Cited by 133Gastrointestinal motility and disordersPsychosomatic Disorders and Their TreatmentsPediatric Pain Management Techniques

Predicting Persistence of Functional Abdominal Pain From Childhood Into Young Adulthood

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Horst, Sara, Shelby, Grace, Anderson, Julia, Acra, Sari, Polk, D. Brent, Saville, Benjamin R., Garber, Judy, Walker, Lynn S.·2014·Clinical Gastroenterology and Hepatology

Abstract

Background & aims Pediatric functional abdominal pain has been linked to functional gastrointestinal disorders (FGIDs) in adulthood, but little is known about patient characteristics in childhood that increase the risk for FGID in young adulthood. We investigated the contribution of gastrointestinal symptoms, extraintestinal somatic symptoms, and depressive symptoms in pediatric patients with functional abdominal pain and whether these predicted FGIDs later in life.Methods In a longitudinal study, consecutive new pediatric patients, diagnosed with functional abdominal pain in a subspecialty clinic, completed a comprehensive baseline evaluation of the severity of their physical and emotional symptoms. They were contacted 5 to 15 years later and evaluated, based on Rome III symptom criteria, for abdominal pain-related FGIDs, including irritable bowel syndrome, functional dyspepsia, functional abdominal pain syndrome, and abdominal migraine. Controlling for age, sex, baseline severity of abdominal pain, and time to follow-up evaluation, multivariable logistic regression was used to evaluate the association of baseline gastrointestinal, extraintestinal somatic, and depressive symptoms in childhood with FGID in adolescence and young adulthood.Results Of 392 patients interviewed an average of 9.2 years after their initial evaluation, 41% (n = 162) met symptom criteria for FGID; most met the criteria for irritable bowel syndrome. Extraintestinal somatic and depressive symptoms at the initial pediatric evaluation were significant predictors of FGID later in life, after controlling for initial levels of GI symptoms. Age, sex, and abdominal pain severity at initial presentation were not significant predictors of FGID later in life.Conclusions In pediatric patients with functional abdominal pain, assessment of extraintestinal and depressive symptoms may be useful in identifying those at risk for FGID in adolescence and young adulthood.

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Crossref · 10.1016/j.cgh.2014.03.034

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  • FSS symptoms frequently sustain into adulthood, carrying a significant risk of long-term impairment, reduced probability of obtaining higher education and high use of health care costs.

    “Frequently, symptoms sustain into adulthood, carrying a significant risk of long-term impairment, reduced probability of obtaining a higher education and a high use of health care costs [9–13].”

    From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [10]

    The Discussion (page unavailable) reports that 41% of patients with pediatric functional abdominal pain met criteria for a functional gastrointestinal disorder at follow-up in adolescence or young adulthood, supporting symptom persistence in this specific group. The paper does not establish persistence across FSS generally, or report the claimed long-term impairment, reduced likelihood of higher education, or high health-care costs. (LLM, conf=0.88)

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  • A substantial proportion of adolescents with FSS show continuity of functional symptoms into adulthood.

    “A substantial proportion show continuity of functional symptoms into adulthood9–11”

    From Comparing group-based acceptance and commitment therapy (ACT) with enhanced usual care for adolescents with functional somatic syndromes: A study protocol for a randomised trial (2016) · cites this paper as [10]

    The Discussion reports that a large proportion of patients with pediatric functional abdominal pain still had frequent abdominal pain at follow-up in adolescence and young adulthood; the Abstract Results specify that 41% met criteria for a functional gastrointestinal disorder. This supports continuity for pediatric functional abdominal pain, but does not establish the same pattern for adolescents with functional somatic symptoms generally. (LLM, conf=0.85)

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Research works printed but not linked: 1

  1. [32]Walker LS Garber J Greene JW Somatization symptoms in pediatric abdominal pain patients: relation to chronicity of abdoinal pain and parent somatizaiton J Abnorm Child Psychol 2001 19 379 394 1757708

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Authors
Horst, S., Shelby, G., Anderson, J., Acra, S., Polk, D. B., Saville, B. R., Garber, J., & Walker, L. S.
Affiliations
  • Vanderbilt University Medical Center (US)
  • Vanderbilt University (US)
  • Monroe Carell Jr. Children's Hospital (US)
  • University of Southern California (US)
Corresponding author
Walker, Lynn S.
Venue
Clinical Gastroenterology and Hepatology
Publisher
Elsevier BV
Published
2014-12
Volume
12
Issue
12
Pages
2026-2032
ISSN
1542-3565 (ISSN-L)
OpenAlex
W2135236679
Cited by
133
References
47
Citations by year
2026: 5 · 2025: 11 · 2024: 12 · 2023: 11 · 2022: 14 · 2021: 12 · 2020: 18 · 2019: 10 · 2018: 10 · 2017: 10 · 2016: 9 · 2015: 9 · 2014: 2
FWCI
10.02
Type
journal article
Language
en
Open access
Locations
  • Clinical Gastroenterology and Hepatology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (UL1TR000445)
  • National Institute of Mental Health (T32MH018921)
  • National Institute of Diabetes and Digestive and Kidney Diseases (DK058404, P30DK058404)
  • National Center for Research Resources (UL1RR024975)
  • National Center for Advancing Translational Sciences
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD015052, P30 HD-15052, R01 HD 23264, R01HD023264)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
functional abdominal pain, functional gastrointestinal disorders, pediatric patients, irritable bowel syndrome, functional dyspepsia, abdominal migraine, depressive symptoms, risk prediction, early adulthood, adolescence
MeSH terms
Adolescent, Child, Depression, Female, Gastrointestinal Diseases, Humans, Longitudinal Studies, Male, Prognosis, Abdominal Pain, Comorbidity, Young Adult

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