Childhood predictors of adult medically unexplained hospitalisations

Hotopf, Matthew; Wilson-Jones, Charlotte; Mayou, Richard; Wadsworth, Michael; Wessely, Simon

doi:10.1192/bjp.176.3.273

Cited by 65 publications

(52 citation statements)

References 25 publications

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“…Thus, these cognitive and behavioural factors might predict a pattern of response that leads to deconditioning, which is an important candidate for perpetuating fatigue. More distal predictors of an individual's response to illness may also be important, and we have recently shown that unexplained symptoms in adulthood are associated with childhood experiences of illness (Hotopf et al 1999(Hotopf et al , 2000.…”

Section: Introductionmentioning

confidence: 99%

Predictors of fatigue following the onset of infectious mononucleosis

et al. 2003

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Background. Infectious mononucleosis (IM) is a risk factor for chronic fatigue. Reduced activity is the most consistent factor found to be associated with poor outcome following the onset of infectious mononucleosis. However, little is known about the biological mechanisms involved in the pathogenesis of chronic fatigue following IM and no study, so far, has examined the relation between certain illness beliefs and poor outcome. This study explored immunological, endocrine, behavioural and cognitive responses to the acute illness and assessed which components of these groups of risk factors predicted a chronic course.

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Section: Introductionmentioning

confidence: 99%

Predictors of fatigue following the onset of infectious mononucleosis

et al. 2003

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“…10,11 The incidence of IBS is equal between adults and adolescents but the symptoms of IBS usually start in the early childhood or adolescence. [12][13][14][15] Although IBS is not a life-threatening condition for most patients it is a chronic recurrent illness that is often accompanied by severe impairment in health related quality of life (HRQOL) measures like decrease in concentration, energy, vitality and self-confidence, and increase in absence rates from work stations. [16][17][18] The patients with IBS have impaired HRQOL that is significantly worse than that of patients with diabetes mellitus or end-stage renal disease.…”

Section: Introductionmentioning

confidence: 99%

Assessment of IBS symptoms among patients of lower socio-economic strata attending medicine OPD in a tertiary care hospital in South Delhi

et al. 2017

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Background: Irritable bowel syndrome (IBS) is a common functional disorder throughout the world with no clear diagnostic markers. The diagnosis relies mostly on clinical presentation. In India, IBS is less estimated in lower socioeconomic group population. The objective of this study was to assess the proportions of symptoms compatible with IBS, and its prevalence among the patients of low socio-economic strata.Methods: An OPD based observational study carried out in a tertiary care hospital in south Delhi for a period of 10 years (Nov-2006 to Oct-2016). This hospital caters to low socioeconomic strata. All the study subjects were interviewed based on questionnaires compatible with Manning and Rome II criteriaResults: Symptoms of IBS was more in male (65.12%) and highest prevalence was in the age group 31 to 35 years (56.62%), flatulence was found to be the most common symptom compatible with IBS (58.37%) followed by pain abdomen (42.9%), loose motion (38.6%) and constipation (30.5%). The other important associated symptoms were headache 47.7% and insomnia in 44.62%.Conclusions: The symptoms compatible with IBS are common among the lower socioeconomic strata leading to a negative impact on their health-related quality of life and work performance, with high rate of physician's visits and further deteriorating their economic condition. Early diagnosis and health education may improve the quality of life and productivity in this population.

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“…Further, there is evidence from large birth cohort studies to suggest that children with various pain syndromes, in particular abdominal pain and headache, experience an increased risk of abdominal pain, headache, musculoskeletal pain, and a variety of adverse psychological outcomes in later life (22)(23)(24)(25). In adults, recent studies have highlighted the importance of psychological factors, physical/mechanical factors, and a number of episode-specific characteristics such as the duration of symptoms, radiating sciatic pain, and physical limitation (26 -28).…”

Section: Introductionmentioning

confidence: 99%

Predicting persistent low back pain in schoolchildren: A prospective cohort study

Jones¹,

Macfarlane²

2009

Arthritis & Rheumatism

106

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Objective. Low back pain (LBP) is common in children but the prognostic indicators are poorly understood. We report the results of a prospective study to determine the risk factors for chronic LBP in children. Methods. A total of 330 children with LBP were identified from a cross-sectional survey in schools in Northwest England. Data were collected by self-completion questionnaire on a number of potential risk factors for LBP persistence, including lifestyle factors, the occurrence of other symptoms, behavioral and emotional characteristics, and symptom severity and duration. Participants were then followed over the following 4 years to determine persistent symptoms. Results. Complete followup data were available from 178 children, of whom 46 (26%) reported persistent LBP. Forward stepwise Poisson regression identified 5 independent predictors of pain persistence: peer relationship problems, being of smaller stature, the prior report of widespread body pain, long duration of LBP episodes, and radiating leg pain. Of children with none of these factors at baseline, <5% went on to report persistent LBP. In contrast, of those with 4 or 5 factors, nearly 80% experienced persistent symptoms. Conclusion. Although childhood consultations for LBP are infrequent, we have shown that ϳ25% of children 11-14 years of age with LBP still report symptoms 4 years later. These children can be identified early by a combination of clinical markers and etiologic factors. This provides a basis for considering interventions for secondary prevention; the challenge will be to determine whether we can intervene to alter symptom trajectory at an early stage.

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Childhood predictors of adult medically unexplained hospitalisations

Abstract: Unexplained hospital admissions are associated with certain childhood experiences of illness, but defined physical illness in childhood is not a risk factor.

Cited by 65 publications

References 25 publications

Predictors of fatigue following the onset of infectious mononucleosis

Predictors of fatigue following the onset of infectious mononucleosis

Assessment of IBS symptoms among patients of lower socio-economic strata attending medicine OPD in a tertiary care hospital in South Delhi

Predicting persistent low back pain in schoolchildren: A prospective cohort study

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