Screening for psychiatric comorbidity in children with recurrent headache or recurrent abdominal pain
| Autor: | Avraham Zeharia, Maya Elazar, Orit Krispin, Alan Apter, Tal Eidlitz-Markus, Ditti Machnes-Maayan |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Abdominal pain Adolescent Migraine Disorders Comorbidity Severity of Illness Index Psychiatric comorbidity Developmental Neuroscience Recurrence Surveys and Questionnaires Severity of illness medicine Prevalence Humans Medical diagnosis Child Analysis of Variance business.industry Mental Disorders Headache medicine.disease Recurrent abdominal pain Abdominal Pain Neurology Migraine Child Preschool Pediatrics Perinatology and Child Health Physical therapy Female Neurology (clinical) medicine.symptom business Psychopathology |
| Zdroj: | Pediatric neurology. 50(1) |
| ISSN: | 1873-5150 |
| Popis: | Recurrent pain symptoms in children are associated with psychiatric comorbidities that could complicate treatment. We investigated the prevalence of psychiatric comorbidity in children with recurrent headache or recurrent abdominal pain and evaluated the screening potential of the Strength and Difficulties Questionnaire compared with the Development and Well-Being Assessment (DAWBA).Eighty-three outpatients aged 5-17 years attending a tertiary medical center for a primary diagnosis of migraine (n = 32), tension-type headache (n = 32), or recurrent abdominal pain (n = 19), and 33 healthy matched controls completed the brief self-reporting Strength and Difficulties Questionnaire followed by the Development and Well-Being Assessment. Findings were compared among groups and between instruments.The pain groups were characterized by a significantly higher number of Development and Well-Being Assessment diagnoses (range 0-11) than controls and a significantly greater prevalence (by category) of Development and Well-Being Assessment diagnoses (P0.001 for both). Anxiety and depression were the most prevalent Development and Well-Being Assessment diagnoses. Comorbidities were more severe in the headache groups than the controls (P0.001). In general, any diagnosis by the Development and Well-Being Assessment was associated with a significantly higher Strength and Difficulties Questionnaire score (P0.001). Abnormal scores on the emotional, conduct, and hyperactivity Strength and Difficulties Questionnaire scales were significantly predictive of a Development and Well-Being Assessment diagnosis (P0.003).Children referred to specialized outpatient pediatric units for evaluation of recurrent pain are at high risk of psychopathology. The Strength and Difficulties Questionnaire may serve as a rapid cost-effective tool for initial screening of these patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect