Andresen Jennifer M, Woolfolk Robert L, Allen Lesley A, Fragoso Michael A, Youngerman Neil L, Patrick-Miller Timothy J, Gara Michael A
Vanderbilt Medical School, Nashville, TN, USA.
Clin Pediatr (Phila). 2011 Oct;50(10):904-9. doi: 10.1177/0009922811406717. Epub 2011 May 16.
A group of children, aged 8 to 13 years, presenting to their pediatricians with multiple medically unexplained physical symptoms (MUPS) were compared with a control group of children from the identical age range who were, according to their pediatricians, free of unexplained physical symptoms. The groups were compared on both self-reported and parented-rated scales assessing physical symptoms and psychosocial functioning. The multiple MUPS group, relative to controls, exhibited significantly higher levels of parent-reported emotional/behavioral symptoms and a trend toward higher patient-reported anxiety than controls. Parents' and child's reports of symptomatology were modestly correlated. Symptom patterns characteristic of pediatric somatization differed as a function of whether child or parent reports were analyzed. Methodological issues in research on pediatric somatization were addressed and some directions for future research emerged.
将一组年龄在8至13岁之间、因多种医学上无法解释的身体症状（MUPS）而就诊于儿科医生的儿童，与来自相同年龄范围的对照组儿童进行比较，据儿科医生称，对照组儿童没有无法解释的身体症状。对两组儿童在自我报告和家长评定量表上进行比较，这些量表用于评估身体症状和心理社会功能。与对照组相比，多个MUPS组在家长报告的情绪/行为症状方面表现出显著更高的水平，并且在患者报告的焦虑方面比对照组有更高的趋势。家长和孩子对症状的报告有适度的相关性。儿科躯体化的症状模式因分析的是孩子的报告还是家长的报告而有所不同。文中讨论了儿科躯体化研究中的方法学问题，并提出了一些未来研究的方向。
