Open Access, Peer-reviewed
pISSN 2234-8646
eISSN 2234-8840
    Korean J Pediatr Gastroenterol Nutr. 2011 Dec;14(Suppl 1):S25-S33. Korean.
    Published online Dec 31, 2011.
    https://doi.org/10.5223/kjpgn.2011.14.Suppl1.S25
    Copyright © 2011 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
    Review

    Psychosocial Factors and Psychiatric Disorder in Childhood Chronic Abdominal Pain

    Jin Kook Heo, M.D. and Dong-Ho Song, M.D., Ph.D.
      • Department of Psychiatry, Yonsei University College of Medicine, Seoul, Korea.
    • Corresponding author (Email: dhsong@yuhs.ac )
    Received December 27, 2011; Revised December 30, 2011; Accepted December 30, 2011.

    Abstract

    Childhood chronic abdominal pain usually doesn't have an organic etiology. It may cause social impairment and emotional distress in children as well as their families. In view of cognitive and behavioral aspect, passive coping style, maladaptive social modeling, and reinforced secondary gain could contribute to the development and maintenance of pediatric somatization. Integrative etiological model includes biological factors due to the enteric sensitization process, psychosocial factors which encompass family influences, psychodevelomental vulnerability, and life event-related stress. These factors interact with each other and manifest as various psychosomatic symptoms. In the treatment of childhood chronic abdominal pain, multimodal treatment program, which includes cognitive behavioral therapeutic methods, emotional support, family education, selective serotonin reuptake inhibitor, and so on, is known to be most effective.

    Keywords
    Childhood; Chronic abdominal pain; Pediatric somatization; Psychosocial factors

    Figures

    Fig. 1
    A simple structure to examine and compare theories abdominal pain and influences on childhood.

    Tables

    Table 1
    The Functional Gastrointestinal Disorders (FGID)

    Table 2
    Premises and Criteria for the Diagnosis of Psychosomatic Abdominal Pain

    Table 3
    Principals of Assessment and Diagnosis for Pediatric Somatization

    Table 4
    Overview of Cognitive Behavioraltherapeutic Methods for the Treatment of Chronic Functional Abdominal Pain

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    MeSH Terms
    Abdominal Pain
    Biological Factors
    Child
    Combined Modality Therapy
    Humans
    Serotonin
    Metrics
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