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Clinical profile of somatoform disorders in children

Vineeta Gupta1, Aparna Singh, Shashi Upadhyay

  • 1Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India. vineetaguptabhu@gmail.com

Indian Journal of Pediatrics
|November 6, 2010
PubMed

Insights

This study on childhood somatoform disorders found conversion disorder most common. Early mental health referral improves outcomes and avoids unnecessary tests for these children.

Area of Science:

  • Pediatric Psychology
  • Child Psychiatry
  • Behavioral Medicine

Background:

  • Somatoform disorders in children present with unexplained physical symptoms.
  • These conditions can lead to significant distress and impact daily functioning.
  • Accurate diagnosis and timely intervention are crucial for effective management.

Purpose of the Study:

  • To investigate the clinical characteristics of somatoform disorders in children.
  • To identify socio-demographic factors and psychosocial stressors associated with these disorders.
  • To evaluate the outcomes of treatment in pediatric patients diagnosed with somatoform disorders.

Main Methods:

  • Evaluation of children under 18 with unexplained physical symptoms for at least 6 months.
  • Comprehensive history, physical examination, and investigations to rule out organic causes.
  • Diagnosis adherence to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria.

Main Results:

  • Forty-five children diagnosed with somatoform disorders; prevalence of 0.5% (outpatients) and 0.9% (inpatients).
  • Conversion disorder was most frequent (48.9%), followed by other somatoform disorders (26.7%). Common symptoms included pseudoseizures, fainting, abdominal pain, and general body pain.
  • Psychosocial stressors identified in 71.1% of patients, often related to school or examinations. Counseling led to asymptomatic status in 73.3%, with relapses in 17.6%.

Conclusions:

  • Early referral to mental health professionals is essential for accurate diagnosis.
  • Prompt intervention can prevent unnecessary investigations and diagnostic delays.
  • Effective management strategies, including counseling, can significantly improve outcomes for children with somatoform disorders.
Abstract

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