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Recurrent Abdominal Pain: Gaining Control of the Symptom

Recurrent Abdominal Pain: Gaining Control of the Symptom Abstract • The treatment of recurrent abdominal pain without organic cause requires that the families involved change their focus from organic to emotional issues. This is done during a family conference with the pediatrician, in which a positive approach to the problem is outlined. Following such a plan avoids the pitfalls of continuing an inappropriate and organically oriented response to the family's needs and also avoids threatening the family with emotionally charged personal needs too soon. When the transition period is successfully negotiated, the child's symptoms often are alleviated without further psychological intervention. In cases where further psychiatric intervention is indicated, a foundation has been laid for successful treatment. Nineteen patients have been successfully treated either by the pediatrician alone or have successfully begun psychotherapy, thus preventing unnecessary medical tests and further "doctor shopping," which characteristically accompanies such cases. (Am J Dis Child 131:1340-1344, 1977) References 1. Apley J, Nash N: Recurrent abdominal pain: A field survey of 1,000 school children . Arch Dis Child 33:165-170, 1958.Crossref 2. Apley J: The Child With Abdominal Pains , ed 2. Oxford, England, Blackwell Scientific Publications, 1975. 3. Berger H: Somatic pain and school avoidance . Clin Pediatr 13:819-826, 1974.Crossref 4. Wood JS, Hardy LM, White H: Chronic vague abdominal pain in children . Pediatr Clin North Am 2:465-481, 1955. 5. Heinild SV: A psychosomatic approach to recurrent abdominal pain in childhood . Acta Pediatr 48:361-370, 1959.Crossref 6. Green M: Diagnosis and treatment: Psychogenic, recurrent, abdominal pain . Pediatrics 40:84-89, 1967. 7. Apley J: The child with recurrent abdominal pain . Pediatr Clin North Am 14:63-72, 1967. 8. Stone RT, Barbero GJ: Recurrent abdominal pain in childhood . Pediatrics 45:732-738, 1970. 9. Bain HW: Chronic vague abdominal pain in children . Pediatr Clin North Am 21:991-1000, 1974. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Recurrent Abdominal Pain: Gaining Control of the Symptom

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1977.02120250022002
Publisher site
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Abstract

Abstract • The treatment of recurrent abdominal pain without organic cause requires that the families involved change their focus from organic to emotional issues. This is done during a family conference with the pediatrician, in which a positive approach to the problem is outlined. Following such a plan avoids the pitfalls of continuing an inappropriate and organically oriented response to the family's needs and also avoids threatening the family with emotionally charged personal needs too soon. When the transition period is successfully negotiated, the child's symptoms often are alleviated without further psychological intervention. In cases where further psychiatric intervention is indicated, a foundation has been laid for successful treatment. Nineteen patients have been successfully treated either by the pediatrician alone or have successfully begun psychotherapy, thus preventing unnecessary medical tests and further "doctor shopping," which characteristically accompanies such cases. (Am J Dis Child 131:1340-1344, 1977) References 1. Apley J, Nash N: Recurrent abdominal pain: A field survey of 1,000 school children . Arch Dis Child 33:165-170, 1958.Crossref 2. Apley J: The Child With Abdominal Pains , ed 2. Oxford, England, Blackwell Scientific Publications, 1975. 3. Berger H: Somatic pain and school avoidance . Clin Pediatr 13:819-826, 1974.Crossref 4. Wood JS, Hardy LM, White H: Chronic vague abdominal pain in children . Pediatr Clin North Am 2:465-481, 1955. 5. Heinild SV: A psychosomatic approach to recurrent abdominal pain in childhood . Acta Pediatr 48:361-370, 1959.Crossref 6. Green M: Diagnosis and treatment: Psychogenic, recurrent, abdominal pain . Pediatrics 40:84-89, 1967. 7. Apley J: The child with recurrent abdominal pain . Pediatr Clin North Am 14:63-72, 1967. 8. Stone RT, Barbero GJ: Recurrent abdominal pain in childhood . Pediatrics 45:732-738, 1970. 9. Bain HW: Chronic vague abdominal pain in children . Pediatr Clin North Am 21:991-1000, 1974.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Dec 1, 1977

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