Importance of Addressing Anxiety in Youth With Functional Abdominal Pain: Suggested Guidelines for Physicians
Open accessAbstract
Functional abdominal pain (FAP) is a common pediatric disorder associated with impairment in functioning that may persist for the long term. Anxiety is common in youth with FAP, and may be an important factor in predicting youth who are at greatest risk for increased impairment because of pain symptoms. In this article, we examine the relation between anxiety and impairment in youth with FAP. Furthermore, we explore various biopsychosocial factors (eg, neurobiological substrates, coping strategies, social factors) that may be implicated in the relation among FAP, anxiety, and increased impairment. Finally, we propose physician guidelines for screening and treatment of youth with FAP and co-occurring anxiety. Youth with FAP and co-occurring anxiety may benefit from cognitive-behavioral therapy in the context of multidisciplinary care.
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The co-occurrence of chronic pain and psychiatric concerns is likely bidirectional.
“and the co-occurrence is likely bidirectional in nature. In other words, psychological symptoms could potentially be a contributing factor and an outcome of having chronic pain [33,113].”
From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [33]
The Co-Occurrence of Anxiety and FAP section reports both that anxiety may predict persistent functional abdominal pain and that youth may develop anxiety after pain onset. This supports a potentially two-way relationship, but the paper says the timing has not been thoroughly investigated; its evidence concerns anxiety and functional abdominal pain in youth, not chronic pain and psychiatric concerns generally. (LLM, conf=0.85)
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References 68 · Cited by 39
Research works printed but not linked: 2
- [21]Diagnostic and Statistical Manual of Mental Disorders IV-TR Washington, DC American Psychiatric Press 2002
- [29]Lydiard RB Irritable bowel syndrome, anxiety, and depression: what are the links? J Clin Psychiat 2001 62 38 45 12108820
- Authors
- Cunningham, N. R., Lynch‐Jordan, A., Mezoff, A. G., Farrell, M. K., Cohen, M. B., & Kashikar‐Zuck, S.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center Cincinnati OH
- Corresponding author
- Cunningham, Natoshia R.
- Kashikar‐Zuck, Susmita
- Venue
- Journal of Pediatric Gastroenterology and Nutrition
- Publisher
- Wiley
- Published
- 2013-05
- Volume
- 56
- Issue
- 5
- Pages
- 469-474
- ISSN
- 0277-2116 (ISSN-L)
- 1536-4801
- PMC
- PMC4476243
- OpenAlex
- W2006882334
- Cited by
- 39
- References
- 68
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 5 · 2018: 2 · 2017: 3 · 2016: 7 · 2015: 3 · 2014: 5 · 2012: 2
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Pediatric Gastroenterology and Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (K24AR056687)
- 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, anxiety, pediatric chronic pain, functional disability, biopsychosocial factors, coping strategies, neural correlates, social factors, cognitive behavioral therapy, multidisciplinary care
- MeSH terms
- Anxiety, Anxiety Disorders, Humans, Abdominal Pain, Cognitive Behavioral Therapy, Parenting, Practice Guidelines as Topic
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