Recurrent Abdominal Pain in Primary and Tertiary Care: Differences and Similarities

Czyzewski, Danita I.; Eakin, Michelle N.; Lane, Mariella; Jarrett, Monica; Shulman, Robert J.

doi:10.1080/02739610701334970

Cited by 18 publications

(22 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…First, we have reported previously that parents tend to view their child’s psychological distress as greater than what is perceived by the children with FGIDs themselves. 25 Second, consistent with this study, a previous study identified that the majority of parents perceive their children with FGIDs to have food-related symptoms. 26 …”

Section: Discussionsupporting

confidence: 87%

Child and Parent Perceived Food-Induced Gastrointestinal Symptoms and Quality of Life in Children with Functional Gastrointestinal Disorders

Carlson¹,

Moore²,

Tsai³

et al. 2014

Journal of the Academy of Nutrition and Dietetics

Self Cite

View full text Add to dashboard Cite

It is unknown whether children with functional gastrointestinal disorders (FGIDs) identify specific foods that exacerbate their gastrointestinal (GI) symptoms. The objectives of this study were to determine the perceived role of food on GI symptoms and to determine the impact of food-induced symptoms on quality of life (QOL) in children with FGIDs. Between August and November 2010, 25 children ages 11–17 years old with FGIDs and a parent completed a food symptom association questionnaire and validated questionnaires assessing FGID symptoms and QOL. In addition, children completed a 24-hour food recall, participated in focus groups to identify problematic foods and any coping strategies, and discussed how their QOL was affected. Statistical analyses were conducted using chi-squared, t-testing, Mann-Whitney U, Wilcoxon signed-rank, and Spearman’s rho. Children identified a median of 11 (range 2–25) foods as exacerbating a GI symptom, with the most commonly identified foods being spicy foods, cow’s milk, and pizza. Several coping strategies were identified including consuming smaller portions, modifying foods, and avoiding a median of 8 (range 1–20) foods. Children reported that food-induced symptoms interfered with school performance, sports, and social activities. Although the parent’s assessment of their child’s QOL negatively correlated with the number of perceived symptom-inducing foods in their child, this relationship was not found in the children. Findings suggest that specific foods are perceived to exacerbate GI symptoms in children with FGIDs. Moreover, despite use of several coping strategies, food-induced symptoms may adversely impact children’s QOL in several important areas.

show abstract

Section: Discussionsupporting

confidence: 87%

Child and Parent Perceived Food-Induced Gastrointestinal Symptoms and Quality of Life in Children with Functional Gastrointestinal Disorders

Carlson¹,

Moore²,

Tsai³

et al. 2014

Journal of the Academy of Nutrition and Dietetics

Self Cite

View full text Add to dashboard Cite

show abstract

“…33 However, while the role of healthcare provider opinion is unknown, significant differences between parental perception and child complaints have been reported in children with functional GI disorders. 34, 35 Another limitation (given mode of administration of a questionnaire may influence results) is having HC interviewed via phone rather than in person. 36 However differences were minimized by having the same research coordinators administer the food symptom association questionnaire using a standardized protocol.…”

Section: Discussionmentioning

confidence: 99%

Self-Perceived Food Intolerances Are Common and Associated with Clinical Severity in Childhood Irritable Bowel Syndrome

Chumpitazi¹,

Weidler²,

Lu³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

Self Cite

View full text Add to dashboard Cite

Background Adults with irritable bowel syndrome (IBS) frequently identify foods as exacerbating their gastrointestinal (GI) symptoms. In children with IBS the prevalence of perceived food intolerances and their impact are unknown. Objectives To determine the prevalence of self-perceived food intolerances and the relationship of these intolerances to abdominal pain, psychosocial distress, and quality of life in children with IBS. Design Cross-sectional; questionnaire and prospective diary data were collected from 2008–2014 by trained research coordinators. Participants/Setting Children 7–18 years (pediatric Rome III IBS, n=154; age-sex matched healthy children (HC), n=32) in Houston, Texas. Measures Perceived food intolerances and avoided foods were captured using the Childhood Food and Symptom Association Questionnaire. IBS severity was assessed by a ≥7-day Pain Diary and validated psychosocial questionnaires assessing quality of life, somatization, functional disability, depression, and anxiety. Statistical Analyses Performed Descriptive, Spearman bivariate correlation, chi-square, Poisson log-linear generalized model with Wald chi-square statistics. Results A greater proportion of children with IBS (143/154, 92.9%) vs HC (20/32, 62.5%) identified at least one self-perceived food intolerance (χ2=22.5, P<0.001). Children with IBS identified a greater number (median [25=75%]=4[2–6]) of perceived symptom-inducing foods than HC (median=2[0–4]; χ2=28.6,P<0.001). Children with IBS avoided more foods (median=2[1–4]) than HC (median=0 [0–2.75]; χ2=20.8, P<0.001). The number of self-perceived food intolerances was weakly associated (r-value range of −0.17 to 0.21) with pain frequency, pain severity, somatization, anxiety, functional disability, and decreased quality of life. Conclusions Children with IBS have a high prevalence of self-perceived food intolerances; the number of these intolerances is weakly associated with measures of IBS severity.

show abstract

“…An increased tendency toward somatization has been recognized in mothers of children with painFGID (Czyzewski et al, 2007; Van der Veek et al, 2011; Walker and Greene, 1989), suggesting these mothers may be prone to attending to their children’s symptoms. A healthcare provider’s counsel to the parent to pay less attention to their child’s symptoms is likely to be an important component of intervention and requires that the physician be aware of the relation between pain complaints and somatization, not just the relation between pain complaints and anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…Higher somatization is related to increased pain report in healthy children (Rocha et al, 2003), and children with painFGID have higher somatization scores compared to healthy peers and peers with mood and anxiety disorders (Czyzewski et al, 2007; Tsao et al, 2009; Walker et al, 1993). However, less is known about the relation of somatization to pain in within the group of children with painFGIDs.…”

Section: Introductionmentioning

confidence: 99%

Are child anxiety and somatization associated with pain in pain-related functional gastrointestinal disorders?

et al. 2013

View full text Add to dashboard Cite

This study investigated individual and incremental contributions of somatization and trait anxiety to pain report in children with pain-related functional gastrointestinal disorders. Eighty children (7–10 years) with pain-related functional gastrointestinal disorders completed the State-Trait Anxiety Inventory for Children, the Children’s Somatization Inventory, and 2-week pain diaries (assessing pain frequency and maximum pain). Hierarchical regressions indicated that both trait anxiety and somatization were significantly related to maximum pain and pain frequency, with somatization explaining more variance. Trait anxiety did not significantly add to prediction above somatization. Assessment of somatization may assist with treatment planning for children with functional abdominal pain.

show abstract

Recurrent Abdominal Pain in Primary and Tertiary Care: Differences and Similarities

Cited by 18 publications

References 42 publications

Child and Parent Perceived Food-Induced Gastrointestinal Symptoms and Quality of Life in Children with Functional Gastrointestinal Disorders

Child and Parent Perceived Food-Induced Gastrointestinal Symptoms and Quality of Life in Children with Functional Gastrointestinal Disorders

Self-Perceived Food Intolerances Are Common and Associated with Clinical Severity in Childhood Irritable Bowel Syndrome

Are child anxiety and somatization associated with pain in pain-related functional gastrointestinal disorders?

Contact Info

Product

Resources

About