Developing a Clinical Pathway for Somatic Symptom and Related Disorders in Pediatric Hospital Settings
Open accessAbstract
Somatic symptom and related disorders (SSRDs) are commonly encountered in pediatric hospital settings. There is, however, a lack of standardization of care across institutions for youth with these disorders. These patients are diagnostically and psychosocially complex, posing significant challenges for medical and behavioral health care providers. SSRDs are associated with significant health care use, cost to families and hospitals, and risk for iatrogenic interventions and missed diagnoses. With sponsorship from the American Academy of Child and Adolescent Psychiatry and input from multidisciplinary stakeholders, we describe the first attempt to develop a clinical pathway and standardize the care of patients with SSRDs in pediatric hospital settings by a working group of pediatric consultation-liaison psychiatrists from multiple institutions across North America. The authors of the SSRD clinical pathway outline 5 key steps from admission to discharge and include practical, evidence-informed approaches to the assessment and management of children and adolescents who are medically hospitalized with SSRDs.
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The importance of a thorough assessment and psychoeducation has been highlighted as an essential first step in management of FSS both in adults and youth.
“The importance of a thorough assessment and psychoeducation has been highlighted as an essential first step in management of FSS both in adults and youth [8, 84, 85].”
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 [85]
In the Discussion (“Key Themes in the SSRD CP”), the pathway begins with interdisciplinary physical and mental health assessment and emphasizes explaining the condition to pediatric patients and families. It also recommends an educational family meeting after diagnostic assessment. The paper addresses pediatric hospital care, not management in adults, so it does not support the claim’s adult component. (LLM, conf=0.86)
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Self-citationChildren and adolescents hospitalized for somatic symptoms: a retrospective cohort studyPreprint
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- Authors
- Ibeziako, P., Brahmbhatt, K., Chapman, A., De Souza, C., Giles, L., Gooden, S., Latif, F., Malas, N., Namerow, L., Russell, R., Steinbuchel, P., Pao, M., & Plioplys, S.
- Affiliations
- Boston Children's Hospital (US)
- University of California, San Francisco (US)
- University of British Columbia (CA)
- Department of Psychiatry, The Hospital for Sick Children and University of Toronto, Toronto, Canada;
- Primary Children's Hospital (US)
- Children's National (US)
- Michigan Medicine (US)
- University of Connecticut (US)
- Montreal Children's Hospital (CA)
- National Institutes of Health (US)
- Northwestern University (US)
- Corresponding author
- Ibeziako, Patricia
- ORCID
- Venue
- Hospital Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2019-03-01
- Volume
- 9
- Issue
- 3
- Pages
- 147-155
- ISSN
- 2154-1663 (ISSN-L)
- 2154-1671
- PMC
- PMC11034856
- OpenAlex
- W2917934466
- Cited by
- 75
- References
- 37
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 4 · 2023: 9 · 2022: 9 · 2021: 9 · 2020: 24 · 2019: 2
- FWCI
- 8.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Hospital Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- American Academy of Child and Adolescent Psychiatry
- National Institutes of Health
- National Institute of Mental Health (ZIAMH002922)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- somatic symptom and related disorders, care pathways, pediatric hospitalization, psychosomatic medicine, standardization of care, hospitalized children and adolescents, missed diagnosis
- MeSH terms
- Medically Unexplained Symptoms, Child, Hospitals, Pediatric, Humans, Patient Care Team, Referral and Consultation, Models, Organizational, Critical Pathways
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