Cited by 272Gastrointestinal motility and disordersPsychosomatic Disorders and Their TreatmentsChild and Adolescent Psychosocial and Emotional Development

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Functional Abdominal Pain in Childhood and Long-term Vulnerability to Anxiety Disorders

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Shelby, Grace D., Shirkey, Kezia C., Sherman, Amanda L., Beck, Joy E., Haman, Kirsten, Shears, Angela R., Horst, Sara N., Smith, Craig A., Garber, Judy, Walker, Lynn S.·2013·Pediatrics

DOI 10.1542/peds.2012-2191PMC PMC3876748

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Abstract

BACKGROUND: Cross-sectional studies link functional abdominal pain (FAP) to anxiety and depression in childhood, but no prospective study has evaluated psychiatric status in adulthood or its relation to pain persistence. METHODS: Pediatric patients with FAP (n = 332) and control subjects (n = 147) were tracked prospectively and evaluated for psychiatric disorders and functional gastrointestinal disorders (FGIDs) at follow-up in adolescence and young adulthood (mean age = 20.01 years). Participants were classified according to presence (FGID-POS) or absence (FGID-NEG) of FGIDs at follow-up. RESULTS: Lifetime and current risk of anxiety disorders was higher in FAP than controls (lifetime: 51% vs 20%; current: 30% vs 12%). Controlling for gender and age, the odds ratio was 4.9 (confidence interval = 2.83–7.43) for lifetime anxiety disorder and 3.57 (confidence interval = 2.00–6.36) for current anxiety disorder at follow-up for FAP versus controls. Lifetime risk of depressive disorder was significantly higher in FAP versus controls (40% vs. 16%); current risk did not differ. In most cases, initial onset of anxiety disorders was before pediatric FAP evaluation; onset of depressive disorders was subsequent to FAP evaluation. Within the FAP group, risk of current anxiety disorders at follow-up was significantly higher for FGID-POS versus FGID-NEG (40% vs 24%), and both were higher than controls (12%); current depressive disorders did not differ across FGID-POS, FGID-NEG, and controls. CONCLUSIONS: Patients with FAP carry long-term vulnerability to anxiety that begins in childhood and persists into late adolescence and early adulthood, even if abdominal pain resolves.

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Authors: Shelby, G. D., Shirkey, K. C., Sherman, A. L., Beck, J. E., Haman, K., Shears, A. R., Horst, S. N., Smith, C. A., Garber, J., & Walker, L. S.
Affiliations: Vanderbilt University (US)
Departments of Pediatrics,
Medicine, and
ORCID: Shirkey, Kezia C.
Horst, Sara N.
Smith, Craig A.
Garber, Judy
Walker, Lynn S.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2013-09-01
Volume: 132
Issue: 3
Pages: 475-482
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2012-2191
PMC: PMC3876748
OpenAlex: W2136729608
Cited by: 272
References: 53
Citations by year: 2026: 11 · 2025: 20 · 2024: 25 · 2023: 20 · 2022: 26 · 2021: 33 · 2020: 24 · 2019: 28 · 2018: 12 · 2017: 17 · 2016: 20 · 2015: 19 · 2014: 14 · 2013: 3
FWCI: 17.61
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: PEDIATRICS (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (T32MH018921)
National Institute of Diabetes and Digestive and Kidney Diseases (P30DK058404)
National Center for Research Resources (UL1RR024975)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD015052, R01HD023264)
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: functional abdominal pain, anxiety disorders, depressive disorders, functional gastrointestinal disorders, childhood, pain persistence
MeSH terms: Adolescent, Anxiety Disorders, Mental Disorders, Child, Chronic Disease, Depressive Disorder, Female, Follow-Up Studies, Gastrointestinal Diseases, Humans, Interview, Psychological, Male, Prospective Studies, Recurrence, Risk, Somatoform Disorders, Tennessee, Abdominal Pain

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Functional Abdominal Pain in Childhood and Long-term Vulnerability to Anxiety Disorders

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