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Anxiety and pain symptoms in children with inflammatory bowel disease and functional gastrointestinal disorders

Wallace V Crandall1, Timothy E Halterman, Laura M Mackner

  • 1Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Columbus Children's Hospital, Columbus, OH 43205, USA. crandallw@pediatrics.ohio-state.edu

Journal of Pediatric Gastroenterology and Nutrition
|January 6, 2007
PubMed

Insights

Children with functional gastrointestinal disorders (FGID) experience more pain after colonoscopy than those with inflammatory bowel disease (IBD). Anxiety impacts pain in IBD patients, but not FGID patients.

Area of Science:

  • Pediatric Gastroenterology
  • Pain Management
  • Psychosomatic Medicine

Background:

  • Inflammatory bowel disease (IBD) and functional gastrointestinal disorders (FGID) are common in children.
  • Colonoscopy is a diagnostic procedure for both conditions, often associated with pain and anxiety.

Purpose of the Study:

  • To compare pain and anxiety levels in pediatric patients with IBD versus FGID undergoing their first colonoscopy.
  • To investigate the predictive role of anxiety and procedure duration on pain perception in these pediatric groups.

Main Methods:

  • A cohort of children aged 10-18 years undergoing their first colonoscopy under general anesthesia.
  • Administration of pre- and post-procedure pain and anxiety questionnaires.
  • Diagnosis confirmation via chart review and physician interviews.

Main Results:

  • Children with FGID reported longer pain duration, greater pain descriptor endorsement, higher usual pain severity, and increased postprocedural pain compared to IBD patients.
  • No significant differences in anxiety levels were observed between the groups.
  • Anxiety correlated with higher pain scores in IBD patients, while longer procedure duration was linked to increased pain in FGID patients.

Conclusions:

  • Pediatric FGID patients experience more significant usual pain symptoms and report greater post-colonoscopy pain than pediatric IBD patients.
  • Anxiety is a significant factor in post-colonoscopy pain for children with IBD, but not for those with FGID.
Abstract

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