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A management model for pediatric somatization
1Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, PA 15213, USA. campojv@msx.upmc.edu
Psychosomatics
|January 30, 2002
Summary
This study outlines a management model for pediatric somatization, emphasizing assessment, diagnosis, and a cognitive-behavioral approach. It highlights the need for further research into effective interventions for medically unexplained physical symptoms in children.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Behavioral Medicine
Background:
- Medically unexplained physical symptoms are prevalent in pediatric populations.
- Limited systematic research exists for treating pediatric somatization and somatoform disorders.
Purpose of the Study:
- To present a management model for pediatric somatization.
- To synthesize principles from existing pediatric and adult literature.
Main Methods:
- Distilled principles from pediatric and adult literature.
- Proposed a model emphasizing assessment and diagnosis.
- Advocated for cognitive-behavioral and rehabilitative strategies.
Main Results:
- The proposed model integrates careful assessment and frank diagnosis communication.
- It stresses cognitive-behavioral and rehabilitative interventions.
- Aggressive psychiatric treatment for comorbid conditions is recommended.
Conclusions:
- A structured management approach is crucial for pediatric somatization.
- Further empirical research is needed to evaluate intervention efficacy.
- Studies should explore the links between symptom and functional improvement and comorbid anxiety/depression.