Parental Factors Associated to Functional Abdominal Pain Disorders in the Pediatric Age Group: A Case-Control Study

Functional abdominal pain disorder (FAPD) is one of the most common reasons for medical visits in child and adolescents. While exact mechanisms remain incompletely understood, it is believed that psychosocial and parental factors contribute to the pathophysiology of FAPDs. Some research suggests a dyadic and reciprocal relationship between children and their parents in this context.

This is a case-control study that performed in pediatrics gastrointestinal clinics. All 4-16 years old children with abdominal pain, who were referred to pediatric clinics, were recruited consecutively. Individuals with abdominal pain complaint were classified as FAPD using Rome IV criteria. NEO Five-Factor Inventory was completed by all parents, both parents.

The mean and standard deviation age of the children in the case and control groups were 2.45 ± 8.10 and 3.04 ± 7.68, respectively, and there was no significant difference between the groups. However, the personality trait of neuroticism (P = 0.002) was significantly higher in the group of children with abdominal pain. The personality traits of extraversion and consciousness were more frequent in the control group than in the case group. Fathers' authoritarian behaviors and the frequency of mothers who showed more obsessive behaviors and had more control over their nutrition and weight were more common in the group of children who had abdominal pain.

Parent's personality may be affected through different ways on FAPD in children. Diluting the adverse personality of parents alongside changing the relationship with their offspring is crucial to prevent or treatment of FAPD.