title: Stressful life events and recurrent abdominal pain in children in a rural district in Malaysia.
abstract: OBJECTIVE
  The purpose of this study was to look at the correlation between recurrent abdominal pain and the presence of recent stressful life events among schoolchildren in a rural district in Malaysia.
  
  
  METHODS
  This is a cross-sectional study of schoolchildren aged 9-15 years based in Kuala Langat, a rural district located in the south-west of the Malaysian state of Selangor. Schoolchildren were selected randomly and given questionnaires to fill in. This was followed by interview with the children on the same day by one of the authors (CCMB) to ensure consistency of response. Recurrent abdominal pain was defined as 'at least three episodes of abdominal pain, severe enough to affect their activities over a period longer than three months' [1]. The children were also asked to answer either 'yes' or 'no' to whether they had experienced various life events in the previous year.
  
  
  RESULTS
  A sample of 1462 schoolchildren (722 boys and 740 girls) aged between 9 and 15 years were included in the study. There were 768 Malays, 393 Chinese and 301 Indians. Of these 1462 children, 161 (11.0%) had recurrent abdominal pain. On performing multiple logistic regression analysis, two life events were significantly associated with recurrent abdominal pain: death of a family member (P = 0.008; odds ratio 0.61, 95% CI 0.43-0.88) and a change in occupation of an immediate family member (P = 0.003; odds ratio 0.53, 95% CI 0.35-0.81).
  
  
  CONCLUSIONS
  This study suggests that recurrent abdominal pain in children is associated with recent stressful life events in the children's lives.
authors.affiliation: Department of Paediatrics, University of Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia. boeycm@medicine.med.um.edu.my
authors.forename: C C
authors.initials: CC
authors.lastname: Boey
authors.forename: K L
authors.initials: KL
authors.lastname: Goh
mesh_terms: D015746:Abdominal Pain / Q000523:psychology*; D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008016:Life Change Events; D008296:Malaysia; D008297:Male; D012008:Recurrence; D012424:Rural Population; D013315:Stress, Psychological