Abdominal Pain Clinical Trial
Official title:
Recurrent Abdominal Pain in Childhood, Characteristics and Course
Recurrent abdominal pain (RAP) is a common complaint in childhood. Identification of the
processes that maintain illness is important.
The purpose of this study is to get more knowledge about characteristics of children with
recurrent abdominal pain and their parents, and about the course of their pain. These
results may be important to identify children who need treatment.
BACKGROUND:
Recurrent abdominal pain (RAP), mainly constituted by functional gastrointestinal disorders
(FGID), affects a significant number of children, and is a result of a complex interaction
between biopsychosocial factors. Despite the seemingly benign nature of RAP, in some
children RAP is associated with school absenteeism, functional impairment and frequent
doctor visits. Identification of the processes that maintain illness is important. These
results may be important to identify children who need treatment.
AIMS:
The aims of this study are to characterize children with RAP (in four out-patient clinics)
and their parents, describe outcome and determine predictors of persistent RAP in children.
SAMPLE:
150 pediatric patients (4-15 years), their parents and teachers. Consecutive new patients
referred to four pediatric out-patients clinics for evaluation of abdominal pain (primary
complaint). Patients with RAP (abdominal pain at least once a month, in three consecutive
months during the last year, and whose pains are severe enough to affect daily activity) are
eligible.
DESIGN: A prospective cohort study.
MEASUREMENT:
All pediatric patients will undergo a complete physical examination emphasizing diagnosing
organic illness and FGID according to the international ROME classification. Routine
laboratory will be done. A protocol to identify somatic causes is part of the study. In
addition, parents will complete validated questionnaires regarding their child`s
physical/psychological health, temperamental characteristics and social skills and also
psychosocial conditions concerning them selves. Self-report regarding the same aspects will
be obtained from children above 8-9 years.
;
Observational Model: Cohort, Time Perspective: Prospective
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