Department of General Practice, Erasmus MC–University Medical Center Rotterdam, the Netherlands.
Scand J Prim Health Care. 2012 Jun;30(2):114-20. doi: 10.3109/02813432.2012.675561.
To investigate the course of mental health problems in children presenting to general practice with abdominal pain and to evaluate the extent to which abdominal pain characteristics during follow-up predict the presence of mental health problems at 12 months' follow-up.
A prospective cohort study with one-year follow-up.
53 general practices in the Netherlands, between May 2004 and March 2006.
281 children aged 4-17 years.
The presence of a depressive problem, an anxiety problem, and multiple non-specific somatic symptoms at follow-up and odds ratios of duration, frequency, and severity of abdominal pain with these mental health problems at follow-up.
A depressive problem persisted in 24/74 children (32.9%; 95% CI 22.3-44.9%), an anxiety problem in 13/43 (30.2%; 95% CI 17.2-46.1%) and the presence of multiple non-specific somatic symptoms in 75/170 children (44.1%; 95% CI 36.7-51.6%). None of the abdominal pain characteristics predicted a depressive or an anxiety problem at 12 months' follow-up. More moments of moderate to severe abdominal pain predicted the presence of multiple non-specific somatic symptoms at follow-up.
In one-third of the children presenting to general practice for abdominal pain, anxiety and depressive problems persist during one year of follow-up. Characteristics of the abdominal pain during the follow-up period do not predict anxiety or depressive problems after one-year follow-up. We recommend following over time children seen in primary care with abdominal pain.
研究在普通儿科诊所就诊的腹痛儿童心理健康问题的发展过程，并评估随访期间腹痛特征在多大程度上预测 12 个月随访时存在心理健康问题。
前瞻性队列研究，随访 1 年。
荷兰 53 家普通诊所，2004 年 5 月至 2006 年 3 月。
281 名 4-17 岁儿童。
随访时存在抑郁问题、焦虑问题和多种非特异性躯体症状，以及随访时腹痛持续时间、频率和严重程度与这些心理健康问题的比值比。
74 名儿童中有 24 名（32.9%；95%CI，22.3-44.9%）持续存在抑郁问题，43 名儿童中有 13 名（30.2%；95%CI，17.2-46.1%）持续存在焦虑问题，170 名儿童中有 75 名（44.1%；95%CI，36.7-51.6%）存在多种非特异性躯体症状。随访期间的腹痛特征均不能预测 12 个月时的抑郁或焦虑问题。更频繁的中度至重度腹痛发作预示着随访时存在多种非特异性躯体症状。
在因腹痛到普通儿科诊所就诊的儿童中，有三分之一在 1 年随访期间持续存在焦虑和抑郁问题。随访期间腹痛特征不能预测 1 年后的焦虑或抑郁问题。我们建议对在初级保健中接受治疗的腹痛儿童进行长期随访。
