Moayedi A, Moayedi F
Department of Pediatrics, Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Department of Psychiatry, Behavioral and Neurosciences Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
J Med Life. 2015;8(Spec Iss 4):56-59.
Intermittent visceral distress syndrome is described as "at least three scenes of visceral distress, sufficiently severe to hinder their actions over a time longer than 3 months, continuing from the preceding year". Organic factors causing abdominal pain are rare, so most of the children with an intermittent visceral distress are designated to have a functional abdominal pain. This study was designed to evaluate psychological problems such as anxiety and distress in children with functional intestinal distress. 120 children (50 boys and 70 girls) with an age range of 5-18 years, who complained of abdominal pain among other things, were included in this cross-sectional case-control study (forty with an organic etiology, 38 diagnosed as RAPS and 42 healthy controls). Revised Children's Manifest Anxiety Scale (RCMAS) questionnaire and Depression Self-Rated Scale (DSRS) questionnaire were used to determine the level of anxiety. A 28-question General Health Questionnaire (GHQ-28) was also used to investigate the general mental health of their mothers. In the present study, organic and functional etiology of abdominal pain was significantly different with regard to the anxiety score. However, this was not seen as far as depression was concerned. The total GHQ score of mothers was not significantly different between the three groups. ANOVA was used to compare groups. As shown in the present study, that is consistent with most other studies, psychological factors were seen in RAP and need a more in depth investigation to be resolved.
间歇性内脏不适综合征被描述为“至少出现三次内脏不适场景，严重程度足以在超过3个月的时间里妨碍其行动，且自上一年起持续存在”。导致腹痛的器质性因素很少见，因此大多数间歇性内脏不适的儿童被认定为患有功能性腹痛。本研究旨在评估功能性肠道不适儿童的焦虑和痛苦等心理问题。这项横断面病例对照研究纳入了120名年龄在5至18岁之间、主诉有腹痛等症状的儿童（40名有器质性病因，38名被诊断为反复腹痛综合征，42名作为健康对照）。使用修订后的儿童显性焦虑量表（RCMAS）问卷和抑郁自评量表（DSRS）问卷来确定焦虑程度。还使用了一份包含28个问题的一般健康问卷（GHQ - 28）来调查他们母亲的总体心理健康状况。在本研究中，腹痛的器质性和功能性病因在焦虑评分方面存在显著差异。然而，就抑郁而言，情况并非如此。三组母亲的GHQ总分没有显著差异。采用方差分析来比较各组。如本研究所示，这与大多数其他研究一致，反复腹痛综合征中存在心理因素，需要更深入的调查来解决。
