Functional disability in adolescents and young adults with symptoms of irritable bowel syndrome: the role of academic, social, and athletic competence
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OBJECTIVE: To examine perceived academic, social, and athletic competence as potential moderators of the relation between symptoms of irritable bowel syndrome (IBS) and functional disability in adolescents and young adults with a history of recurrent abdominal pain (RAP). METHODS: We assessed IBS symptoms, competence, and disability by telephone interview in RAP patients five years following their medical evaluation. RESULTS: For both male and female subjects, the relation between symptoms and disability was stronger at lower levels of perceived academic competence. Furthermore, among females, the relation between symptoms and disability was stronger at lower levels of perceived social competence; among males, the relation was stronger at lower levels of perceived athletic competence. CONCLUSIONS: Perceived competence moderated the relation between IBS symptoms and functional disability. Interventions designed to enhance patient competence in various roles may be useful in reducing disability among adolescents and young adults with symptoms of IBS.
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Beyond school absence, chronic pain also appears to affect school performance and children's sense of academic competence.
“Beyond school absence, chronic pain also appears to affect school performance (5) and children's sense of academic competence (7).”
From Ecological system influences in the treatment of pediatric chronic pain (2012) · cites this paper as [7]
Citation (7) is attached to children's sense of academic competence, not school performance. The Discussion (page not provided) suggests that pain-related limitations may lead to lower perceived academic competence, but presents this as an alternative explanation, not a demonstrated effect. The study examined adolescents and young adults with IBS symptoms, rather than children with chronic pain generally. (LLM, conf=0.83)
Experimental — accuracy not yet measuredTeachers and other school personnel frequently struggle to understand and respond to pain problems in the school setting.
“Teachers and other school personnel frequently struggle to understand and respond to pain problems in the school setting (7).”
From Ecological system influences in the treatment of pediatric chronic pain (2012) · cites this paper as [7]
The Participants and Discussion passages address patients’ academic competence and pain-related disability, not how teachers or other school personnel understand or respond to pain. Searches for teachers, school personnel, and responses to pain in school found no passage addressing the claim. (LLM, conf=0.74)
Experimental — accuracy not yet measured
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Self-citationChanges in pain self-efficacy and functional self-efficacy from childhood to young adulthood
Shirkey, K. C. (2011) · Cited by 2 · see citing works
Lesion network localization of functional and somatic symptomsPreprint
Milano, B. A., Palm, S. T., Burke, M. J., Drew, W., Kletenik, I., Pines, A. R., Corbetta, M., Grafman, J. H., Downar, J. H., & Siddiqi, S. (2025) · medRxiv · doi:10.1101/2025.03.06.25323494 · Cited by 2 · see citing works
O’Higgins, S., Doherty, E., Gabhainn, S. N., Murphy, A. W., Hogan, M., O’Neill, C., & McGuire, B. E. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-007426 · Cited by 1 · see citing works
Levy, R. L., Murphy, T., van Tilburg, M. A. L., Kuklinski, M. R., Bailey, J. A., Aalfs, H., Badillo, I., Diakhate, H., & Palermo, T. M. (2024) · Trials · doi:10.1186/s13063-024-08371-8 · Cited by 3 · see citing works
Treating Pediatric Chronic Pain in Schools: A Primer for School Psychologists
Jones, P., & Salamon, K. S. (2019) · Journal of Applied School Psychology · doi:10.1080/15377903.2019.1619646 · Cited by 1 · see citing works
A psychosocial perspective on pediatric functional abdominal pain: risk factors and treatment
van der Veek, S. (2012) · UvA-DARE (University of Amsterdam)
Baber, K. F. (2008) · Europe PMC (PubMed Central)
The Relationship between Childhood Onset Illness and Social Development
Woodling, C. M. (2019) · InSPIRe@Redlands (University of Redlands)
Schurman, J. V., Deacy, A. D., & Friesen, C. A. (2021) · doi:10.1093/med/9780198818762.003.0030
Schurman, J. V., Deacy, A. D., & Friesen, C. A. (2021) · doi:10.1093/med/9780198818762.003.0030_update_001
Levy, R. L., Murphy, T., van Tilburg, M. A. L., Kuklinski, M. R., Bailey, J. A., Aalfs, H., Badillo, I., Diakhate, H., & Palermo, T. M. (2024) · Figshare · doi:10.6084/m9.figshare.26785967
Impact of Early‐Onset IBS on Schooling, Illness in Adulthood, and Career Prospects
Wuestenberghs, F., Jouët, P., Piche, T., Mion, F., Raynaud, J.-J., Melchior, C., Zerbib, F., Macaigne, G., Iglicki, F., Facon, S., et al. (2026) · Neurogastroenterology & Motility · doi:10.1111/nmo.70308
- Authors
- Claar, R.
- Affiliations
- Vanderbilt University (US)
- Corresponding author
- Claar, R.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 1999-06-01
- Volume
- 24
- Issue
- 3
- Pages
- 271-280
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC8118658
- OpenAlex
- W2113349458
- Cited by
- 82
- References
- 29
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 1 · 2016: 6 · 2015: 1 · 2014: 2 · 2013: 4 · 2012: 6
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD023264, HD23264)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- irritable bowel syndrome, functional disability, adolescents, young adults, recurrent abdominal pain, perceived academic competence, perceived social competence, sex differences
- MeSH terms
- Adolescent, Adult, Child, Colonic Diseases, Functional, Female, Follow-Up Studies, Humans, Male, Regression Analysis, Self-Assessment, Sick Role, Cost of Illness
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