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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Additional file 4 of Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
Isoldi, S., Nardo, G. D., Mallardo, S., Parisi, P., Raucci, U., Tambucci, R., Quitadamo, P., Salvatore, S., Felici, E., Cisarò, F., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20745453
Additional file 2 of Effect of cognitive-behavior therapy for children with functional abdominal pain: a meta-analysis
Huang, X., Jia, N., Zhang, Y., Hao, Y., Xiao, F., Sun, C., 崔小岱, & Wang, F. (2024) · Figshare · doi:10.6084/m9.figshare.25139657
Additional file 3 of Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
Isoldi, S., Nardo, G. D., Mallardo, S., Parisi, P., Raucci, U., Tambucci, R., Quitadamo, P., Salvatore, S., Felici, E., Cisarò, F., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20745450
Additional file 1 of Protocol for a randomized controlled trial of an internet-based prevention intervention for young children at-risk for functional abdominal pain
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
Additional file 6 of Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
Isoldi, S., Nardo, G. D., Mallardo, S., Parisi, P., Raucci, U., Tambucci, R., Quitadamo, P., Salvatore, S., Felici, E., Cisarò, F., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20745459
Additional file 1 of Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
Isoldi, S., Nardo, G. D., Mallardo, S., Parisi, P., Raucci, U., Tambucci, R., Quitadamo, P., Salvatore, S., Felici, E., Cisarò, F., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20745444
Additional file 4 of Effect of cognitive-behavior therapy for children with functional abdominal pain: a meta-analysis
Huang, X., Jia, N., Zhang, Y., Hao, Y., Xiao, F., Sun, C., 崔小岱, & Wang, F. (2024) · Figshare · doi:10.6084/m9.figshare.26676707
Additional file 3 of Effect of cognitive-behavior therapy for children with functional abdominal pain: a meta-analysis
Huang, X., Jia, N., Zhang, Y., Hao, Y., Xiao, F., Sun, C., 崔小岱, & Wang, F. (2024) · Figshare · doi:10.6084/m9.figshare.26676704
Additional file 1 of Effect of cognitive-behavior therapy for children with functional abdominal pain: a meta-analysis
Huang, X., Jia, N., Zhang, Y., Hao, Y., Xiao, F., Sun, C., 崔小岱, & Wang, F. (2024) · Figshare · doi:10.6084/m9.figshare.25139595
Additional file 8 of Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
Isoldi, S., Nardo, G. D., Mallardo, S., Parisi, P., Raucci, U., Tambucci, R., Quitadamo, P., Salvatore, S., Felici, E., Cisarò, F., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20745465
Additional file 7 of Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
Isoldi, S., Nardo, G. D., Mallardo, S., Parisi, P., Raucci, U., Tambucci, R., Quitadamo, P., Salvatore, S., Felici, E., Cisarò, F., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20745462
Additional file 2 of Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
Isoldi, S., Nardo, G. D., Mallardo, S., Parisi, P., Raucci, U., Tambucci, R., Quitadamo, P., Salvatore, S., Felici, E., Cisarò, F., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20745447
Additional file 5 of Cyclic vomiting syndrome in children: a nationwide survey of current practice on behalf of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP) and Italian Society of Pediatric Neurology (SINP)
Isoldi, S., Nardo, G. D., Mallardo, S., Parisi, P., Raucci, U., Tambucci, R., Quitadamo, P., Salvatore, S., Felici, E., Cisarò, F., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20745456
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A stacking machine learning model for identifying comorbid anxiety disorder in children and adolescents with functional abdominal pain disorders
Wu, W., Ye, Q., Lin, X., Li, S., Wang, S., & 刘晓燕 (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1904174

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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