Center of Clinical Psychology and Rehabilitation Psychology, University of Bremen, Bremen, Germany.
Psychother Psychosom. 2010;79(2):73-86. doi: 10.1159/000270915. Epub 2009 Dec 24.
To review the extant literature on functional abdominal pain in childhood through the lens of the developmental psychopathology perspective and to systematize research results by means of a two-stage pathway model in which the emergence of functional abdominal pain and its potential transition into a somatoform adjustment disorder is outlined.
Using electronic searches for published studies and previous reviews about functional abdominal pain.
An association of functional abdominal pain with internalizing symptoms, poor well-being of family members, major life events and daily stressors is found. The impact of stress on pain seems to be moderated by the children's coping style and their perceived competence and self-efficacy to manage the pain experience. There is evidence for the influence of modeling and operant mechanisms on pain experiences. A new term, 'somatoform adjustment disorder', and its relation to functional abdominal pain is discussed.
It seems that those children with functional abdominal pain who cannot adapt to the pain indeed run the risk of developing a somatoform adjustment disorder.
通过发展心理病理学的视角来回顾儿童功能性腹痛的现有文献，并通过一个两阶段路径模型系统地总结研究结果，该模型概述了功能性腹痛的出现及其潜在转变为躯体形式障碍的过程。
使用电子搜索已发表的关于功能性腹痛的研究和综述。
功能性腹痛与内化症状、家庭成员的健康状况不佳、重大生活事件和日常压力源有关。压力对疼痛的影响似乎受到儿童应对方式以及他们对管理疼痛体验的能力和自我效能感的调节。有证据表明，对疼痛体验的影响受到模仿和操作性机制的影响。讨论了一个新术语，“躯体形式障碍”及其与功能性腹痛的关系。
似乎那些无法适应疼痛的功能性腹痛儿童确实有发展成躯体形式障碍的风险。
