Fifteen-minute consultation: Medically unexplained symptoms.

Area of Science:

• Pediatrics
• Psychosomatic Medicine
• Clinical Psychology

Background:

• Medically unexplained symptoms (MUS) are prevalent in pediatric care.
• Anxiety regarding potential serious organic diagnoses can impede effective management of MUS.
• A significant challenge exists in managing children presenting with a wide range of unexplained symptoms.

Purpose of the Study:

• To describe a model for the assessment and management of pediatric medically unexplained symptoms.
• To provide an evidence-based approach to managing common presenting problems associated with MUS.
• To address parental and pediatrician anxiety surrounding the diagnosis of MUS.

Main Methods:

• The study describes a model integrating clinical experience with an evidence base.
• A systematic review of evidence-based approaches for various presenting problems was considered.
• The model focuses on components common to effective management strategies for MUS.

Main Results:

• A structured model for assessing and managing pediatric MUS is presented.
• The model incorporates strategies to alleviate anxiety related to potential organic diagnoses.
• Key components for effective management, derived from evidence, are highlighted.

Conclusions:

• An integrated, evidence-based model can facilitate the effective assessment and management of pediatric medically unexplained symptoms.
• Addressing anxiety is a crucial component in managing MUS.
• This model offers a practical framework for clinicians dealing with MUS in children.