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Unexplained physical complaints.

M Elena Garralda¹

¹Academic Unit of Child and Adolescent Psychiatry, Imperial College London St Mary's Campus, London, UK. e.garralda@imperial.ac.uk

Child and Adolescent Psychiatric Clinics of North America

|May 19, 2010

Summary

This summary is machine-generated.

Childhood somatization involves physical symptoms from distress. Family cognitive treatments are effective, with multidisciplinary approaches beneficial for severe cases.

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Area of Science:

Pediatric Psychology
Child Psychiatry
Behavioral Medicine

Background:

Unexplained physical complaints are frequent in children, often indicating childhood somatization or somatoform disorders.
Comorbidity with emotional symptoms and anxiety disorders is common in children with unexplained physical symptoms.
Risk factors include child's stress sensitivity, family history of mood/somatization disorders, and parental overinvolvement.

Purpose of the Study:

To review the understanding and management of childhood somatization and related disorders.
To identify risk factors associated with the development of somatization in children.
To evaluate the efficacy of different treatment approaches.

Main Methods:

Literature review of studies on childhood somatization, somatoform disorders, and unexplained physical symptoms.
Analysis of risk factors, including child vulnerabilities and family dynamics.
Assessment of evidence for various therapeutic interventions.

Main Results:

Family behavioral cognitive treatments demonstrate the strongest evidence of efficacy for childhood somatization.
Multidisciplinary and coordinated approaches are clinically effective for more severe presentations.
Identified risk factors provide insight into the etiology and prevention.

Conclusions:

Childhood somatization is a complex condition influenced by individual, familial, and environmental factors.
Evidence-based treatments, particularly family cognitive behavioral therapy, are recommended.
Integrated care models are crucial for managing severe or complex cases effectively.