study on children with abdominal pain and its relationship to mental illness
Bibliography: Hotopf, Matthew, "Why Do Children Have Chronic Abdominal Pain, and What Happens to Them When They Grow Up?" British Medical Journal, April 1998Topic: "Why Do Children Have Chronic Abdominal Pain, and What Happens to Them When They Grow Up?"Purpose: The purpose of this study was to evaluate the hypothesis that children who have persistent abdominal pain come from families with high rates of psychiatric disorder, neuroticism and physical illness. The study also analyzed whether these children will suffer from the previously mentioned illnesses in adulthood.Subjects: The study the based on a sample stratified for social class of all singe legitimate births (3637) that occurred in England, Wales, and Scotland in one week of March in 1946. All children born to non-manual workers and agricultural workers were surveyed, while those born to other laborers were sampled in a ratio of 1:4. Controls were defined as survey members who participated in the same waves of data collection during early childhood, but whom either no abdominal pain was reported or it occurred only once or twice.
School attendance records of the children were assessed twice during childhood. Persistent abdominal pain was described as abdominal pain that was reported suggesting that the pain was chronic. The mother was asked if she or her husband had suffered from illnesses such as asthma, cough, rheumatism in joints, anemia, heart trouble, kidney trouble, and other health complaints. Results:There were three main findings of the study. Death records were analyzed to determine if persistent abdominal pain in childhood was related to increased mortality. Daydreaming in class and having low energy was found to be related to persistent abdominal pain, and children who were more frequently absent from school suffered from abdominal pain during their early years (6-10), but there was no significant increase of school absence when the child was 13 years of age. The study revealed a connection between pain and parental health complaints, parental ratings of health, maternal nerves, maternal neuroticism, and families who were prone to colds. Parental illness was accessed when the survey members were aged 15. The study also found persistent abdominal pain in childhood was in indicator of psychiatric disorders in adulthood. This was done when the child was 13 years of age and again at 15 years of age. The survey conducted by teachers showed no relationship between persistent abdominal pain and children who were disobedient, liars, or those with disciplinary problems. Firstly, children whose parents suffered from ill health were more likely to suffer from persistent abdominal pain.
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