[Care continuity for children with psychosomatic disorders].
According to the analysis in pediatrics, 5.8% of children aged equal or more than 3 years attended pediatric outpatient clinics had psychosomatic problems. The logistic regression analysis demonstrated that children with psychosomatic problems had complained more chronic fatigue (odds ratio: 2.55), headache (2.42) and recurrent abdominal pain(2.03) in comparison with controls. The other study showed many children with school phobia had trouble with class mates and complained somatoform disorders. Working with somatizing patients and their parents can be frustrating the pediatrician, and comorbid psychiatric disorders are common in these patients. To get good carryover, the psychiatric consult is needed if they have suffered from major depressive disorder, and other anxiety disorders.
Oki
Junichi
J
Department of Pediatrics, Asahikawa Kosei Hospital.
D015746:Abdominal Pain; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003266:Continuity of Patient Care; D005221:Fatigue; D005260:Female; D006261:Headache; D006801:Humans; D007564:Japan / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D010348:Patient Care Team; D010698:Phobic Disorders; D011602:Psychophysiologic Disorders / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology; D055815:Young Adult