Hospital management of paediatric functional somatic symptoms

Garralda, M Elena

doi:10.1111/apa.13337

Cited by 11 publications

(8 citation statements)

References 5 publications

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“…This finding is in line with the study result of Nieuwenhuis et al (2016), Johnson et al (2015) and Migraine et al (2013). [ 7 8 9 ] In contrast, Jonsson et al (2013), Samara et al (2010) and Crapnel et al (2013) reported significantly more feeding problems in preterm born babies than their term born peers. [ 10 11 12 ] Zimmerman et al (2018) reported more feeding and swallowing difficulties in preterm born children than full-term born babies at the age of 2 too.…”

Section: Discussionmentioning

confidence: 99%

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Feeding problems score and its related factors in two-year-old children born very-preterm and full-term

Mokhlesin

Mirmohammadkhani

Nooripour

et al. 2019

Iranian J Nursing Midwifery Res

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Section: Discussionmentioning

confidence: 99%

“…[ 6 ] Nevertheless, there are few studies of eating and feeding problems in preterm infants after one year of life and results are sometimes contradictory. [ 7 8 9 10 11 12 13 14 ]…”

Section: Introductionmentioning

confidence: 99%

Feeding problems score and its related factors in two-year-old children born very-preterm and full-term

Mokhlesin

Mirmohammadkhani

Nooripour

et al. 2019

Iranian J Nursing Midwifery Res

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“…The majority of currently available treatment settings for youths with functional disorders reflect the prevailing split between psyche and soma. Psychiatric and paediatric departments still mainly work separately, even though the evidence in support of psychological treatments for youths with functional symptoms is substantial and building (Bonvanie et al, 2017;Eccleston et al, 2014), and despite the fact that the need for collaborative treatment approaches and liaison settings involving CAMHS as well as paediatric settings is increasingly stressed in the literature (Garralda, 2001(Garralda, , 2016.…”

Section: Discussionmentioning

confidence: 99%

Illness perceptions of youths with functional disorders and their parents: An interpretative phenomenological analysis study

Hulgaard

Rask

Risør

et al. 2019

Clin Child Psychol Psychiatry

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Background: Functional disorders, defined as disorders with no clear medical explanation, are common and impose a significant burden on youths, their families, healthcare services and society as a whole. Currently, the literature describes resistance among patients and their families towards psychological symptom explanations and treatments. More knowledge about the thoughts and understandings of youths with functional disorders and their parents is needed. The aim of this study was to explore the illness perceptions of youths with severe functional disorders and their parents. Methods: A qualitative interview study using interpretative phenomenological analyses. The study included 11 youths aged 11–15 years with functional disorders and their parents, where interviews were performed at the point of referral from a somatic to a psychiatric treatment setting. Results: Analyses identified three main themes. Themes 1(Ascribing identity to the disorder) and 2 (Monocausal explanations) explore key elements of the participants’ illness perceptions, and theme 3 (Mutable illness perceptions) explores how illness perceptions are influenced by experiences from healthcare encounters. Conclusions: The label ‘functional disorder’ was poorly integrated in the illness perceptions of the youths and their parents. Participants used a monocausal and typically physical explanation rather than a multicausal biopsychosocial explanation for their symptoms.

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“…From the perspective of the stress-system model, it seems likely that early referral and treatment facilitate settling of the child's stress system to a more regulated state, preempt the decline into chronicity, and prevent the establishment of illness-reinforcing patterns within the family, school, and medical systems (see Chapter 2). Clinicians working in hospital settings and those who have ongoing relationships with paediatricians should advocate for, and take every opportunity to advocate for, early referral of functional disorders to appropriate mental health clinicians (Tot-Strate et al 2016;Garralda 2016).…”

Section: Principle 2: Early Referral For Mind-body Treatment By the Pmentioning

confidence: 99%

Principles of Assessment and Treatment

Kozlowska

Scher

Helgeland

2020

Functional Somatic Symptoms in Children and Adolescents

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In this chapter we outline the key principles that are built into the structure of our Mind-Body Program and into the interventions we undertake with any particular child. The principles are especially useful in the following circumstances: in assessing a referral for treating functional somatic symptoms; in setting up the multidisciplinary team around a given patient; in explaining to the child and family the overall goals and structure of the treatment approach to be used; in determining the details of the therapeutic interventions to be used; in discussing and initiating those particular interventions with the child and family; in periodically assessing the success or failure of ongoing therapeutic interventions; and when confronting situations in which the therapy feels stuck and the treatment interventions that should be working are not working. In addition, the principles make key processes explicit and can be used as touchstones for teaching and for learning. As touchstones, the principles can be used to identify dynamics both within the family and between the clinician and the family, and to help to open space for reflection about 13

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Hospital management of paediatric functional somatic symptoms

Cited by 11 publications

References 5 publications

Feeding problems score and its related factors in two-year-old children born very-preterm and full-term

Feeding problems score and its related factors in two-year-old children born very-preterm and full-term

Illness perceptions of youths with functional disorders and their parents: An interpretative phenomenological analysis study

Principles of Assessment and Treatment

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