Concordant Parent-Child Reports of Anxiety Predict Impairment in Youth With Functional Abdominal Pain
Concordant Parent-Child Reports of Anxiety Predict Impairment in Youth With Functional Abdominal Pain
复制标题
DOI：
10.1097/mpg.0000000000000625
复制
发表时间：
2015-03-01
影响因子：
2.9
通讯作者：
Kashikar-Zuck, Susmita
中科院分区：
文献类型：
--
作者：
Cunningham, Natoshia R.;Cohen, Mitchell B.;Kashikar-Zuck, Susmita
背景：功能性腹痛（FAP）与严重的焦虑和功能障碍有关。先前对FAP青少年儿童焦虑的调查通常受到样本量小、基于儿童报告和使用冗长诊断工具的限制。目前尚不清楚一个简短的焦虑筛查工具是否可行，父母和孩子的焦虑报告是否一致，以及父母和孩子对儿童焦虑的一致性是否与损害的增加相对应。本研究旨在探讨青少年FAP的焦虑特征，采用亲子报告的方法。父母与孩子的焦虑症状的协议进行了检查，在有关的疼痛和disability.Methods：100例FAP（8-18岁）从儿科胃肠病诊所招募完成的措施，疼痛强度（数字评定量表）和残疾（功能障碍量表）。患者和照顾者都完成了一项儿童焦虑特征的测量（儿童焦虑和相关疾病筛查）。结果：，青少年（54%）比他们的父母（30%）更常报告临床显著的焦虑症状。惊恐/躯体症状、广泛性焦虑和分离焦虑最常被患者认可，而广泛性焦虑、分离焦虑和学校回避最常被父母报告。大多数（65%）的父母和孩子同意存在（26%）或不存在（39%）临床显著焦虑。父母的临床显着的焦虑协议增加impairment.Conclusions：一个简短的筛选工具的父母和孩子的焦虑报告可以提供临床相关的信息，为综合治疗计划在儿童FAP。
Background: Functional abdominal pain (FAP) is associated with significant anxiety and impairment. Prior investigations of child anxiety in youth with FAP are generally limited by small sample sizes, based on child report, and use lengthy diagnostic tools. It is unknown whether a brief anxiety-screening tool is feasible, whether parent and child reports of anxiety are congruent, and whether parent and child agreement of child anxiety corresponds to increased impairment. The purpose of this investigation was to examine anxiety characteristics in youth with FAP using parent and child reports. Parent child agreement of child anxiety symptoms was examined in relation to pain and disability.Methods: One hundred patients with FAP (8-18 years of age) recruited from pediatric gastroenterology clinics completed measures of pain intensity (Numeric Rating Scale) and disability (Functional Disability Inventory). Patients and caregivers both completed a measure of child anxiety characteristics (Screen for Child Anxiety and Related Disorders).Results:, Clinically significant anxiety symptoms were more commonly reported by youth (54%) than their parents (30%). Panic/somatic symptoms, generalized anxiety, and separation anxiety were most commonly endorsed by patients, whereas generalized anxiety, separation anxiety, and school avoidance were most commonly reported by parents. The majority (65%) of parents and children agreed on the presence (26%) or absence (39%) of clinically significant anxiety. 'Parent child agreement of clinically significant anxiety was related to increased impairment.Conclusions: A brief screening instrument of parent and child reports of anxiety can provide clinically relevant information for comprehensive treatment planning in children with FAP.