Chronic Abdominal Pain in Children

,

doi:10.1542/peds.2004-2523

Cited by 86 publications

(15 citation statements)

References 56 publications

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“…The results are similar to those of other works [10,37,44]. Di Lorenzo et al [12] state that there exists evidence confirming that children with recurrent stomachache do not have high levels of conduct disorder or oppositional defiant disorder compared to healthy children.…”

Section: Discussionsupporting

confidence: 90%

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Somatic symptoms, severe mood dysregulation, and aggressiveness in preschool children

et al. 2011

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Many researchers have studied somatic symptoms in children. However, its association with severe mood dysregulation (SMD) is poorly known. The aim of this study is to detect the presence of SMD in preschool children and to know the prevalence of somatic symptoms and associations with psychopathology, SMD, and aggressiveness. The study population consists of children between 3 to 6 years of age enrolled in Barcelona's kindergarten schools (n = 319). Their parents completed questionnaires about the presence of somatic symptoms in children, absences from school and pediatric visits, child psychiatric symptoms, presence of symptoms of SMD, and aggressiveness. Teachers were also informed about SMD and aggressiveness. Children who complained frequent somatic symptoms (three or more in the last 2 weeks) were compared with those who did not. Two hundred five children (64.3%) reported at least one physical complaint in the 2 weeks preceding the study. One hundred participants (31.3%) reported frequent somatic complaints. Positive associations were found with anxiety symptomatology, separation anxiety, social phobia, pediatric visits, and school absences, but not with aggressiveness or SMD symptoms. Somatic symptoms are common in a sample of preschool children but do not show a positive association with the symptoms of SMD.

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Section: Discussionsupporting

confidence: 90%

“…Most authors find that the association with internalizing disorders is higher than with externalizing disorders [6,9,10,12,24,28,29]. However, Egger et al [16,17] found positive association between somatic symptoms and conduct disorder in males and also with oppositional defiant disorder.…”

Section: Introductionmentioning

confidence: 99%

Somatic symptoms, severe mood dysregulation, and aggressiveness in preschool children

et al. 2011

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“…They defined recurrent abdominal pain as abdominal pain occurring at least three times over a period of at least 3 months with attacks continuing in the year preceding the examination severe enough to affect the child’s activity (≥3 years of age). Even though this description is historically relevant and has dominated the research in this field for decades, recommendations for the dismissal of the term have been made by the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition [7]. Instead, the term functional abdominal pain should be used which refers to diagnostic criteria (Rome III criteria) developed by the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition [8].…”

Section: Introductionmentioning

confidence: 99%

Functional Abdominal Pain in Childhood: From Etiology to Maladaptation

Schulte

Petermann

Noeker

2009

Psychother Psychosom

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Objective: To review the extant literature on functional abdominal pain in childhood through the lens of the developmental psychopathology perspective and to systematize research results by means of a two-stage pathway model in which the emergence of functional abdominal pain and its potential transition into a somatoform adjustment disorder is outlined. Methods: Using electronic searches for published studies and previous reviews about functional abdominal pain. Results: An association of functional abdominal pain with internalizing symptoms, poor well-being of family members, major life events and daily stressors is found. The impact of stress on pain seems to be moderated by the children’s coping style and their perceived competence and self-efficacy to manage the pain experience. There is evidence for the influence of modeling and operant mechanisms on pain experiences. A new term, ‘somatoform adjustment disorder’, and its relation to functional abdominal pain is discussed. Conclusions: It seems that those children with functional abdominal pain who cannot adapt to the pain indeed run the risk of developing a somatoform adjustment disorder.

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“…The challenge is to distinguish it from organic and other functional causes of recurrent abdominal pain by confirming positive features and excluding “red flags” (fig 1). “Red flags” suggest organic causes of abdominal pain (table 1), and so refer these children for an immediate expert opinion 22. Assessment is particularly difficult in children less than 2 years old, who may not be able to explain or point to the pain.…”

Section: How Do I Diagnose Abdominal Migraine?mentioning

confidence: 99%

“…Consensus guidelines suggest that children with a firm clinical diagnosis of abdominal migraine require no further investigations 9192224…”

Section: How Do I Diagnose Abdominal Migraine?mentioning

confidence: 99%