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Prevalence of pain-predominant functional gastrointestinal disorders and somatic symptoms in patients with anxiety or depressive disorders.
J Pediatr. 2013 Sep; 163(3):767-70.JPed

Abstract

OBJECTIVE

To determine whether children with symptoms of internalizing psychiatric disorders have a greater prevalence of pain-predominant functional gastrointestinal disorders (FGIDs) and migraine-like headaches.

STUDY DESIGN

Children and adolescents aged 6-18 years were recruited from a behavioral health center (n = 31) and a primary care center (n = 36). Subjects completed Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-based symptom inventory questionnaires to screen for internalizing psychiatric disorders, the Questionnaire on Pediatric Gastrointestinal Symptoms, and a somatic distress assessment interview.

RESULTS

Thirty-three subjects (19 of 31 from the behavioral health center and 14 of 36 from the primary care center) screened positive for symptoms of anxiety or depressive disorders. The remainder screened negative and served as controls. Pain-predominant FGIDs were more common in the group with symptoms of anxiety or depression compared with controls (prevalence, 51.5% vs 8.8%; P = .0002). Migraine headaches occurred in 57.6% of the subjects with internalizing psychiatric disorders vs 23.5% of the control group (P = .006). The prevalence of functional constipation did not differ significantly between the 2 groups. The data remained essentially unchanged when analyzed within each center of recruitment.

CONCLUSION

Youths with anxiety or depressive symptoms are more likely to suffer from pain-predominant FGIDs and migraine-like headaches, but not from functional constipation. The lack of an association between functional constipation and internalizing psychiatric symptoms suggests that FGIDs associated with pain may bear a specific relationship to emotional disorders.

Authors+Show Affiliations

Division of Pediatric Gastroenterology, Nationwide Children's Hospital and The Ohio State University, Columbus, OH 75390-9063, USA. des.yacob@nationwidechildrens.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23522860

Citation

Yacob, Desale, et al. "Prevalence of Pain-predominant Functional Gastrointestinal Disorders and Somatic Symptoms in Patients With Anxiety or Depressive Disorders." The Journal of Pediatrics, vol. 163, no. 3, 2013, pp. 767-70.
Yacob D, Di Lorenzo C, Bridge JA, et al. Prevalence of pain-predominant functional gastrointestinal disorders and somatic symptoms in patients with anxiety or depressive disorders. J Pediatr. 2013;163(3):767-70.
Yacob, D., Di Lorenzo, C., Bridge, J. A., Rosenstein, P. F., Onorato, M., Bravender, T., & Campo, J. V. (2013). Prevalence of pain-predominant functional gastrointestinal disorders and somatic symptoms in patients with anxiety or depressive disorders. The Journal of Pediatrics, 163(3), 767-70. https://doi.org/10.1016/j.jpeds.2013.02.033
Yacob D, et al. Prevalence of Pain-predominant Functional Gastrointestinal Disorders and Somatic Symptoms in Patients With Anxiety or Depressive Disorders. J Pediatr. 2013;163(3):767-70. PubMed PMID: 23522860.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of pain-predominant functional gastrointestinal disorders and somatic symptoms in patients with anxiety or depressive disorders. AU - Yacob,Desale, AU - Di Lorenzo,Carlo, AU - Bridge,Jeffrey A, AU - Rosenstein,Patricia Fine, AU - Onorato,Matthew, AU - Bravender,Terrill, AU - Campo,John V, Y1 - 2013/03/22/ PY - 2012/09/04/received PY - 2013/01/09/revised PY - 2013/02/14/accepted PY - 2013/3/26/entrez PY - 2013/3/26/pubmed PY - 2013/11/19/medline KW - DSM-IV KW - Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition KW - FGID KW - Functional gastrointestinal disorder KW - IBS KW - Irritable bowel syndrome SP - 767 EP - 70 JF - The Journal of pediatrics JO - J. Pediatr. VL - 163 IS - 3 N2 - OBJECTIVE: To determine whether children with symptoms of internalizing psychiatric disorders have a greater prevalence of pain-predominant functional gastrointestinal disorders (FGIDs) and migraine-like headaches. STUDY DESIGN: Children and adolescents aged 6-18 years were recruited from a behavioral health center (n = 31) and a primary care center (n = 36). Subjects completed Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-based symptom inventory questionnaires to screen for internalizing psychiatric disorders, the Questionnaire on Pediatric Gastrointestinal Symptoms, and a somatic distress assessment interview. RESULTS: Thirty-three subjects (19 of 31 from the behavioral health center and 14 of 36 from the primary care center) screened positive for symptoms of anxiety or depressive disorders. The remainder screened negative and served as controls. Pain-predominant FGIDs were more common in the group with symptoms of anxiety or depression compared with controls (prevalence, 51.5% vs 8.8%; P = .0002). Migraine headaches occurred in 57.6% of the subjects with internalizing psychiatric disorders vs 23.5% of the control group (P = .006). The prevalence of functional constipation did not differ significantly between the 2 groups. The data remained essentially unchanged when analyzed within each center of recruitment. CONCLUSION: Youths with anxiety or depressive symptoms are more likely to suffer from pain-predominant FGIDs and migraine-like headaches, but not from functional constipation. The lack of an association between functional constipation and internalizing psychiatric symptoms suggests that FGIDs associated with pain may bear a specific relationship to emotional disorders. SN - 1097-6833 UR - https://www.unboundmedicine.com/medline/citation/23522860/Prevalence_of_pain_predominant_functional_gastrointestinal_disorders_and_somatic_symptoms_in_patients_with_anxiety_or_depressive_disorders_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(13)00240-0 DB - PRIME DP - Unbound Medicine ER -