Psychosocial factors and childhood recurrent abdominal pain

Boey, Christopher Chiong Meng; Goh, Khean‐Lee

doi:10.1046/j.1440-1746.2002.02884.x

Cited by 15 publications

(6 citation statements)

References 31 publications

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“…Recurrent abdominal pain (RAP) occurs in 7% to 25% in children 7,13 and has been significantly associated with anxiety disorders and depression. 1,4,[14][15][16][17] In a populationbased study, children with RAP had significantly more psychiatric morbidity than children without RAP. The strongest effect was for emotional (anxiety) symptoms compared with the general population.…”

Section: Introductionmentioning

confidence: 99%

Screening for Psychiatric Comorbidity in Children With Recurrent Headache or Recurrent Abdominal Pain

Machnes-Maayan

Elazar

Apter

et al. 2014

Pediatric Neurology

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Section: Introductionmentioning

confidence: 99%

Screening for Psychiatric Comorbidity in Children With Recurrent Headache or Recurrent Abdominal Pain

Machnes-Maayan

Elazar

Apter

et al. 2014

Pediatric Neurology

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“…Headache, abdominal pain and sleep problems have been similarly associated with psychiatric problems [8,[11][12][13][14]. However, the specific associations between these health complaints and psychopathology, as well as the underlying mechanisms still remain unclear [15][16][17]. Even if elevated rates of psychological difficulties often co-occur with pain, most children do not suffer from diagnosable psychiatric disorders [16].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial determinants of headache, abdominal pain, and sleep problems in a community sample of Finnish adolescents

Luntamo

Sourander

Rihko

et al. 2012

Eur Child Adolesc Psychiatry

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The aims of this study were to examine the prevalence, co-occurrence, and psychosocial determinants of self-perceived headache, abdominal pain, and sleep problems among adolescents. The adolescents from two cities in Finland (n = 2,215, 90.9% of the target population) attending 7th and 9th grade (age range 13-18 years) participated in the cross-sectional survey inquiring about frequency of headache, abdominal pain, sleep problems, and psychosocial difficulties. The 6-month prevalence of weekly headache was 13%, abdominal pain 6%, and sleep problems 27%. All three symptoms were strongly associated with each other. Of the adolescents suffering from one symptom, 32% reported one co-occurring symptom and 17% two co-occurring symptoms. In the multivariate analysis, female gender, experience of psychological difficulties, emotional symptoms, smoking, victimization, and feeling not cared about by teachers were independently associated with all the individual symptoms, as well as an increasing number of symptoms. Sleep problems were associated with older age and peer and alcohol problems. Abdominal pain was associated with conduct problems, and both headache and abdominal pain were linked with immigration background. An increasing number of symptoms was associated with older age, having a chronic illness, and conduct and alcohol problems. Adolescents' headache, abdominal pain and sleep problems were common and often co-occurred. An increasing frequency of each symptom and number of symptoms were associated with psychosocial factors in a similar way. Screening for psychiatric symptoms, substance use, victimization and difficulties with teachers should be included in the assessment of adolescents who suffer from recurrent headache, abdominal pain or sleep problems.

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“…박재홍：Chronic Abdominal Pain in Childrenㆍ27 , 어느 군에서나 정신사회적 요 인들이 잠재되어 직간접적인 만성 복통의 유발 요인으 로 작동할 수 있다 10) . .…”

Section: 이 질환의 장기 예후에 대해서도 잘 밝혀져 있지 않으unclassified

Diagnostic Approaches to Chronic Abdominal Pain in Children

Park

2011

Korean J Pediatr Gastroenterol Nutr

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Chronic abdominal pain (CAP) is a common complaint encountered in pediatric clinics and a great concern for patients and their caretakers as well as health care professionals. A constant challenge is detecting individuals with organic diseases or psychosomatic disorders from the majority of patients who have a functional disorder including functional dyspepsia, irritable bowel syndrome, functional abdominal pain, and abdominal migraine. Beginning with a detailed history and physical examination, physicians must determine a differential diagnosis of CAP by applying the symptom-based Rome III criteria to positively identify a functional disorder. These findings should then be further analyzed based on diagnostic clues and red flags that indicate the presence of specific organic diseases and/or the need for further testing. Once a functional diagnosis has been made or an organic disease is suspected, physicians can initiate an empiric therapeutic trial. Since psychological distress accompanies both organic and non-organic abdominal pain in children, a cooperative diagnostic approach involving pediatricians and psychiatrists is recommended. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 26∼32)

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Psychosocial factors and childhood recurrent abdominal pain

Cited by 15 publications

References 31 publications

Screening for Psychiatric Comorbidity in Children With Recurrent Headache or Recurrent Abdominal Pain

Screening for Psychiatric Comorbidity in Children With Recurrent Headache or Recurrent Abdominal Pain

Psychosocial determinants of headache, abdominal pain, and sleep problems in a community sample of Finnish adolescents

Diagnostic Approaches to Chronic Abdominal Pain in Children

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