Symptom clusters in children

Cheryl C Rodgers1, Mary C Hooke, Marilyn J Hockenberry

  • 1Baylor College of Medicine/Texas Children's Hospital, Houston, Texas 77030, USA.

Insights

Understanding pediatric symptom clusters is crucial. This review highlights common symptoms like depression, anxiety, pain, and fatigue, and their interactions in various childhood diseases, emphasizing the need for further research.

Area of Science:

  • Pediatric symptomology
  • Symptom cluster research

Background:

  • Previous research has identified and described symptoms in children with various diseases.
  • Symptoms can have synergistic and/or antecedent effects that require evaluation.
  • Limited evidence exists on symptom cluster research in pediatrics.

Purpose of the Study:

  • To review current knowledge of symptoms across pediatric diseases.
  • To highlight the importance and current state of symptom cluster research in pediatrics.

Main Methods:

  • Literature review of pediatric symptom studies.
  • Focus on identifying prevalent symptoms and their correlations.
  • Analysis of studies examining symptom interactions.

Main Results:

  • Depression and anxiety are the most studied symptoms, followed by pain, fatigue, and quality of life.
  • Pain and fatigue are frequently analyzed for correlations and relationships with other symptoms.
  • Commonly associated symptoms include sleep disturbances, anxiety, depression, anorexia, and nausea/vomiting.

Conclusions:

  • Pediatric oncology is leading symptom cluster research, but it is in its early stages.
  • Cluster analysis holds significant potential for advancing the science of pediatric symptomology.
  • Future research should prioritize evaluating symptoms and their complex interactions.
Abstract

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