Anxiety and somatic complaints in children with recurrent abdominal pain and anxiety disorders
Open accessAbstract
OBJECTIVE: To compare anxiety symptoms and disorders in children and adolescents with recurrent abdominal pain (RAP), anxiety disorders, and healthy control children. METHODS: Twenty-one children with RAP (nine males, mean age = 11.05) were compared to 21 children with anxiety disorders (11 males, mean age = 12.29), and 21 children without pain or anxiety (nine males, mean age = 11.57) using diagnostic interviews and continuous measures of anxiety and other internalizing symptoms. RESULTS: Sixty-seven percent of children with RAP met criteria for an anxiety disorder. Children with RAP were higher than well children but not significantly different from children with anxiety on total internalizing and anxiety symptoms. CONCLUSIONS: RAP and anxiety are closely related. Further understanding between these disorders is essential to understanding the development and progression of RAP, and to inform the prevention and treatment of the disorder.
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The etiology of functional gastrointestinal disorders is probably multifactorial, involving both physiological and psychosocial factors and their interplay.
“The cause of FGIDs is likely multifactorial, including physiological and psychosocial factors and their interactions.”
From Provider Communication Regarding Psychosocial Factors Predicts Pain Beliefs in Parent and Child (2016) · cites this paper as [2]
The Discussion (page unavailable) recommends a biopsychosocial approach for children with recurrent abdominal pain and says psychosocial concerns may contribute to its exacerbation or maintenance. A passage labeled Abstract (page unavailable) describes possible psychophysiological contributions and reciprocal effects of pain and anxiety. The paper does not establish a multifactorial cause for functional gastrointestinal disorders generally; its discussion is limited to recurrent abdominal pain in children. (LLM, conf=0.84)
Experimental — accuracy not yet measuredParents in this study endorsed child anxiety symptoms and psychosocial causes of abdominal pain less frequently than previously reported.
“Parents in the present study endorsed symptoms of child anxiety and psychosocial causes of abdominal pain less frequently than previously reported.2,14”
From Provider Communication Regarding Psychosocial Factors Predicts Pain Beliefs in Parent and Child (2016) · cites this paper as [2]
The Discussion reports that parents of children with recurrent abdominal pain rated their children higher on anxiety measures than parents of well children, supporting this paper as a prior report of parent-endorsed anxiety symptoms. It does not report how frequently parents endorsed psychosocial causes of abdominal pain. The comparison with the citing authors’ present study is their own finding, not something this source could establish. (LLM, conf=0.82)
Experimental — accuracy not yet measuredChildren with functional gastrointestinal disorders frequently experience psychosocial difficulties; some studies estimate anxiety disorder rates in this group as high as 65% to 85%, compared to under 10% in community samples.
“Children with FGIDs have high rates of psychosocial difficulties, with some studies estimating the rate of anxiety disorders in this patient population to be as high as 65% to 85%2,3 as compared to less than 10% in community samples.4”
From Provider Communication Regarding Psychosocial Factors Predicts Pain Beliefs in Parent and Child (2016) · cites this paper as [2]
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- Authors
- Dufton, L. M., Dunn, M. J., & Compas, B. E.
- Affiliations
- Vanderbilt University (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-06-24
- Volume
- 34
- Issue
- 2
- Pages
- 176-186
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC2645470
- OpenAlex
- W2144037011
- Cited by
- 151
- References
- 46
- Citations by year
- 2025: 4 · 2024: 9 · 2023: 2 · 2022: 6 · 2021: 5 · 2020: 7 · 2019: 8 · 2018: 9 · 2017: 9 · 2016: 10 · 2015: 11 · 2014: 19 · 2013: 11 · 2012: 19
- FWCI
- 6.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (F31MH073209)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- recurrent abdominal pain, anxiety disorders, somatic symptoms, internalizing problems, children, adolescents, comorbidities, pediatric pain
- MeSH terms
- Adolescent, Anxiety Disorders, Child, Female, Humans, Male, Surveys and Questionnaires, Recurrence, Severity of Illness Index, Somatoform Disorders, Abdominal Pain
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