Development of a Scale to Assess the Attitudes of Paediatric Staff to Caring for Children with Medically Unexplained Symptoms: Implications for the Role of CAMHS in Paediatric Care

Glazebrook, Cristine; Furness, Penny; Tay, Jasmine; Abbas, Kirsty; Hollis, Karmen Slaveska

doi:10.1111/j.1475-3588.2008.00507.x

Cited by 10 publications

(17 citation statements)

References 21 publications

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“…[9] Research shows that there is a significant relationship between somatization in children and adolescents and family conflicts, and the deterioration of family functionality is one of the reasons for somatization disorders. [4,10,11] Factors supporting somatization include the presence of physical diseases or disease behaviors in family members, early experiences in attracting interest and love when they were physically unwell, as well as secondary acquisitions. [12,13] Family system theoreticians suggested that the nature of family interactive patterns plays an important role in the etiology of somatic symptoms in children, as well as their development into a chronic disorder.…”

Section: Introductionmentioning

confidence: 99%

Somatic Symptoms in Secondary School Students and Parental Attitudes

Karaca¹

2015

Psi Hem Derg

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Objectives: Epidemiological studies show that 5-48% of children and adolescents often experience somatic complaints. This study investigated somatic symptoms in secondary school students and the attitudes of their parents. Methods: This descriptive study involved 699 secondary school students at three state and five private schools in Kadikoy from October 2013-February 2014. The data were collected using an information form, Child Somatization Inventory and Parent Attitude Scale and were analyzed using descriptive statistical analysis, Pearson correlation analysis and the t-test. Results: The average age of the students was 12.93±1.06. Of the students, 49.9% were female, and 35.3% were in private schools. A significant difference (t=3.53, p=.002) was found based on the type of school attended with private school students seen more frequently with somatic symptoms (private X=13.0±1.25; state X=10.0±9.5). There were also differences according to the type of school attended in parental attitude-control/monitoring (t=4.43; p=.003), and in the psychological autonomy subscale (t=2.71, p=.040). Private school students' perception of their parents' attitude were more controlling/supervisory than the public school students (control/supervision; private X=15.3±5.1; public X=13.8±4.0) and allowing less psychological autonomy than them (private X=26.7±4.5; states X=27.6±4.3). Parental tolerance was significantly associated with somatic symptoms (t=4.695, p=.001), and students who perceived their parents as tolerant had more somatic symptoms (X=14: 31±11.86). Conclusion: This study shows that parental attitudes and somatic symptoms vary as to the type of school. Students had more somatic symptoms when they perceived their parents as tolerant/permitting of those somatic symptoms.

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Section: Introductionmentioning

confidence: 99%

Somatic Symptoms in Secondary School Students and Parental Attitudes

Karaca¹

2015

Psi Hem Derg

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“…In a survey of 128 paediatric HCPs working in one UK hospital, respondents reported feeling that children and young people with MUS have unmet support needs (Glazebrook et al . ). In subsequent qualitative interviews with 12 survey respondents, HCPs reported feeling ambivalent about current service provision.…”

Section: Resultsmentioning

confidence: 97%

“…There is some limited evidence to suggest that HCPs would like to receive further information and support from CAMHS to help them provide appropriate individualised support to families of children experiencing MUS (Glazebrook et al . ), although further research is required to ascertain whether this view is shared by professionals working in other health and social care settings.…”

Section: Discussionmentioning

confidence: 99%

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Families' and healthcare professionals' perceptions of healthcare services for children and young people with medically unexplained symptoms: a narrative review of the literature

Hinton

Kirk

2015

Health Soc Care Community

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Children and young people frequently report physical complaints that have no observable physical pathology known as medically unexplained symptoms (MUS). Research suggests that MUS are associated with substantial physical and psychological impairments and may have a negative impact on children's and young people's functional status and well‐being in the long term. Due to the potentially complex needs of this group, children and young people with MUS may require timely access to suitable health and social care services to effectively manage symptoms and achieve their academic, social and personal potential. Families and professionals can offer important insights into the availability and appropriateness of current community and specialist health and social care services. This review is the first critical evaluation and synthesis of research that has examined families' and healthcare professionals' (HCP) perceptions of healthcare services for children and young people with MUS. A systematic search of electronic databases and manual searches of key journals and reference lists identified 17 papers from 15 studies for inclusion in the review. The review highlights the paucity of rigorously conducted research on this topic. Studies have been narrowly focused on the views of a homogeneous group of mothers and young people attending single centres. There has been some attempt to examine doctors' views, but the perceptions of children, fathers and health and social care professionals are absent or under‐represented, and multi‐site and longitudinal studies are lacking. Thematic analysis of the results from the included studies suggests that knowledge, communication, health beliefs and healthcare settings are factors that influence families' and HCPs' perceptions of services. Families report dissatisfaction with some HCPs' approach to managing MUS. The findings suggest that children and young people with MUS are at risk of receiving suboptimal care and support because there is insufficient research to inform high‐quality, evidence‐based practice.

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“…The present study forms part of a larger study, in which 128 paediatric health professionals within a single UK Hospital Trust (50% response rate) completed questionnaires about their attitudes to MUPS care (Glazebrook, Furness, Tay, Abbas, & Slaveska-Hollis, 2009). Participants were invited to participate in focus groups or individual interviews to discuss their experiences and perceptions further.…”

Section: Design and Methodsmentioning

confidence: 99%

Medically Unexplained Physical Symptoms in Children: Exploring Hospital Staff Perceptions

Furness

Glazebrook

Tay

et al. 2009

Clin Child Psychol Psychiatry

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Many children present at GP surgeries with debilitating symptoms with no obvious physical cause and are then referred to acute settings for investigation. Research with GPs suggests caring for this group of patients presents a significant challenge, however, the impact upon the range of hospital staff with whom they have contact has been little studied. This study aimed to explore perceptions and experiences of caring for children with medically unexplained physical symptoms (MUPS) and their families among the paediatric staff at one large UK hospital Trust. Data demonstrated staff awareness that children affected by MUPS have complex needs and the perception that those needs resulted in extra demands and anxieties, especially regarding time management, care protocols and communication. There was a clear desire by general paediatric staff for more information and training from psychiatric services to help them care for this group. Results also revealed staff perceptions of the quality of current MUPS care and suggestions as to how this could be improved.

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Development of a Scale to Assess the Attitudes of Paediatric Staff to Caring for Children with Medically Unexplained Symptoms: Implications for the Role of CAMHS in Paediatric Care

Cited by 10 publications

References 21 publications

Somatic Symptoms in Secondary School Students and Parental Attitudes

Somatic Symptoms in Secondary School Students and Parental Attitudes

Families' and healthcare professionals' perceptions of healthcare services for children and young people with medically unexplained symptoms: a narrative review of the literature

Medically Unexplained Physical Symptoms in Children: Exploring Hospital Staff Perceptions

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