CLINICAL CHARACTERISTICS OF RESPIRATORY INVOLVEMENT IN CHILDREN WITH CYSTIC FIBROSIS IN THE CHUVASH REPUBLIC
https://doi.org/10.15690/vsp.v11i4.360
Abstract
of pains are caused by psychogenic factors, so such patients demand specialized psychological and psychotherapeutic medical care. The aim of this study was to establish the association between relapsing abdominal pain in children with emotional disturbances and social environment in development of this disease. The study included 2 groups of patients — with and without relapsing abdominal pain, 100 children in each group. During the study the authors used the clinical method of psychiatric interviewing, the modified method of E. G. Eidemiller’s and V. V. Justitskis’s «Standard family condition», A. J. Vargi’s and V. V. Stolin’s questionnaire of the parental care. It was
shown, that 88% of children with relapsing abdominal pain had complaints on mental health: fatigability (61%), headaches (62%), sleep disturbances (33%), anxiety (46%), disturbances of mood (19%). The most significant psychogenies are stress factors related to school. Relapsing abdominal pain can also be caused by parental deprivation. Therefore, 65% of children with abdominal pain need specialized psychological or psychotherapeutic medical care.
About the Author
N. B. SemenovaNadezhda Semenova, Doctor of Medical Science, head of the laboratory of mental health and social adaptation, leading researcher
References
1. Li B. U. Functional abdominal pain in children: new understanding, diagnostic criteria, and treatment approaches. Pediatr. Ann. 2009; 38 (5): 241–242.
2. Schurman J., Danda C. E., Friesen C. A. et al. Variations in psychological profile among children with recurrent abdominal pain. J. Clin. Psychol. Med. Settings. 2008; 15 (3): 241–251.
3. Russu G., Russu R. Psychogenic pain in children. Rev. Med. Chir. Soc. Med. Nat. Iasi. 2008; 112 (2): 327–330.
4. Bremner A., Sandhu B. Recurrent abdominal pain in childhood: the functional element. Indian Pediatr. 2009; 46 (5): 375–379.
5. Brent M., Lobato D., LeLeiko N. Psychological treatments for pediatric functional gastrointestinal disorders. J. Pediatr. Gastroenterol. Nutr. 2009; 48 (1): 13–21.
6. Eccleston C., Palermo T., Williams A. et al. Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst. Rev. 2009; 15 (2): CD003968.
7. Palermo T., Eccleston C., Lewandowski A. et al. Randomized controlled trials of psychological therapies for management of chronic pain in children and adolescents: an updated meta-analytic review. Pain. 2010; 148 (3): 387–397.
8. Ammoury R., Pfefferkorn M., Croffie J. Functional gastrointestinal disorders: past and present. World J. Pediatr. 2009; 5 (2): 103–112.
Review
For citations:
Semenova N.B. CLINICAL CHARACTERISTICS OF RESPIRATORY INVOLVEMENT IN CHILDREN WITH CYSTIC FIBROSIS IN THE CHUVASH REPUBLIC. Current Pediatrics. 2012;11(4):60-64. (In Russ.) https://doi.org/10.15690/vsp.v11i4.360