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Journal of Pediatric Psychology 14(2) pp. 231-243, 1989
© 1989 Society of Pediatric Psychology

research-article

Children with Recurrent Abdominal Pain and Their Parents: More Somatic Complaints, Anxiety, and Depression than Other Patient Families?1

Lynn S. Walker2 and John W. Greene

Vanderbilt University School of Medicine

2All correspondence should be sent to Lynn S. Walker, Division of Adolescent Medicine, 436 Medical Center South, Vanderbilt University School of Medicine, Nashville, Tennessee 37232.

Patients presenting with abdominal pain were classified into two groups: the recurrent abdominal pain (RAP) group (n = 41), consisting of patients without identifiable organic etiology for abdominal pain, and the organic group (n = 28), consisting of patients with organic findings (primarily ulcer-related conditions). A control group of well patients (n = 41) also participated. RAP and organic patients had higher anxiety, depression, and somatic complaints than well patients, but did not differ from each other. Anxiety, depression, and somatization were greater in RAP mothers than well mothers. Father symptomatology did not differ for the groups. Results suggest that psychological distress does not discriminate between patients with and without identifiable organic etiology for abdominal pain. The high levels of anxiety and depression in RAP and organic patients suggest that they should be targeted in efforts to address "the new hidden morbidity" in pediatrics.

Key words: recurrent abdominal pain; ulcers; anxiety; depression; somatization.


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