Will I Have This Stomach Pain Forever? (Part 2)

The article reviewed earlier today on this blog (Clinical Gastroenterology and Hepatology 2014; 12: 2026-32) has been reviewed on the AGA blog as well (some of this information is redundant from earlier post):

Here’s a link to a summary of the article: AGA blog on RAP and here’s an excerpt: Sara Horst et al investigated whether pediatric functional abdominal pain leads to functional gastrointestinal disorders (FGIDs) such as irritable bowel syndrome (IBS) in adulthood. They performed a longitudinal analysis of 392 children (8−16 years old) initially seen at a subspecialty clinic for recurrent abdominal pain. Horst et al assessed the contribution of gastrointestinal symptoms, extra-intestinal somatic symptoms, and depressive symptoms to FGIDs 5−15 years later. They found that on average 9 years later, 41% met symptom criteria for FGID—mostly irritable bowel syndrome and functional dyspepsia. Levels of depressive symptoms in childhood correlated a greater likelihood of FGID later in life (see figure).   The probability of FGID in adolescence or young adulthood increases with each increase in Children's Depression Inventory (CDI) score up to a score of 13—the cut-off point used in screening children for depression. At CDI scores higher than 13, the probability of FGID remained fairly constant.

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One thought on “Will I Have This Stomach Pain Forever? (Part 2)

  1. Pingback: A 6-Year Study of Amitriptyline, Escitalopram, and Functional Dyspepsia | gutsandgrowth

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