在儿童中表现为胃肠道症状的焦虑障碍 - 范围审查
Anjali Kumar1, Pramodh Vallabhaneni2
1Swansea University, Swansea, UK.
Clinical and experimental pediatrics
|January 15, 2025
概括
这次审查发现了童年焦虑症和功能性胃肠道疾病 (FGID) 之间的联系. 需要更多的研究来了解焦虑是否会导致儿童的FGID或相反.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 精神病体医学是一种精神病体医学.
背景情况:
- 功能性胃肠道疾病 (FGID) 和焦虑症在儿童中很普遍.
- FGID和焦虑之间的相互作用显著影响儿科健康结果和治疗.
- 了解这种关联的方向性对于有效的临床管理至关重要.
研究的目的:
- 对现有证据进行范围审查,以16岁以下儿童的焦虑障碍表现为FGID.
- 综合关于儿童群体焦虑和FGID之间的关系的发现.
- 识别当前研究环境中的差距.
主要方法:
- 在Embase,MEDLINE和APA PsycINFO数据库中进行全面的文献搜索 (至2024年).
- 选的标题,摘要,和全文的检索文章.
- 使用GRADE系统对符合条件的研究进行质量评估.
主要成果:
- 搜索结果为1984篇文章,在选后减少到4项符合条件的研究.
- 有证据表明焦虑和FGID之间存在关联,一些研究表明焦虑会影响FGID症状.
- 其他研究表明,FGID可能是焦虑的危险因素,但因果关系和方向性仍然不清楚.
- 一项研究发现,患有并发性焦虑症和没有并发性焦虑症的儿童之间疼痛强度没有显著差异.
结论:
- 经过审查的文献表明,儿童的焦虑和FGID之间存在联系.
- 目前的证据有限,对因果关系或因果关系的方向缺乏明确性.
- 进一步进行高质量的研究,包括大规模的病例控制和纵向研究,对于阐明这种关联的发生率和因果关系至关重要.
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