ILLNESS BEHAVIOR AND SOMATIZATION IN CHILDREN
儿童的疾病行为和躯体化
基本信息
- 批准号:2673553
- 负责人:
- 金额:$ 20.88万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:1997
- 资助国家:美国
- 起止时间:1997-08-01 至 2000-07-31
- 项目状态:已结题
- 来源:
- 关键词:adolescence (12-20) behavioral /social science research tag behavioral medicine child behavior clinical research coping disease /disorder model health behavior health care service utilization human subject interview longitudinal human study middle childhood (6-11) pain pain threshold pediatrics physiologic stressor psychological stressor psychosomatic disorders social behavior stomach disorder stress stress management
项目摘要
DESCRIPTION: The central goal of this project is to identify psychosocial
factors and social-cognitive processes associated with the development and
maintenance of children's illness behavior (i.e., somatic complaints,
functional disability, and health service utilization). The investigators
aim particularly to understand illness behavior that appears to be out of
proportion to medical findings, and thus they focus on pediatric patients
with recurrent abdominal pain (RAP) without identifiable organic etiology as
a prototype of exaggerated illness behavior. They include patients with
organic diagnosis for abdominal pain as a comparison group in order to
assess the generalizability of their conceptual model in explaining illness
behavior in patients with organic disease. This program of research is
guided by a conceptual model of stress and coping. It examines the
hypothesis that children with certain psychosocial characteristics (e.g.,
RAP, low social or academic competence, low social support) appraise
stressors (including life stressors and pain episodes) as more severe,
appraise their coping potential as lower, and respond with particular coping
strategies (such as passivity and lack of active problem-solving) that are
hypothesized to contribute to higher levels of illness behavior. The next
step in this program of research is to explore mechanisms explaining the
links between negative life events, competence, and illness behavior that
they have found in previous work.
The proposed study uses a methodology that focuses on children's daily life
and assesses children's appraisals and responses to stressors close in time
to when these events actually occur. Specific aims are: (1) to investigate
the relation between stress and illness behavior within the context of daily
life stressors; (2) to examine, within the context of specific stressors and
pain episodes, the processes underlying the relation of stress and coping
responses to pediatric illness behavior; (3) to examine the links between
children's styles of coping with pain and their coping responses to specific
pain episodes; and, (4) to assess the degree to which the processes
contributing to excessive illness behavior in RAP patients are also relevant
to illness behavior in patients with an organic basis of abdominal pain.
These aims will be pursued in the context of the child's daily life, using a
daily diary telephone interview methodology in which children report on
their experience and coping with common stressors as well as pain episodes
over the course of several days. Subjects will be pediatric patients with
RAP and with organic diagnosis for abdominal pain, and well children,
between 8 and 15 years of age.
描述:这个项目的中心目标是识别心理社会障碍
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Lynn D. Walker其他文献
Lynn D. Walker的其他文献
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{{ truncateString('Lynn D. Walker', 18)}}的其他基金
Predicting Treatment Response in Pediatric Functional Abdominal Pain
预测小儿功能性腹痛的治疗反应
- 批准号:
8693260 - 财政年份:2014
- 资助金额:
$ 20.88万 - 项目类别:
Predicting Treatment Response in Pediatric Functional Abdominal Pain
预测小儿功能性腹痛的治疗反应
- 批准号:
9459932 - 财政年份:2014
- 资助金额:
$ 20.88万 - 项目类别:
Developmental Outcomes of Pediatric Chronic Abdominal Pain
小儿慢性腹痛的发育结局
- 批准号:
8080578 - 财政年份:2010
- 资助金额:
$ 20.88万 - 项目类别:
DEVELOPMENTAL OUTCOMES OF PEDIATRIC CHRONIC ABDOMINAL PAIN
小儿慢性腹痛的发育结局
- 批准号:
7605659 - 财政年份:2006
- 资助金额:
$ 20.88万 - 项目类别:
DEVELOPMENTAL OUTCOMES OF PEDIATRIC CHRONIC ABDOMINAL PAIN
小儿慢性腹痛的发育结局
- 批准号:
7731483 - 财政年份:2006
- 资助金额:
$ 20.88万 - 项目类别:
Developmental Outcomes of Pediatric Chronic Abdominal Pain
小儿慢性腹痛的发育结局
- 批准号:
7417953 - 财政年份:1997
- 资助金额:
$ 20.88万 - 项目类别:
Developmental Outcomes of Pediatric Chronic Abdominal Pain
小儿慢性腹痛的发育结局
- 批准号:
7799195 - 财政年份:1997
- 资助金额:
$ 20.88万 - 项目类别: