Department of Clinical Research, College of Pharmacy and Health Sciences, Campbell University, Buies Creek, North Carolina.
Department of Pediatric Gastroenterology, Stony Brook University Hospital, Stony Brook, New York.
Neurogastroenterol Motil. 2019 Jun;31(6):e13538. doi: 10.1111/nmo.13538. Epub 2019 Feb 6.
Pediatric functional abdominal pain disorders (FAPDs) are disorders of brain-gut dysregulation. Psychological factors are known to be related to etiology, maintenance, and exacerbation of pediatric FAPDs. With the evolving literature in the past two decades, a better understanding has emerged of precisely which psychological factors are associated with childhood FAPDs.
This narrative literature review summarizes the literature of both child and parent psychological factors in pediatric FAPD. Where anxiety and depression were major targets in the older literature, present-day focus is increasingly on pain-specific cognitions and coping strategies including disease threat and catastrophizing. In addition, parental reaction to a child's pain is increasingly recognized as an important moderator of a child's outcomes and has become an area for clinical intervention. Screening for these factors and integrative treatment approaches are recommended in childhood FAPD.
儿科功能性腹痛障碍（FAPD）是一种脑-肠调节紊乱。已知心理因素与儿科 FAPD 的病因、维持和加重有关。在过去二十年中，随着文献的不断发展，人们对哪些心理因素与儿童 FAPD 相关有了更深入的了解。
本综述性文献回顾总结了儿科 FAPD 中儿童和家长心理因素的文献。在旧文献中，焦虑和抑郁是主要的关注点，而现在的重点越来越多集中在与疼痛相关的认知和应对策略上，包括疾病威胁和灾难化。此外，父母对孩子疼痛的反应越来越被认为是孩子预后的重要调节因素，并成为临床干预的一个领域。在儿童 FAPD 中推荐对这些因素进行筛查，并采用综合治疗方法。
