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Abdominal pain and irritable bowel syndrome in adolescents: a community-based study.

Abstract

OBJECTIVES

This study was undertaken to determine (1) the prevalence of gastrointestinal symptoms including abdominal pain in a community-based population of adolescents, (2) whether a subgroup of these subjects have symptoms resembling Irritable bowel syndrome (IBS), and (3) whether anxiety and depression are more commonly found in adolescents with IBS-type symptoms compared with unaffected adolescents.

METHODS

We collected data by administration of a gastrointestinal symptoms questionnaire, State-Trait Anxiety Inventory, and Children's Depression Inventory to middle school and high school students.

RESULTS

A total of 507 subjects participated (mean age of middle school students 12.6 years; mean age of high school students 15.6 years). Abdominal pain was noted by 75% of all students. The pain occurred weekly in 13% to 17% of the subjects and was severe enough to affect activities in approximately 21%. Irritable bowel syndrome-type symptoms were noted by 17% of high school students and 8% of middle school students (p <0.01) who reported abdominal pain (n = 381), representing 14% and 6% of all high school and middle school students (p <0.005), respectively. Anxiety and depression scores were significantly higher for students with IBS-type symptoms compared with those without symptoms. Eight percent of all students had seen a physician for abdominal pain in the previous year. These visits were correlated with abdominal pain severity, frequency, duration, and disruption of normal activities but not with anxiety, depression, gender, family structure, or ethnicity.

CONCLUSION

Recurrent abdominal pain and symptoms of IBS are commonly noted in a community-based adolescent population and frequently result in use of health care resources. Health care providers who work with this age group need to be able to recognize the symptom complex associated with IBS, as well as the possible relationship to anxiety and depression.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Pediatrics, Hartford Hospital, Connecticut Children's Medical Center 06106, USA.

    , , ,

    Source

    The Journal of pediatrics 129:2 1996 Aug pg 220-6

    MeSH

    Abdominal Pain
    Adolescent
    Anxiety
    Child
    Colonic Diseases, Functional
    Connecticut
    Depression
    Ethnic Groups
    Family
    Female
    Headache
    Humans
    Male
    Office Visits
    Personality Inventory
    Prevalence
    Sex Factors
    Surveys and Questionnaires

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    8765619

    Citation

    Hyams, J S., et al. "Abdominal Pain and Irritable Bowel Syndrome in Adolescents: a Community-based Study." The Journal of Pediatrics, vol. 129, no. 2, 1996, pp. 220-6.
    Hyams JS, Burke G, Davis PM, et al. Abdominal pain and irritable bowel syndrome in adolescents: a community-based study. J Pediatr. 1996;129(2):220-6.
    Hyams, J. S., Burke, G., Davis, P. M., Rzepski, B., & Andrulonis, P. A. (1996). Abdominal pain and irritable bowel syndrome in adolescents: a community-based study. The Journal of Pediatrics, 129(2), pp. 220-6.
    Hyams JS, et al. Abdominal Pain and Irritable Bowel Syndrome in Adolescents: a Community-based Study. J Pediatr. 1996;129(2):220-6. PubMed PMID: 8765619.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Abdominal pain and irritable bowel syndrome in adolescents: a community-based study. AU - Hyams,J S, AU - Burke,G, AU - Davis,P M, AU - Rzepski,B, AU - Andrulonis,P A, PY - 1996/8/1/pubmed PY - 1996/8/1/medline PY - 1996/8/1/entrez SP - 220 EP - 6 JF - The Journal of pediatrics JO - J. Pediatr. VL - 129 IS - 2 N2 - OBJECTIVES: This study was undertaken to determine (1) the prevalence of gastrointestinal symptoms including abdominal pain in a community-based population of adolescents, (2) whether a subgroup of these subjects have symptoms resembling Irritable bowel syndrome (IBS), and (3) whether anxiety and depression are more commonly found in adolescents with IBS-type symptoms compared with unaffected adolescents. METHODS: We collected data by administration of a gastrointestinal symptoms questionnaire, State-Trait Anxiety Inventory, and Children's Depression Inventory to middle school and high school students. RESULTS: A total of 507 subjects participated (mean age of middle school students 12.6 years; mean age of high school students 15.6 years). Abdominal pain was noted by 75% of all students. The pain occurred weekly in 13% to 17% of the subjects and was severe enough to affect activities in approximately 21%. Irritable bowel syndrome-type symptoms were noted by 17% of high school students and 8% of middle school students (p <0.01) who reported abdominal pain (n = 381), representing 14% and 6% of all high school and middle school students (p <0.005), respectively. Anxiety and depression scores were significantly higher for students with IBS-type symptoms compared with those without symptoms. Eight percent of all students had seen a physician for abdominal pain in the previous year. These visits were correlated with abdominal pain severity, frequency, duration, and disruption of normal activities but not with anxiety, depression, gender, family structure, or ethnicity. CONCLUSION: Recurrent abdominal pain and symptoms of IBS are commonly noted in a community-based adolescent population and frequently result in use of health care resources. Health care providers who work with this age group need to be able to recognize the symptom complex associated with IBS, as well as the possible relationship to anxiety and depression. SN - 0022-3476 UR - https://www.unboundmedicine.com/medline/citation/8765619/Abdominal_pain_and_irritable_bowel_syndrome_in_adolescents:_a_community_based_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(96)70246-9 DB - PRIME DP - Unbound Medicine ER -