Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180068
Brazilian Journal of Pain
Artigo de Revisão

Functional abdominal pain: an integrative review study from a biopsychosocial view

Dor abdominal funcional: um estudo de revisão integrativa do ponto de vista biopsicossocial

Bianca Aguiar Rodrigues Silva; Patrícia da Graça Leite Speridião; Karina Franco Zihlmann

http://dx.doi.org/10.5935/2595-0118.20180068 BrJP, vol.1, n4, p.359-364, 2018
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Abstract

BACKGROUND AND OBJECTIVES: Abdominal pain is one of the most frequent complaints in Pediatric Gastroenterology and may be considered an intricate symptom difficult of immediate differential diagnosis. To perform an integrative review of functional abdominal pain in children.

CONTENTS: It included original and empirical national and international articles, between 2006 and 2016, from the Virtual Health Library, Virtual Health Library - Psychology Brazil (BVS-Psi Brazil) and Pubmed databases, in children aged 6 to 10 years old. The descriptors were: functional abdominal pain, children, gastroenterology. The thematic content was analyzed in the categories: etiology, prevalence, diagnosis process, treatment and intervention strategies and evaluation of coping strategies. Thirty-three articles on functional abdominal pain were found. Factors associated with somatization, anxiety, depression and children’s bowel habits were highlighted and should be carefully evaluated by health professionals. Parents may negatively influence the treatment when they adopt encouraging, monitoring, and hypervigilance attitudes.

CONCLUSION: Behavioral, dietary and pharmacological approaches are widely recommended in the treatment of functional abdominal pain. Regarding the emotional behavior, the psychological approach seems to promote good therapeutic results.

Keywords

Abdominal pain, Children, Gastroenterology, Integrative review

Resumo

JUSTIFICATIVA E OBJETIVOS: A dor abdominal é uma das queixas mais frequentes em Gastroenterologia Pediátrica, podendo ser considerada um sintoma intrincado com dificuldade do diagnóstico diferencial imediato. Realizar revisão integrativa sobre dor abdominal funcional em crianças.

CONTEÚDO: Incluiu artigos originais e empíricos nacionais e internacionais, entre 2006 e 2016, nas bases de dados Biblioteca Virtual de Saúde, Biblioteca Virtual em Saúde - Psicologia Brasil (BVS-Psi Brasil) e Pubmed, em crianças entre 6 e 10 anos. Os descritores foram: dor abdominal funcional, criança, gastroenterologia. A temática foi analisada nas categorias: etiologia, prevalência, processo de diagnóstico, estratégias de tratamento e avaliação das estratégias de enfrentamento. Foram encontrados 33 artigos sobre dor abdominal funcional. Destacou-se fatores associados à somatização, ansiedade, depressão e hábitos evacuatórios das crianças, que devem ser cuidadosamente avaliados pelos profissionais de saúde. Os pais podem influenciar negativamente o tratamento quando adotam atitudes de encorajamento, monitoramento e hipervigilância.

CONCLUSÃO: Abordagens terapêuticas do tipo comportamental, dietética e farmacológica, são amplamente recomendadas no tratamento da dor abdominal funcional. Na vigência de comemorativos do comportamento emocional, a abordagem psicológica parece promover bons resultados terapêuticos.

Palavras-chave

Criança, Dor abdominal, Gastroenterologia, Revisão integrativa

Referências

Barbosa SMM. Dor abdominal recorrente. Consenso sobre Dores Pouco Valorizadas em Crianças. 2011.

Apley J, Naish N. Recurrent abdominal pains: a field survey of 1,000 school children. Arch Dis Child. 1958;33(168):165-70.

Chiou E, Nurko S. Management of functional abdominal pain and irritable bowel syndrome in children and adolescents. Expert Rev Gastroenterol Hepatol. 2010;4(3):293-304.

Anon J. Apêndice B Os critérios diagnósticos de Roma III para os distúrbios gastrointestinais funcionais. Arq Gastroenterol. 2012;49(^sSuppl 1):64-8.

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53.

Cunningham NR, Cohen MB, Farrell MK, Mezoff AG, Lynch-Jordan A, Kashikar-Zuck S. Concordant parent-child reports of anxiety predict impairment in youth with functional abdominal pain. J Pediatr Gastroenterol Nutr. 2015;60(3):312-7.

