Recurrent abdominal pain: A five-year follow-up study

Størdal, Ketil; Nygaard, Egil; Bentsen, Beint S.

doi:10.1080/08035250410025104

Cited by 63 publications

(46 citation statements)

References 11 publications

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“…Longitudinal follow-up studies found that for a significant portion (25%–45%), pain symptoms persist 5 years later (18,19). Furthermore, some develop additional pain conditions such as headaches (19) or other somatic complaints (18).…”

Section: Outcomes Of Fapmentioning

confidence: 99%

Importance of Addressing Anxiety in Youth With Functional Abdominal Pain

Cunningham

Lynch-Jordan²,

Mezoff³

et al. 2013

J. pediatr. gastroenterol. nutr.

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Functional abdominal pain (FAP) is a common pediatric disorder associated with impairment in functioning that may persist for the long term. Anxiety is common in youth with FAP, and may be an important factor in predicting youth who are at greatest risk for increased impairment because of pain symptoms. In this article, we examine the relation between anxiety and impairment in youth with FAP. Furthermore, we explore various biopsychosocial factors (eg, neurobiological substrates, coping strategies, social factors) that may be implicated in the relation among FAP, anxiety, and increased impairment. Finally, we propose physician guidelines for screening and treatment of youth with FAP and co-occurring anxiety. Youth with FAP and co-occurring anxiety may benefit from cognitive-behavioral therapy in the context of multidisciplinary care.

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Section: Outcomes Of Fapmentioning

confidence: 99%

Importance of Addressing Anxiety in Youth With Functional Abdominal Pain

Cunningham

Lynch-Jordan²,

Mezoff³

et al. 2013

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

show abstract

“…They scored significantly higher on hypochondriacal beliefs, showed a greater perceived susceptibility to functional disability by pain and other physical symptoms, and were more likely to report current treatment with psychoactive medication [23]. Conversely, in a study of Stordal et al [29], no differences in pain history, associated symptoms, atopy in the child or the family, laboratory findings and family history between those who continue to suffer from abdominal pain 5 years after initial evaluation and those who do not were found.…”

Section: Introductionmentioning

confidence: 99%

Functional Abdominal Pain in Childhood: From Etiology to Maladaptation

Schulte

Petermann

Noeker

2009

Psychother Psychosom

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Objective: To review the extant literature on functional abdominal pain in childhood through the lens of the developmental psychopathology perspective and to systematize research results by means of a two-stage pathway model in which the emergence of functional abdominal pain and its potential transition into a somatoform adjustment disorder is outlined. Methods: Using electronic searches for published studies and previous reviews about functional abdominal pain. Results: An association of functional abdominal pain with internalizing symptoms, poor well-being of family members, major life events and daily stressors is found. The impact of stress on pain seems to be moderated by the children’s coping style and their perceived competence and self-efficacy to manage the pain experience. There is evidence for the influence of modeling and operant mechanisms on pain experiences. A new term, ‘somatoform adjustment disorder’, and its relation to functional abdominal pain is discussed. Conclusions: It seems that those children with functional abdominal pain who cannot adapt to the pain indeed run the risk of developing a somatoform adjustment disorder.

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“…Children with chronic pain may experience significant impairment, including increased healthcare utilization (3, 4), academic difficulties and social problems (3). For a large number of youth with chronic pain, symptoms persist for five years or longer (5-7). Cognitive behavioral therapy (CBT) focused on pain coping skills training is known to improve outcomes for youth with chronic pain in research trials (8-10) and in clinical settings (11, 12).…”

mentioning

confidence: 99%

Anxiety Adversely Impacts Response to Cognitive Behavioral Therapy in Children with Chronic Pain

Cunningham

Jagpal

Tran

et al. 2016

The Journal of Pediatrics

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Objective To evaluate whether clinical anxiety in children presenting to a pediatric pain management center is associated with a poorer treatment response for those who completed pain-focused cognitive behavioral therapy (CBT). Study design The total sample consisted of 175 children, 40 of whom completed CBT for chronic pain. The Screen for Anxiety Related Emotional Disorders (SCARED) was completed at initial evaluation and outcome measures (average pain intensity and the Functional Disability Inventory [FDI]) were collected during the initial evaluation and at the end of CBT. Group differences in outcomes were examined following CBT. The role of anxiety in CBT initiation and completion was also explored. Results Presence of clinical anxiety was associated with greater initiation and/or completion of pain-focused CBT but also a poorer treatment response. Specifically, the group with subclinical anxiety exhibited a substantial reduction in pain intensity, and the group with clinical anxiety exhibited a more limited response to treatment (F (1, 36) = 13.68 p < 0.01). A similar effect was observed for FDI, such that the group with clinical anxiety had a significantly smaller response to treatment (F (1, 38) = 4.33 p < 0.05). The differences in pain and disability between groups following CBT suggest moderate effects (Cohen’s d = 0.77 and 0.78, respectively). Conclusions Although youth with clinical anxiety are more likely to start and/or complete pain-focused CBT, anxiety has an adverse impact on CBT treatment response in children with chronic pain. Identification of patients with anxiety and use of tailored behavioral interventions may improve clinical outcomes.

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Recurrent abdominal pain: A five-year follow-up study

Cited by 63 publications

References 11 publications

Importance of Addressing Anxiety in Youth With Functional Abdominal Pain

Importance of Addressing Anxiety in Youth With Functional Abdominal Pain

Functional Abdominal Pain in Childhood: From Etiology to Maladaptation

Anxiety Adversely Impacts Response to Cognitive Behavioral Therapy in Children with Chronic Pain

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