Variations in Psychological Profile Among Children with Recurrent Abdominal Pain

Springer Science and Business Media LLC - Tập 15 - Trang 241-251 - 2008
Jennifer Verrill Schurman1, Caroline Elder Danda2,3, Craig A. Friesen4, Paul E. Hyman2,5, Stephen D. Simon6, Jose T. Cocjin2,4
1Section of Developmental & Behavioral Pediatrics, The Children’s Mercy Hospital, Kansas City, USA
2Department of Pediatrics, The University of Kansas Medical Center, Kansas City, USA
3Kansas City Center for Anxiety Treatment, Overland Park, USA
4Section of Gastroenterology, The Children’s Mercy Hospital, Kansas City, USA
5The Children’s Hospital of New Orleans, New Orleans, USA
6Section of Medical Research, The Children’s Mercy Hospital, Kansas City, USA

Tóm tắt

This study was designed to determine whether distinct subgroups of children with recurrent abdominal pain (RAP) could be identified based on patterns of psychological functioning. Two hundred and eighty-three children (ages 8–17 years), and a primary caretaker, completed the Behavior Assessment System for Children (BASC) during the initial evaluation of RAP at a pediatric gastroenterology clinic. Cluster analysis of BASC scores supported a 3-cluster solution, with fair agreement observed between parents and children on cluster assignment. Approximately half of the sample identified no significant psychological problems. A small percentage (13%) evidenced intense and broad-based psychological problems, while the remainder (35–45%) indicated relative elevations in anxiety only. Cluster membership did not vary systematically by age, gender, race, or functional gastrointestinal disorder diagnosis. Distinct psychological profiles appear to exist for children with RAP. Targeting treatments to these profiles may improve the effectiveness and efficiency with which health professionals address pediatric abdominal pain.

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Springer Science and Business Media LLC

Tập 15

241-251

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