Ghanizadeh A, Moaiedy F, Imanieh MH, Askani H, Haghighat M, Dehbozorgi G. Psychiatric disorders and family functioning in children and adolescents with functional abdominal pain syndrome. J Gastroenterol Hepatol. 2008;23(7):1132-6.

Czyzewski DI, Self MM, Williams AE, Weidler EM, Blatz AM, Shulman RJ. Maintenance of pain in children with functional abdominal pain. J Pediatr Gastroenterol Nutr. 2016;62(3):393-8.

Williams AE, Czyzewski DI, Self MM, Shulman RJ. Are child anxiety and somatization associated with pain in pain-related functional gastrointestinal disorders. J Health Psychol. 2015;20(4):369-79.

Helgeland H, Van Roy B, Sandvik L, Markestad T, Kristensen H. Paediatric functional abdominal pain: significance of child and maternal health. A prospective study. Acta Paediatr. 2011;100(11):1461-7.

Horst S, Shelby G, Anderson J, Acra S, Polk DB, Saville BR. Predicting persistence of functional abdominal pain from childhood into young adulthood. Clin Gastroenterol Hepatol. 2014;12(12):2026-32.

Lozinsky AC, Boé C, Palmero R, Fagundes-Neto N. Fructose malabsorption in children with functional digestive disorders. Arq Gastroenterol. 2013;50(3):226-30.

Sowder E, Gevirtz R, Shapiro W, Ebert C. Restoration of vagal tone A possible mechanism for functional abdominal pain. Appl. Psychophysiol. Biofeedback. 2010;35:199-206.

Vivenes L, Navarro D, López K, Aguiar C, Polanco I, Belandria K. Dolor abdominal crónico orgánico y funcional en niños: prevalencia en la consulta especializada. Gen. 2015;69(2):23-7.

Spee LA, Lisman-Van Leeuwen Y, Benninga MA, Bierma-Zeinstra SM, Berger MY. Prevalence, characteristics, and management of childhood functional abdominal pain in general practice. Scand J Prim Health Care. 2013;31(4):197-202.

Thornton GC, Goldacre MJ, Goldacre R, Howarth LJ. Diagnostic outcomes following childhood non-specific abdominal pain: a record-linkage study. Arch Dis Child. 2016;101(4):305-9.

Dorsa TK, Hessel G, Neto V, Cardoso M, Pinto EL. Estudo prospectivo de pacientes pediátricos com dor abdominal crônica. Rev Paul Pediatr. 2007;25(3):247-53.

Zimmerman LA, Srinath AI, Goyal A, Bousvaros A, Ducharme P, Szigethy E. The overlap of functional abdominal pain in pediatric Crohn's disease. Inflamm Bowel Dis. 2013;19(4):826-31.

Rutten JM, Benninga MA, Vlieger AM. IBS and FAPS in children: a comparison of psychological and clinical characteristics. J Pediatr Gastroenterol Nutr. 2014;59(4):493-9.

Ozaki RK, Soares AC, Speridião P da G, de Morais MB. Water load test in childhood functional abdominal pain: no relation to food intake and nutritional status. J Pediatr Gastroenterol Nutr. 2015;61(3):330-3.

Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A, Tilburg MV. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2016;150(6):1456-68.

Koppen IJ, Nurko S, Saps M, Di Lorenzo C, Benninga MA. The pediatric Rome IV: criteria what's new?. Expert Rev Gastroenterol Hepatol. 2017;11(3):193-201.

Brusaferro A, Farinelli E, Zenzeri L, Cozzali R, Esposito S. The management of pediatric functional abdominal pain disorders: latest evidence. Paediatr Dugs. 2018;20(3):235-47.

Pourmoghaddas Z, Saneian H, Roohafza H, Gholamrezaei A. Mebeverine for pediatric functional abdominal pain: a randomized, placebo-controlled trial. Biomed Res Int. 2014;2014:191026.

Roohafza H, Pourmoghaddas Z, Saneian H, Gholamrezaei A. Citalopram for pediatric functional abdominal pain: a randomized, placebo-controlled trial. Neurogastroenterol Motil. 2014;26(11):1642-50.

