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Journal of Pediatric Psychiatry, Vol 24, 345-354, Copyright © 1999 by Society of Pediatric Psychology

ARTICLE

Maternal attributions for the causes and remedies of their children's abdominal pain

RL Claar and LS Walker
Division of Adolescent Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-3571, USA.

OBJECTIVE: To examine mothers' attributions for the causes and remedies of their children's abdominal pain, specifically whether attributions differed according to child diagnosis, reflected a dualistic or multidimensional view of pain, and changed following medical evaluation. METHODS: Mothers of children whose medical evaluation indicated peptic disease (n = 55) or unexplained pain without identifiable organic disease (n = 98) participated in telephone interviews prior to their children's medical evaluations and one year later. RESULTS: About half of the mothers in each group endorsed both psychosocial and physical factors as important in the etiology of their children's abdominal pain. Following medical evaluation, mothers in both groups tended to maintain their attributions regarding the importance of psychosocial factors. CONCLUSIONS: Many mothers acknowledged the contribution of psychosocial factors to their children's abdominal pain. They may be receptive to behavioral interventions if physicians present these remedies as an integral component of treatment.
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