期刊
ACTA PAEDIATRICA
卷 96, 期 5, 页码 697-701出版社
WILEY
DOI: 10.1111/j.1651-2227.2007.00291.x
关键词
avon longitudinal study of parents and children (ALSPAC); parental anxiety; recurrent abdominal pain
类别
资金
- Medical Research Council [G9815508] Funding Source: researchfish
- Medical Research Council [G9815508] Funding Source: Medline
- Wellcome Trust [078434] Funding Source: Medline
Aim: Recurrent abdominal pain is one of the commonest complaints of childhood, affecting approximately 10% of children at any one time. This study aims to describe the outcome of recurrent abdominal pain amongst 6-year-old children, and to identify risk factors (in both the children and their parents), which predict these outcomes. Methods: 7128 6-year-old children in the Avon Longitudinal Study of Parents and Children (ALSPAC) were followed up for 1 year. The principle outcomes were abdominal pain, number of days missed from school in the preceding year and psychiatric diagnoses. Results: Children with recurrent abdominal pain at age 6 years had higher rates of further abdominal pain [odds ratio 4.88 (95% CI: 4.01, 5.95)], school absence (10 or more days off school in a year) [OR 1.89 (1.53, 2.33)] and anxiety disorders [OR 2.36 (1.68, 3.32)] at age 7 years. Maternal anxiety was the most consistent predictor of subsequent adverse outcomes for these children. Conclusion: Children with recurrent abdominal pain are at significant and continuing risk of adverse functioning. It is important for clinicians to take a whole family perspective, and particularly to consider parental anxiety, when a child with recurrent abdominal pain presents to them.
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