Eftekhari K, Vahedi Z, Kamali Aghdam M, Noemi Diaz D. A randomized double-blind placebo-controlled trial of Lactobacillus reuteri for chronic functional abdominal pain in children. Iran J Pediatr. 2015;25(6).

Saneian H, Pourmoghaddas Z, Roohafza H, Gholamrezaei A. Synbiotic containing Bacillus coagulans and fructo-oligosaccharides for functional abdominal pain in children. Gastroenterol Hepatol From Bed Bench. 2015;8(1):56-65.

Brands MM, Purperhart H, Deckers-Kocken JM. A pilot study of yoga treatment in children with functional abdominal pain and irritable bowel syndrome. Complement Ther Med. 2011;19(3):109-14.

Levy RL, Langer SL, Romano JM, Labus J, Walker LS, Murphy TB. Cognitive mediators of treatment outcomes in pediatric functional abdominal pain. Clin J Pain. 2014;30(12):1033-43.

Nieto R, Hernández E, Boixadós M, Huguet A, Beneitez I, McGrath P. Testing the feasibility of DARWeb: an online intervention for children with functional abdominal pain and their parents. Clin J Pain. 2015;31(6):493-503.

van Der Veek SM, Derkx BH, Benninga MA, Boer F, de Haan E. Cognitive behavior therapy for pediatric functional abdominal pain: a randomized controlled trial. Pediatrics. 2013;132(5):e1163-72.

van Tilburg MA, Chitkara DK, Palsson OS, Turner M, Blois-Martin N, Ulshen M. Audio-recorded guided imagery treatment reduces functional abdominal pain in children: a pilot study. Pediatrics. 2009;124(5):e890-7.

Hoekman DR, Rutten JM, Vlieger AM, Benninga MA, Dijkgraaf MG. Annual costs of care for pediatric irritable bowel syndrome, functional abdominal pain, and functional abdominal pain syndrome. J Pediatr. 2015;167(5):1103-8.e2.

van Tilburg MA, Claar RL, Romano JM, Langer SL, Walker LS, Whitehead WE. Role of coping with symptoms in depression and disability: comparison between inflammatory bowel disease and abdominal pain. J Pediatr Gastroenterol Nutr. 2015;61(4):431-6.

Warschburger P, Hänig J, Friedt M, Posovszky C, Schier M, Calvano C. Health-related quality of life in children with abdominal pain due to functional or organic gastrointestinal disorders. J. Pediatr Psychol. 2014;39(1):45-54.

Assa A, Ish-Tov A, Rinawi F, Shamir R. School attendance in children with functional abdominal pain and inflammatory bowel diseases. J Pediatr Gastroenterol Nutr. 2015;61(5):553-7.

Varni JW, Shulman RJ, Self MM, Nurko S, Saps M, Saeed SA. Symptom profiles in patients with irritable bowel syndrome or functional abdominal pain compared with healthy controls. J Pediatr Gastroenterol Nutr. 2015;61(3):323-9.

Campo JV, Bridge J, Lucas A, Savorelli S, Walker L, Di Lorenzo C. Physical and emotional health of mothers of youth with functional abdominal pain. Arch Pediatr Adolesc Med. 2007;161(2):131-7.

Schurman JV, Hunter HL, Danda CE, Friesen CA, Hyman PE, Cocjin JT. Parental illness encouragement behavior among children with functional gastrointestinal disorders: a factor analysis with implications for research and clinical practice. J Clin Psychol Med Settings. 2013;20(2):255-61.

Cunningham NR, Lynch-Jordan A, Barnett K, Peugh J, Sil S, Goldschneider K. Child pain catastrophizing mediates the relation between parent responses to pain and disability in youth with functional abdominal pain. J. Pediatr Gastroenterol Nutr. 2014;59(6):732-8.

van der Veek SM, Derkx HH, de Haan E, Benninga MA, Boer F. Emotion awareness and coping in children with functional abdominal pain: a controlled study. Soc Sci Med. 2012;74(2):112-9.

Submetido em:
15/06/2018

Aceito em:
04/09/2018

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