まとめ
有機 (クローン病,潰瘍性大腸炎) か非有機的な腹痛の子どもは,うつ病や自尊心の低下などの心理的な問題を経験します. これらの問題は,すべての腹痛グループに共通しており,差別化は困難です.
科学分野:
- 小児胃腸内科 小児胃腸内科
- 児童心理学 児童心理学について
- 臨床健康心理学 心理学について
背景:
- 腹痛は,子供たちの一般的な苦情です.
- 腹痛の有機的原因と非有機的原因を区別することは困難である.
- 心理的要因は,小児の腹痛に起因する可能性があります.
研究 の 目的:
- オーガニックな腹痛 (クローン病,潰瘍性大腸炎) と非オーガニックな腹痛を有する小児における心理的な問題の発生率を調査する.
- 異なるタイプの腹痛を持つ子供の心理的適応と健康な対照群を比較する.
- 子どもにおける有機的および非有機的な腹痛を心理的評価によって区別できるかどうかを判断する.
主な方法:
- 44人の有機的な腹痛 (24人のクローン氏病,20人の潰瘍性大腸炎),16人の非有機的な腹痛,そして30人の無痛対照群のコホートを評価した.
- 個人,家族,社会的適応を測る5つのテストのセルフ・レポート・バッテリー.
- グループ間の統計的比較が行われました.
主要な成果:
- 腹痛の3つのグループとも,対照群と比較して心理的な問題を発現した.
- クローン病の子どもたちは,深刻なうつ病と自尊心の低下を示した.
- 潰瘍性大腸炎を患っている子どもはうつ状態が高く,非有機的な痛みを持つ子どもは自尊心が低いと報告した.
- オーガニックと非オーガニックの腹痛を持つ子供の間で,有意な心理的差異は見つかりませんでした.
結論:
- 心理的苦痛は,有機的および非有機的な腹痛の両方を経験する子供に一般的です.
- 心理学的評価だけでは,小児患者の腹痛の有機的および非有機的原因を確実に区別することはできません.
- これらの発見は,慢性的な腹痛を持つ子供の心理的幸福に対処することの重要性を強調しています.
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