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Psychogenic abdominal pain.

P L Jenkins1

  • 1Department of Psychological Medicine, University of Wales College of Medicine, Cardiff, United Kingdom.

General Hospital Psychiatry
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

Patients with nonspecific abdominal pain (NSAP) referred for psychiatric consultation experienced longer pain duration and higher psychiatric illness levels. Early psychiatric assessment, including history and abuse screening, can improve NSAP detection and treatment outcomes.

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Area of Science:

  • Gastroenterology
  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Nonspecific abdominal pain (NSAP) poses diagnostic challenges.
  • Psychiatric factors are often implicated in NSAP etiology.
  • Effective identification of patients needing psychiatric evaluation is crucial.

Purpose of the Study:

  • To compare psychiatric and clinical characteristics of referred NSAP patients versus non-referred controls.
  • To identify factors associated with NSAP requiring psychiatric evaluation.
  • To assess treatment outcomes for NSAP patients.

Main Methods:

  • Retrospective analysis of 25 referred NSAP patients.
  • Comparison with a prospectively admitted, non-referred NSAP cohort.
  • Evaluation of pain duration, psychiatric illness levels, life events, psychiatric history, and childhood abuse.

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Main Results:

  • Referred NSAP patients exhibited longer pain duration and higher psychiatric illness prevalence.
  • Significant association found between life events and pain onset in referred patients.
  • Inquiry into psychiatric history, abuse, and symptom models predicted need for psychiatric evaluation.

Conclusions:

  • Psychiatric consultation is vital for a subset of NSAP patients.
  • Screening for psychiatric history, abuse, and specific symptoms aids NSAP detection.
  • Addressing psychiatric comorbidities improves NSAP management and outcomes.