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Practitioner review: Assessment and management of somatisation in childhood and adolescence: a practical perspective

M E Garralda1

  • 1Imperial College School of Medicine, St Mary's Campus, Academic Unit of Child and Adolescent Psychiatry, London, UK.

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|December 22, 1999
PubMed

Insights

Treating childhood somatisation involves understanding family beliefs about physical disorders. Family therapy and pediatrician guidance show effectiveness, with antidepressants for mood issues.

Area of Science:

  • Child psychology
  • Pediatric medicine
  • Psychiatry

Background:

  • Childhood somatisation often involves families with strong beliefs in physical disorders.
  • Current management knowledge relies heavily on clinical reports.
  • There's a need for evidence-based treatment strategies.

Purpose of the Study:

  • To review the assessment and treatment of somatisation in children.
  • To highlight effective therapeutic approaches for pediatric somatisation.
  • To inform clinical practice regarding family engagement and treatment options.

Main Methods:

  • Review of clinical reports and case studies.
  • Analysis of open trials and methodologically stronger studies.
  • Examination of family-centered treatments and pediatrician interventions.

Main Results:

  • Family engagement, acknowledging beliefs, and pediatric/psychiatric liaison are crucial.
  • Family treatments using cognitive-behavioural techniques are effective.
  • Sensitive advice from pediatricians also yields positive responses.

Conclusions:

  • Childhood somatisation is treatable with family-focused interventions.
  • Cognitive-behavioural techniques and supportive pediatric care are key.
  • Consider antidepressants for comorbid mood disorders in pediatric somatisation cases.

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