Garber J, Zeman J, Walker L S
Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee 37203.
J Am Acad Child Adolesc Psychiatry. 1990 Jul;29(4):648-56. doi: 10.1097/00004583-199007000-00021.
Approximately 12% of children report recurrent episodes of abdominal pain. In only about 10% of these cases, however, can an organic etiology be identified, and therefore it often is assumed that these children have emotional problems. To test this hypothesis, children with recurrent abdominal pain (RAP) with no identifiable organic cause were compared to children with an organic diagnosis for their abdominal pain, children with psychiatric disorders, and healthy controls. Both groups of children with abdominal pain had significantly more psychiatric disorders (predominantly anxiety and depression) than did the healthy group. Both RAP and psychiatric children had significantly higher Child Behavior Checklist internalizing scores; psychiatric children were rated as significantly more maladjusted on the Children's Global Assessment Scale. Mothers of RAP children were significantly more anxious than mothers of organic pain and healthy children. Psychiatric children were significantly more likely than the other three groups to underreport their psychiatric symptoms relative to their mothers.
约12%的儿童报告有反复腹痛发作的情况。然而，在这些病例中，只有约10%能确定有器质性病因，因此通常认为这些儿童存在情绪问题。为验证这一假设，将无明确器质性病因的反复腹痛（RAP）儿童与有腹痛器质性诊断的儿童、患有精神疾病的儿童以及健康对照组进行了比较。两组腹痛儿童患精神疾病（主要是焦虑和抑郁）的比例均显著高于健康组。RAP儿童和患有精神疾病的儿童在儿童行为量表内化得分上均显著更高；在儿童总体评估量表中，患有精神疾病的儿童被评定为适应不良程度显著更高。RAP儿童的母亲比有器质性疼痛儿童和健康儿童的母亲焦虑得多。与其他三组相比，患有精神疾病的儿童向母亲隐瞒其精神症状的可能性显著更高。
