title: GP consultations for medically unexplained physical symptoms in parents and their children: a systematic review.
abstract: BACKGROUND
  There is evidence of an association of medically unexplained physical symptoms (MUPS) between parents and children, but it is unclear whether this association is also present for GP consultations.
  
  
  OBJECTIVE
  To review the literature investigating the association of GP consultations for MUPS between parents and children.
  
  
  METHODS
  Systematic review.
  
  
  METHODS
  Systematic search of MEDLINE(®), Embase, CINAHL, and PsycINFO databases from their inception to October 2012. Observational studies examining the association of GP consultations for MUPS between parents and children were included.
  
  
  RESULTS
  Eight studies were included in the review. Three studies found significant associations between GP consultations for multiple MUPS between parents and children. Two studies reported significant associations between irritable bowel syndrome diagnosis in parents and multiple MUPS in children. One study showed no significant associations between multiple MUPS in mothers and functional abdominal pain in children. Two studies investigated the association of non-specific low back pain in parents and children; one study showed a significant association, whereas the other study found no significant association. Formal pooling of the results was not performed owing to a high degree of study heterogeneity.
  
  
  CONCLUSIONS
  This review provides evidence of an association between GP consultations for MUPS in parents and children, although the evidence is limited by some potential biases and study heterogeneity. GPs need to be aware of this association, which has implications for management of children presenting with MUPS. More longitudinal research focusing on all common MUPS in children, which relies on more precise sources of data, is needed to further investigate this association.
authors: Arthritis Research UK Primary Care Centre, Keele University, Keele.
authors: Mujahed
authors: M
authors: Shraim
authors: Christian D
authors: CD
authors: Mallen
authors: Kate M
authors: KM
authors: Dunn
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D000328:Adult; D015982:Bias; D002648:Child; D005260:Female; D058006:General Practice; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D008297:Male; D010290:Parents; D010817:Physician-Patient Relations; D011320:Primary Health Care; D011611:Psychosomatic Medicine; D012017:Referral and Consultation; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D006113:United Kingdom / Q000453:epidemiology
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