Health-Related Quality of Life in Children With Abdominal Pain Due to Functional or Organic Gastrointestinal Disorders

Warschburger, Petra; Hänig, Johanna; Friedt, Michael; Posovszky, Carsten; Schier, Maike; Calvano, Claudia

doi:10.1093/jpepsy/jst070

Cited by 67 publications

(47 citation statements)

References 37 publications

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“…The Kinder Lebensqualität Fragebogen (KINDL-R; questionnaire for measuring health-related quality of life in children and adolescents, revised version) [39] is a wellestablished instrument used to measure QoL for children aged 8-16 years in numerous clinical and epidemiological studies, including several in Norway [7,9,[40][41][42][43][44]. It consists of 24 items constituting six subscales, each measured with four items: Physical Well-being, Emotional Well-being, Self-esteem, and Family, Friends, and School.…”

Section: Quality Of Lifementioning

confidence: 99%

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

et al. 2017

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Purpose Many adolescents living in residential youth care (RYC) institutions perceive their quality of life (QoL) to be low. Enhancing QoL is thus important, but little is known about the potential contributors to their QoL. Early interpersonal trauma and subsequent removal from home and repeated relocations to new placements are expected to affect mental health and self-esteem. We therefore investigated if domain-specific self-esteem contributed to QoL among adolescents living in RYC institutions over and beyond their levels of psychopathology. Methods All youth in Norwegian RYC institutions between the ages 12-23 years were invited to participate. Of a total of 98 RYC institutions, 86 participated, and 400 of 601 eligible youths were examined. The participants' primary contact completed the Child Behavior Checklist to assess psychopathology. The adolescents completed a revised version of the Self-Perception Profile for Adolescents and the questionnaire for measuring health-related quality of life in children and adolescents (KINDL-R). Results After adjusting for psychopathology, age, and gender, self-esteem domains uniquely explained 42% of the variance in Qol, where social acceptance (b = 0.57) and physical appearance (b = 0.25) domains significantly predicted concurrent QoL. Conclusions The self-esteem domains, social acceptance and physical appearance, add substantially to the explained variance in QoL among adolescents living in RYC institutions, over and beyond the levels of psychopathology. These self-esteem domains may be targets of intervention to improve QoL, in addition to treating their psychopathology.

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Section: Quality Of Lifementioning

confidence: 99%

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

et al. 2017

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“…Pain catastrophizing cognitions can be characterized as those that magnify the threat value of a pain stimulus, reflect helplessness in the face of pain, and involve ruminative thinking about pain [20, 29]. In pediatric samples, catastrophizing has been found to be associated with increased pain intensity and avoidance, increased psychological distress, increased depressive symptomatology, increased disability, and decreased quality of life [30-39]. …”

Section: Introductionmentioning

confidence: 99%

Cognitive Mediators of Treatment Outcomes in Pediatric Functional Abdominal Pain

Levy¹,

Langer²,

Romano

et al. 2014

The Clinical Journal of Pain

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Objectives Cognitive-behavioral interventions improve outcomes for many pediatric health conditions, but little is known about which mechanisms mediate these outcomes. The goal of this study was to identify whether changes in targeted process variables from baseline to one week post-treatment mediate improvement in outcomes in a randomized controlled trial of a brief cognitive-behavioral intervention for idiopathic childhood abdominal pain. Methods Two-hundred children with persistent functional abdominal pain and their parents were randomly assigned to one of two conditions: a 3-session social learning and cognitive-behavioral treatment (SLCBT) (N=100), or a 3-session educational intervention controlling for time and attention (N=100). Outcomes were assessed at 3, 6 and 12 month follow-ups. The intervention focused on altering parental responses to pain and on increasing adaptive cognitions and coping strategies related to pain in both parents and children. Results Multiple mediation analyses were applied to examine the extent to which the effects of the SLCBT condition on child GI symptom severity and pain as reported by children and their parents were mediated by changes in targeted cognitive process variables and parents’ solicitous responses to their child’s pain symptoms. Reductions in parents’ perceived threat regarding their child’s pain mediated reductions in both parent- and child-reported GI symptom severity and pain. Reductions in children’s catastrophic cognitions mediated reductions in child-reported GI symptom severity but no other outcomes. Reductions in parental solicitousness did not mediate outcomes. Discussion Results suggest that reductions in reports of children’s pain and GI symptoms following a social learning and cognitive-behavioral intervention were mediated at least in part by decreasing maladaptive parent and child cognitions.

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“…Chronic abdominal pain (CAP) is one of the most frequent bodily complaints in childhood and adolescence [1, 2] and is associated with a high psychosocial burden, poor functioning, and low health-related quality of life [3, 4]. Furthermore, CAP represents the most common reason for consultations with pediatric gastroenterologists [5], and children with the condition show higher health care utilization than children suffering from headaches or other bodily symptoms [6].…”

Section: Introductionmentioning

confidence: 99%

Chronic Abdominal Pain in Children and Adolescents: Parental Threat Perception Plays a Major Role in Seeking Medical Consultations

Calvano

Warschburger

2016

Pain Research and Management

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Background. Pain symptoms, associated impairment, and parental perception of threat are reported to be predictors of health care utilization (HCU) in childhood chronic abdominal pain (CAP). However, mediating variables and their interrelations have not yet been systematically studied. Objectives. This study aims to identify mediating pathways of influence between child's abdominal pain and the number of pain-related medical visits. Methods. In a multicenter study, we recruited N = 151 parent-child dyads with children aged 6–17 years suffering from CAP. A composite measure of pain symptoms was defined as predictor and the number of pain-related medical visits as outcome variable. This relation was analyzed by serial mediation, including child- and parent-reported impairment and parental threat perception as mediators. Results. Only parental threat perception significantly linked child's pain symptoms to the number of medical visits. Measures of impairment did not have a significant effect. Conclusions. Parental pain-related threat perception is strongly related to health care seeking in childhood CAP. Addressing threat perception might be a fruitful parent-centered approach in clinical practice.

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Health-Related Quality of Life in Children With Abdominal Pain Due to Functional or Organic Gastrointestinal Disorders

Abstract: The emotional burden associated with chronic abdominal pain-regardless of its cause-is enormous. Interventions should target the children's coping strategies, as catastrophizing seems to be the causal link between pain and HRQOL.

Cited by 67 publications

References 37 publications

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

Cognitive Mediators of Treatment Outcomes in Pediatric Functional Abdominal Pain

Chronic Abdominal Pain in Children and Adolescents: Parental Threat Perception Plays a Major Role in Seeking Medical Consultations

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