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Recurrent Abdominal Pain in Primary and Tertiary Care: Differences and Similarities
Authors:Danita I. Czyzewski   Michelle N. Eakin  Mariella M. Lane  Monica Jarrett  Robert J. Shulman
Affiliation: a Baylor College of Medicine Departments of Psychiatry & Behavioral Sciences and Peditratrics and Texas Children's Hospital,b Department of Psychology, University of Houston,c Department of Biobehavioral Nursing, University of Washington,d Baylor College of Medicine Department of Pediatrics, Texas Children's Hospital, and USDA/ARS Children's Nutrition Research Center,
Abstract:This study sought to identify child and parent characteristics differentiating children with recurrent abdominal pain seen by a pediatrician (RAP-Peds) from those seen by a gastroenterologist (RAP-GI). Children (7-10 years) and mothers in three groups (RAP-GI, RAP-Peds, and Controls) completed mother and child reports of child's functional disability, internalizing symptoms, and somatic complaints, and mother report of her anxiety and somatization. Child report did not differentiate groups. RAP mothers were more likely than Control mothers to focus on somatic complaints in themselves and their children. Mother report of child disability was strongly related to tertiary care for child's recurrent abdominal pain.
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