Table of Contents

2017 Month : March Volume : 3 Issue : 1 Page : 5-7

RECURRENT ABDOMINAL PAIN AND PSYCHIATRIC SYMPTOMS

Muntjibuddin Arif Ahmed1, Asra2, M. Sukanya3, Minhaj Nasirabadi4

Corresponding Author:
Dr. Muntajibuddin Arif Ahmed,
Allermy, #11-4-637/1 A.C. Guard,
Hyderabad-500004.
E-mail: arifahmed1960@gmail.com

ABSTRACT

Background

In developing countries, the commonest cause of recurrent abdominal pain (RAP) is non-organic/functional. There is a need to arrive at a conclusion about the psychiatric symptoms involved in the children presenting with nonorganic RAP.

The aim of this study is to determine cause of recurrent abdominal pain associated with functional impairment in children and adolescents along with psychiatric symptoms, disorder, anxiety and depression.

Materials and methods

Children and adolescents presenting with recurrent abdominal pain were interviewed through psychiatric scales and diagnosis of psychiatric involvement was confirmed through standardised psychiatric scales.

 

results

Out of 35 children studied, males were 17 (48.6%) and females were 18 (51.4%). The age wise distribution in years was 7–10 (23, 65%) and 11-15 (12, 34.3%). Out of 35 cases (27 cases), 77% showed symptoms of anxiety disorder, 51.4% showed separation anxiety, 37.1% showed generalised anxiety disorder, 25.7% showed social anxiety, 31.5% showed school phobia and 20% showed panic anxiety.

Conclusion

Approximately, 80% of children who present with functional RAP will have anxiety disorder and that 40% will meet the criteria for a depressive disorder. Cognitive behavioural psychotherapeutic intervention for RAP is useful in reducing symptoms of emotional distress.

KEYWORDS

Recurrent Abdominal Pain, Psychiatric Symptoms.

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