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[Psychosomatic pain in children--a psychomuscular stress reaction?]
1Hallunda vårdcentral, Norsborg.
Insights
Recurrent psychosomatic pain in children involves muscular tension regulated by the central nervous system. Research is needed to understand this complex pain process and guide diagnosis and treatment.
Area of Science:
- Pediatric Medicine
- Neuroscience
- Psychosomatic Medicine
Background:
- Recurrent psychosomatic pain is a frequent pediatric issue.
- Current understanding of pediatric psychosomatic pain is incomplete.
- There is a significant need for further research in this area.
Abstract:
Recurrent psychosomatic pain is a common paediatric problem. Our knowledge in this respect remains incomplete, and there is a manifest need of research in this field. A model of a psychosomatic process with pain as an important symptom is presented in the article, where the hypothalamus and the muscular system are important components. The nociceptive progress has its origin in muscular tension, and is regulated and modified in the central nervous system. Both local and central sensitisation is assumed to be crucially involved in the pain process. The importance of excluding the possibility of organic disease is emphasised, and some guidelines for diagnosis and treatment are given.