title: Importance of addressing anxiety in youth with functional abdominal pain: suggested guidelines for physicians.
abstract: Functional abdominal pain (FAP) is a common pediatric disorder associated with impairment in functioning that may persist for the long term. Anxiety is common in youth with FAP, and may be an important factor in predicting youth who are at greatest risk for increased impairment because of pain symptoms. In this article, we examine the relation between anxiety and impairment in youth with FAP. Furthermore, we explore various biopsychosocial factors (eg, neurobiological substrates, coping strategies, social factors) that may be implicated in the relation among FAP, anxiety, and increased impairment. Finally, we propose physician guidelines for screening and treatment of youth with FAP and co-occurring anxiety. Youth with FAP and co-occurring anxiety may benefit from cognitive-behavioral therapy in the context of multidisciplinary care.
authors: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3026, USA. Natoshia.cunningham@cchmc.org
authors: Natoshia R
authors: NR
authors: Cunningham
authors: Anne
authors: A
authors: Lynch-Jordan
authors: Adam G
authors: AG
authors: Mezoff
authors: Michael K
authors: MK
authors: Farrell
authors: Mitchell B
authors: MB
authors: Cohen
authors: Susmita
authors: S
authors: Kashikar-Zuck
mesh_terms: D015746:Abdominal Pain / Q000523:psychology* / Q000628:therapy; D001007:Anxiety / Q000150:complications* / Q000628:therapy; D001008:Anxiety Disorders / Q000150:complications* / Q000628:therapy; D015928:Cognitive Behavioral Therapy; D006801:Humans; D016487:Parenting / Q000523:psychology; D017410:Practice Guidelines as Topic