概括
患有腹痛的儿童,无论是有机的 (克罗恩氏病,性结肠炎) 还是非有机的,都会经历心理问题,如抑郁和低自尊. 这些问题在所有腹痛群体中都是常见的,使得区分变得困难.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童心理学 儿童心理学
- 临床健康心理学 临床健康心理学
背景情况:
- 腹痛是儿童常见的抱怨.
- 区分有机和非有机原因的腹痛可能是具有挑战性的.
- 心理因素可能在儿科腹痛中起作用.
研究的目的:
- 调查有机腹痛 (克罗恩氏病,性结肠炎) 和非有机腹痛的儿童中心理问题的患病率.
- 为了比较不同类型的腹痛和健康对照的儿童的心理调整.
- 确定心理评估是否能区分儿童的有机和非有机腹痛.
主要方法:
- 评估了44名有机腹痛儿童 (24名克罗恩氏病,20名性结肠炎),16名非有机腹痛儿童和30名无痛对照儿童的队列.
- 一个由五项测试组成的自我报告电池测量了个人,家庭和社会调整.
- 两组之间进行了统计比较.
主要成果:
- 与对照组相比,所有三个腹痛组都表现出心理问题.
- 患有克罗恩病的儿童表现出严重的抑郁和低自尊.
- 患有性结肠炎的儿童患有高度抑郁症,而患有非有机性疼痛的儿童报告自尊心低.
- 有机与非有机腹痛的儿童之间没有发现显著的心理差异.
结论:
- 心理困扰在经历有机和非有机腹痛的儿童中很普遍.
- 仅仅通过心理评估,可能无法可靠地区分儿科患者腹痛的有机和非有机原因.
- 这些发现强调了解决慢性腹痛儿童心理健康问题的重要性.
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