Diagnosing Functional Abdominal Pain with the Rome II Criteria: Parent, Child, and Clinician Agreement

Schurman, Jennifer Verrill; Friesen, Craig A.; Danda, Caroline Elder; Andre, Linda; Welchert, Elly; Lavenbarg, Teri; Cocjin, Jose; Hyman, Paul E.

doi:10.1097/01.mpg.0000178438.64675.c4

Cited by 93 publications

(110 citation statements)

References 21 publications

(23 reference statements)

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“…Children tended to under-report symptom duration (with reports of less than 12 weeks compared with duration of greater than 12 weeks according to parental reporting and documentation). This study also showed a significant disparity between parental and child estimates regarding the frequency of the child's stool symptoms (Schurman et al, 2005). Another study supported similar findings with a low concordance identified between the diagnoses of functional constipation made by parents versus children (Caplan et al, 2005).…”

Section: Different Insight From Parents Clinicians and Childrensupporting

confidence: 74%

Diagnostic Approach to Constipation in Children

McGrath¹

2012

Constipation - Causes, Diagnosis and Treatment

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Section: Different Insight From Parents Clinicians and Childrensupporting

confidence: 74%

Diagnostic Approach to Constipation in Children

McGrath¹

2012

Constipation - Causes, Diagnosis and Treatment

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“…34,35 In the current study children reported 2 to 3 times more gastrointestinal symptoms than did their parents. Thus, we considered a child to be having a symptom if either the caregiver or the child reported the symptom.…”

Section: Gastrointestinal Symptomsmentioning

confidence: 76%

Unexplained Gastrointestinal Symptoms After Abuse in a Prospective Study of Children at Risk for Abuse and Neglect

Tilburg¹,

Runyan²,

Zolotor³

et al. 2010

The Annals of Family Medicine

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PURPOSE Unexplained gastrointestinal symptoms are more common in adults who recall abuse as a child; however, data available on children are limited. The aim of this study was to investigate the association of childhood maltreatment and early development of gastrointestinal symptoms and whether this relation was mediated by psychological distress.METHODS Data were obtained from the Longitudinal Studies of Child Abuse and Neglect, a consortium of 5 prospective studies of child maltreatment. The 845 children who were observed from the age of 4 through 12 years were the subjects of this study. Every 2 years information on gastrointestinal symptoms was obtained from parents, and maltreatment allegations were obtained from Child Protective Services (CPS). At the age of 12 years children reported gastrointestinal symptoms, life-time maltreatment, and psychological distress. Data were analyzed by logistic regression.RESULTS Lifetime CPS allegations of sexual abuse were associated with abdominal pain at age 12 years (odds ratio [OR] = 1.75; 95% confi dence interval [CI] = 1.1-2.47). Sexual abuse preceded or coincided with abdominal pain in 91% of cases. Youth recall of ever having been psychologically, physically, or sexually abused was signifi cantly associated with both abdominal pain and nausea/vomiting (range, OR = 1.5 [95% CI, 1.1-2.0] to 2.1 [95% CI, 1.5-2.9]). When adjusting for psychological distress, most effects became insignifi cant except for the relation between physical abuse and nausea/vomiting (OR = 1.5; 95% CI, 1.1-2.2).CONCLUSION Youth who have been maltreated are at increased risk for unexplained gastrointestinal symptoms, and this relation is partially mediated by psychological distress. These fi ndings are relevant to the clinical care for children who complain of unexplained gastrointestinal symptoms.

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“…Along with this finding, in outpatient headache sufferers under 6 years of age, a greater male gender prevalence and shorter duration of headache attacks were reported [4].…”

mentioning

confidence: 77%