How to Deal with Pediatric Functional Gastrointestinal Disorders

Yacob, Desale; Lorenzo, Carlo Di

doi:10.1007/s40124-013-0018-4

Cited by 4 publications

(3 citation statements)

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“…Nonetheless, there is a strong and growing consensus that a biopsychosocial approach to the conceptualization of childhood chronic abdominal pain is necessary (e.g., Schurman & Friesen, 2014) and, as such, an emphasis on simultaneously treating as many of the identified biopsychosocial contributors as possible. Consistent with this, there has been important, albeit limited, progress in clarifying some helpful treatment approaches, which include dietary, psychosocial, pharmacologic, and alternative medicine interventions (e.g., Chiou & Nurko, 2011; Friesen et al, 2004; Friesen, Sandridge, Andre, Roberts, & Abdel-Rahman, 2006; Yacob & Di Lorenzo, 2013). The three treatments within the psychosocial group with the most empirical support at present are cognitive–behavioral therapy, hypnotherapy, and biofeedback-assisted relaxation training (Brent, Lobato, & LeLeiko, 2009).…”

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confidence: 96%

Understanding and treatment of chronic abdominal pain among school nurses: A national survey.

Deacy

Morrison

2015

Clinical Practice in Pediatric Psychology

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School nurses often are the first (and most sustained) point of contact for children with medical issues and, as such, they are well poised to provide early intervention for children with chronic abdominal pain. Therefore, the current study sought to assess school nurses' perspectives and practices related to chronic abdominal pain. A study invitation and link to a web-based questionnaire were sent to members of the National Association of School Nurses (NASN) with published e-mail addresses. A total of 1,550 school nurses (ϳ11% response rate) participated in the study. Approximately 1/3 of the sample reported Ͼ90 annual student visits for abdominal pain. Fifty-seven percent perceived the most common cause for childhood chronic abdominal pain as related to psychosocial issues. Although psychosocial issues were the most commonly perceived cause of pain, 66% of nurses reported collaborating with mental health professionals Ͻ10% of the time. Half of the nurses sampled were not confident in their understanding of chronic abdominal pain in children, and 27% perceived nursing education available on the topic to be nonexistent or poor. School nurses frequently see children with abdominal pain, primarily believe psychosocial/behavioral issues to account for it (although rarely collaborate with mental health professionals), and know little about biological contributors to and classification of the condition. These findings indicate a need for an evidence-based curriculum for school nurse training.

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confidence: 96%

Understanding and treatment of chronic abdominal pain among school nurses: A national survey.

Deacy

Morrison

2015

Clinical Practice in Pediatric Psychology

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“…Bu oranlar literatürdeki çalışmalarla uyumlu görülmektedir. GİS hastalıklar, yaşam kalitesini düşürmesi, sosyal hayat üzerindeki olumsuz etkileri, sağlık hizmeti kullanımı ve okul hayatında olumsuzluklara neden olması dolayısıyla psikiyatrik hastalıklarla ilişkidir (42). Epidemiyolojik araştırmalar, çölyak hastalığı ile ağır ruhsal bozukluklar arasında bir ilişki olduğunu belirtmektedir (43,44).…”

Section: Discussionunclassified

Patients Profile Who Receive Care From Giresun Community Mental Health Center

Bayrak

Geniş²,

Gürhan

2022

Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi

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Öz Giriş: Kronik ruhsal hastalıkların rehabilitasyonu toplum ruh sağlığı merkezlerinde uygulanmaktadır. Amaç: Bu çalışmada Giresun Toplum Ruh Sağlığı Merkezi'nden hizmet alan şizofreni ve bipolar bozukluk tanılı hastaların profillerinin (fiziksel hastalıkları ve kullandıkları ilaçlar) belirlenmesi amaçlanmıştır. Yöntem:Çalışmada örneklem seçimi yapılmamış olup, Temmuz-Aralık 2018 tarihleri arasında Giresun Toplum Ruh Sağlığı Merkezi’ne kayıtlı 640 hasta kaydı geriye dönük olarak değerlendirilmiştir. Araştırma verileri, araştırmacılar tarafından oluşturulan veri toplama formu ile hastane bilgi sistemi üzerinden toplanmıştır. Elde edilen veriler SPSS (Statistical Package for Social Sciences) 22.0 paket programı kullanılarak analiz edilmiştir. Bulgular: Çalışmaya dahil edilen hastaların yaş ortalaması 46.1±11.96,%62.3'ü (n = 399) erkekti. Bipolar bozukluğu olan hastalarda tiroid hastalıkları (p = 0.024) ve gastrointestinal sistem hastalıkları (p = 0.032) şizofreni hastalarına göre anlamlı olarak daha yüksekti. Şizofreni hastalarında çoklu ilaç tedavisi (p = 0.005) ve depo antipsikotik ilaç kullanımı da (p

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“…According to the guidelines, extensive diagnostic tests are not recommended in view of a low pre-test probability of finding a somatic cause [3]. In addition, this policy may serve to reduce financial costs, minimize nonspecific findings, and remove fear for painful diagnostic testing [456]. Despite well-defined guidelines, it is unknown whether pediatricians adhere to the guidelines during daily clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Large Variation in Clinical Practice amongst Pediatricians in Treating Children with Recurrent Abdominal Pain

Kalleveen

Noordhuis

Lasham

et al. 2019

Pediatr Gastroenterol Hepatol Nutr

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Purpose To evaluate intra- and inter-observer variability and guideline adherence amongst pediatricians in treating children aged between 4 and 18 years referred with recurrent abdominal pain (RAP) without red flags. Methods The first part of the study is a retrospective single-center cohort study. The diagnostic work-ups of eight pediatricians were compared to the national guidelines. Intra- and inter-observer variability were examined by Cramer's V test. Intra-observer variability was defined as the amount of variation within a pediatrician and inter-observer variability as the amount of variation between pediatricians in the application of diagnostic work-up in children with RAP. Prospectively, the same pediatricians were requested to provide a report on their management strategy with a fictitious case to prove similarities in retrospective diagnostic work-up. Results A total of 10 patients per pediatrician were analyzed. Retrospectively, a (very) weak association between pediatricians' diagnostic work-ups was found (0.22), which implies high inter-observer variability. The association between intra-observer diagnostic was moderate (range, 0.35–0.46). The Cramer's V of 0.60 in diagnostic work-up between pediatricians in the fictitious case implied the presence of a moderately strong association and lower inter-observer variability than in the retrospective study. Adherence to the guideline was 66.8%. Conclusion We found a high intra- and inter-observer variability and moderate guideline adherence in daily clinical practice amongst pediatricians in treating children with RAP in a teaching hospital.

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How to Deal with Pediatric Functional Gastrointestinal Disorders

Abstract: Pain predominant functional gastrointestinal disorders (FGID) are common in the pediatric population and this review article is meant to explore the diagnostic and therapeutic approaches taking into account the most recent developments in the field.

Cited by 4 publications

References 52 publications

Understanding and treatment of chronic abdominal pain among school nurses: A national survey.

Understanding and treatment of chronic abdominal pain among school nurses: A national survey.

Patients Profile Who Receive Care From Giresun Community Mental Health Center

Large Variation in Clinical Practice amongst Pediatricians in Treating Children with Recurrent Abdominal Pain

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