Oki Junichi
Department of Pediatrics, Asahikawa Kosei Hospital.
Nihon Rinsho. 2010 Jan;68(1):97-102.
According to the analysis in pediatrics, 5.8% of children aged equal or more than 3 years attended pediatric outpatient clinics had psychosomatic problems. The logistic regression analysis demonstrated that children with psychosomatic problems had complained more chronic fatigue (odds ratio: 2.55), headache (2.42) and recurrent abdominal pain(2.03) in comparison with controls. The other study showed many children with school phobia had trouble with class mates and complained somatoform disorders. Working with somatizing patients and their parents can be frustrating the pediatrician, and comorbid psychiatric disorders are common in these patients. To get good carryover, the psychiatric consult is needed if they have suffered from major depressive disorder, and other anxiety disorders.
根据儿科学分析，在3岁及以上到儿科门诊就诊的儿童中，5.8%有身心问题。逻辑回归分析表明，与对照组相比，有身心问题的儿童更多地抱怨长期疲劳（优势比：2.55）、头痛（2.42）和反复腹痛（2.03）。另一项研究表明，许多有学校恐惧症的儿童与同学相处有困难，并抱怨有躯体形式障碍。治疗有躯体症状的患者及其父母可能会让儿科医生感到沮丧，而且这些患者中常见共病精神障碍。为了取得良好的后续效果，如果患者患有重度抑郁症和其他焦虑症，就需要进行精神科会诊。
