…Noch häufiger sind die funktionellen Störungen mit einer Prävalenz bis zu 25 % (Huertas-Ceballos, Logan, Bennett, Macarthur, 2009). Als häufigste Beschwerden werden bei Kindern und Jugendlichen Kopfschmerzen, Bauchschmerzen, Übelkeit, Schwäche und Schwindel angegeben (Eminson, 2007;Köberle, 2013;Meesters, 2003;Saps et al, 2009).…”

Section: Hintergrundunclassified

Systematik somatoformer Störungen des Kindes- und Jugendalters

Winter¹,

Köberle²,

Lenz³

et al. 2013

Praxis der Kinderpsychologie und Kinderpsychiatrie

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“…Community and school based studies have reported that as many as 13-38 % of children and adolescents experience weekly abdominal pain and up to 24 % of children report symptoms lasting longer than 2 months [1,2]. Such disorders have a substantial impact on quality of life, socialization, health expenditure and school attendance and may be associated with long-term psychological disturbances [3,4].…”

Section: Introductionmentioning

confidence: 99%