Sharrer V W, Ryan-Wenger N M
Ohio University-Zanesville 43701.
J Sch Health. 1991 Feb;61(2):86-91. doi: 10.1111/j.1746-1561.1991.tb03243.x.
Theoretical support, but little empirical evidence confirms recurrent abdominal pain (RAP) as a psychosomatic response of children to stressors in their environment. The differences between children with and without RAP in appraising their own stressors and coping abilities were examined. Of 250 8-12 year olds, 25 (10%) experienced recurrent abdominal pain. An asymptomatic comparison group consisted of 25 children matched for age and gender with the RAP group. Mean total stress scores were significantly higher in the RAP group than the comparison group. Mean coping scores were lower in the RAP group, but not statistically significant. Differences in specific stressors and coping strategies between groups were examined. Prevention and treatment of psychosomatic symptoms requires changing the stressor or changing the methods that children use to cope with stressors that cannot be changed.
理论上有支持，但很少有实证证据证实复发性腹痛（RAP）是儿童对其环境中压力源的一种身心反应。研究了有RAP和无RAP的儿童在评估自身压力源和应对能力方面的差异。在250名8至12岁的儿童中，25名（10%）经历过复发性腹痛。一个无症状的对照组由25名年龄和性别与RAP组相匹配的儿童组成。RAP组的总压力得分均值显著高于对照组。RAP组的应对得分均值较低，但无统计学意义。研究了两组之间特定压力源和应对策略的差异。身心症状的预防和治疗需要改变压力源，或者改变儿童用于应对无法改变的压力源的方法。
