Marczyńska Paulina, Kowalkowska Katarzyna, Kuczyńska Renata, Czerwionka-Szaflarska Mieczysława, Krogulska Aneta
Katedra i Klinika Pediatrii Alergologii i Gastroenterologii Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy Uniwersytetu Mikołaja Kopernika w Toruniu, Polska.
Dev Period Med. 2016;20(4):306-314.
Psychosocial conditions may have influence on the occurrence of functional abdominal pain. Anxiety, school-related difficulties and suppression of emotions negatively impact on the psychosocial condition of a child and could impede its treatment.
The analysis of the psychosocial determinants of functioning of children and adolescents with functional abdominal pain. Meterial and methods: The study group comprised 58 patients (12 boys and 46 girls) from 9 to 17 years of age (av. 13.34±2.14 years) with functional abdominal pain, diagnosed according to the III Roman Criteria, and the control group of 58 healthy children in adequate age, of Bydgoszcz primary and secondary schools. The test method utilised The Anger Regulation and Expression Scale (SEG), The State-Trait Anxiety Inventory for Children (STAIC) and Me and My School Questionnaire.
Analysing the results of scale SEG between the group of children with functional abdominal pain and healthy children, significant differences were observed in the scale of external anger (p=0.045). There were no differences between the group of children with functional abdominal pain and the comparative one in terms of Me and My School Inventory scale (p> 0.05). In the group of healthy adolescents, the average of motivation differed significantly from the result of the adolescents with functional abdominal pain (p=0.031). There were no differences between the group of children and adolescents with abdominal pain and the healthy ones in terms of the performance in STAIC scales (p>0.05).
社会心理状况可能会对功能性腹痛的发生产生影响。焦虑、与学校相关的困难以及情绪压抑会对儿童的社会心理状况产生负面影响，并可能阻碍其治疗。
分析功能性腹痛儿童和青少年功能的社会心理决定因素。材料与方法：研究组包括58例9至17岁（平均13.34±2.14岁）的功能性腹痛患者（12名男孩和46名女孩），根据罗马III标准进行诊断，对照组为比得哥什中小学58名年龄合适的健康儿童。测试方法采用愤怒调节与表达量表（SEG）、儿童状态-特质焦虑量表（STAIC）以及“我和我的学校”问卷。
分析功能性腹痛儿童组与健康儿童组之间的SEG量表结果，在外部愤怒量表上观察到显著差异（p = 0.045）。在“我和我的学校”量表方面，功能性腹痛儿童组与对照组之间没有差异（p>0.05）。在健康青少年组中，动机平均值与功能性腹痛青少年的结果有显著差异（p = 0.031）。在STAIC量表的表现方面，腹痛儿童和青少年组与健康组之间没有差异（p>0.05）。
