Journal of Pediatric Psychology 20(2) pp. 233-245, 1995
© 1995 Society of Pediatric Psychology
research-article |
Long-Term Health Outcomes in Patients with Recurrent Abdominal Pain1
Vanderbilt University School of Medicine, Vanderbilt University, Vanderbilt University School of Medicine
2All correspondence should be addressed to Lynn S. Walker, Division of Adolescent Medicine, 436 Medical Center South, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-3571
Investigated somatic and emotional symptoms, functional disability, and health service utilization in 31 former RAP patients and 31 former well patients who had originally been interviewed 5 to 6 years earlier. Both former patients and their mothers were interviewed for this follow-up study. Medical records were obtained for those patients who reported receiving new diagnoses for abdominal pain since their initial assessment. Results indicated that only one of the former RAP patients was later diagnosed with organic disease that clearly accounted for his earlier abdominal pain. Nonetheless, at follow-up former RAP patients reported significantly higher levels of abdominal pain, other somatic symptoms, and functional disability (including school/work absence) than did former well patients. Mothers reported higher levels of internalizing emotional symptoms in former RAP patients than in former well patients.
Key words: recurrent abdominal pain; longitudinal; pain; emotional adjustment; prognosis.
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