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儿童复发性疼痛的心理社会关联因素:复发性腹痛、器质性疾病和精神障碍儿科患者的比较

Psychosocial correlates of recurrent childhood pain: a comparison of pediatric patients with recurrent abdominal pain, organic illness, and psychiatric disorders.

作者信息

Walker L S, Garber J, Greene J W

机构信息

Department of Pediatrics, Vanderbilt University, Nashville, Tennessee 37232-3571.

出版信息

J Abnorm Psychol. 1993 May;102(2):248-58. doi: 10.1037//0021-843x.102.2.248.

DOI:10.1037//0021-843x.102.2.248
PMID:8315137
Abstract

Pediatric patients with recurrent abdominal pain (RAP) were compared with patients with peptic disease, patients with emotional disorders, and well children with regard to (a) emotional and somatic symptoms and (b) theoretically derived variables, including negative life events, competence, family functioning, and the modeling and encouragement of illness behavior. RAP patients had levels of emotional distress and somatic complaints higher than those of well children and lower than those of psychiatric patients, but not different from those of patients with peptic disease. RAP patients had fewer negative life events, better family functioning, and higher competence than children with emotional disorders. In comparison with well children and psychiatric patients, both RAP and peptic disease patients had a higher incidence of illness in other family members and perceived greater parental encouragement of illness behavior for abdominal symptoms.

摘要

将复发性腹痛(RAP)的儿科患者与患有消化性疾病的患者、患有情绪障碍的患者以及健康儿童在以下方面进行了比较:(a)情绪和躯体症状,以及(b)理论推导变量,包括负面生活事件、能力、家庭功能以及疾病行为的示范和鼓励。RAP患者的情绪困扰和躯体主诉水平高于健康儿童,低于精神科患者,但与消化性疾病患者无异。与患有情绪障碍的儿童相比,RAP患者的负面生活事件更少、家庭功能更好且能力更高。与健康儿童和精神科患者相比,RAP患者和消化性疾病患者的其他家庭成员患病率更高,且认为父母对腹部症状的疾病行为鼓励更大。

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