scholarly journals Functional Abdominal Pain in Childhood: Background Studies and Recent Research Trends

2012 ◽  
Vol 17 (6) ◽  
pp. 413-417 ◽  
Author(s):  
Rona L Levy ◽  
Miranda AL van Tilburg

The present review summarizes many of the major research trends investigated in the past five years regarding pediatric functional abdominal pain, and also summarizes the primary related findings from the authors’ research program. Specific areas discussed based on work within the authors’ group include familial illness patterns, genetics, traits, and mechanisms or processes related to abdominal pain. Topics covered from research published in the past five years include prevalence and cost, longitudinal follow-up, overlap with other disorders, etiology and mechanisms behind functional abdominal pain and treatment studies. It is hoped that findings from this work in abdominal pain will be interpreted as a framework for understanding the processes by which other pain phenomena and, more broadly, reactions to any physical state, can be developed and maintained in children. The present article concludes with recommendations for clinical practice and research.

2012 ◽  
Vol 107 (4) ◽  
pp. 627-631 ◽  
Author(s):  
Arine M Vlieger ◽  
Juliette M T M Rutten ◽  
Anita M A P Govers ◽  
Carla Frankenhuis ◽  
Marc A Benninga

2012 ◽  
Vol 142 (5) ◽  
pp. S-134 ◽  
Author(s):  
Arine M. Vlieger ◽  
Juliette M. Rutten ◽  
Anita M. Govers ◽  
Carla Frankenhuis ◽  
Marc A. Benninga

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037288
Author(s):  
Mette Brekke ◽  
Anne Brodwall

ObjectiveFunctional abdominal pain is a common symptom in children and adolescents. Three years ago, we investigated the experiences among parents whose children had chronic abdominal pain but no somatic diagnosis. The aim of the present follow-up study was to explore those families’ current situations.DesignInterviews with open questions about the families’ current pain situations were carried out by the first author. Interviews were audio-recorded and transcribed, and subsequently analysed using descriptive content analysis.SettingUrban and rural areas in two municipalities in Southern Norway.ParticipantsParents of children with abdominal pain who had been referred to a local hospital by their general practitioner and had been discharged without a somatic diagnosis. Fifteen parents of 14 children aged 8–17 years who had also been interviewed in 2016.ResultsNine of the children had recovered from their abdominal pain. During the pain period, the parents reported frustration with not having a diagnosis nor a specific treatment for their child’s abdominal pain. The siblings in some families received less attention and were afraid that something serious might happen to their sister or brother. The parents wished that their child’s school cared more about the child when they had weeks of absence. All parents maintained that their child’s pain was physical, although they thought that psychological aspects might have influenced the symptoms. The parents stated that they, as well as their children, needed guidance from professionals to understand the complex pain situation.


Antiquity ◽  
1991 ◽  
Vol 65 (249) ◽  
pp. 822-828 ◽  
Author(s):  
Roger Thomas

In a characteristically stimulating recent article in ANTIQUITY, Barry Cunliffe has touched on many of the most important issues concerning the publication of ‘rescue’ excavations in Britain in the 1990s (Cunliffe 1990). The purpose of the present article is to follow up some the points which Cunliffe has raised.Publication, and the dissemination of information, is the lifeblood of any academic discipline, and questions of what is published (and of what is read!), where, how and by whom are of central importance for archaeology. Over the past two decades in Britain, and particularly in England where the volume of work has been greatest, there has been a recurrent concern with the problem of how to publish the results of ‘rescue’ archaeology. Rescue excavations can generate very large quantities of data, collected for reasons which are often largely beyond archaeological control, and the problems (both intellectual and practical) of publishing this material are considerable. In Britain the issues have been the subject of expert examination on two occasions since 1970 -the Frere (1975) and Cunliffe (1983) reports - and now in the 1990s the topic is firmly on the archaeological agenda again. This paper is intended as a contribution to the continuing debate.


2020 ◽  
Vol 9 (6) ◽  
pp. 1797 ◽  
Author(s):  
Roselien Pas ◽  
Emma Rheel ◽  
Sophie Van Oosterwijck ◽  
Anthe Foubert ◽  
Robby De Pauw ◽  
...  

This article explores the effectiveness of a newly developed Pain Neuroscience Education program for children (PNE4Kids) with functional abdominal pain disorder (FAPD). Children (6–12 years) with FAPD were randomly assigned to 1) the experimental group (n = 14), participating in one hypnotherapy session (i.e., usual care) and one additional PNE4Kids session, or 2) the control group (n = 14), participating in two hypnotherapy sessions. Parental pain catastrophizing, the child’s functional disability (parental-proxy), pain-related fear (parent-proxy) and pain intensity, were assessed at baseline and one and three weeks after each therapy session. Pressure algometry and a conditioned pain modulation paradigm were performed at baseline and three weeks after completion of the last therapy session. Parents from both the experimental as well as the control group showed significantly less parental pain catastrophizing (p < 0.01). Children showed significantly less functional disability (p < 0.05), pain-related fear (p < 0.01) and local pressure pain sensitivity (p < 0.05) at short-term follow-up (three weeks after last intervention) in both groups. No significant (p > 0.05) between-group differences were found. Hypnotherapy combined with PNE4Kids did not result in better clinical outcomes compared to hypnotherapy alone. Study limitations include the application of one single PNE4Kids session and the short follow-up time.


2020 ◽  
Author(s):  
Anna Philipson ◽  
Stefan Särnblad ◽  
Lars Ekstav ◽  
Mats Eriksson ◽  
Ulrika L Fagerberg ◽  
...  

BACKGROUND Functional abdominal pain disorders (FAPDs) affect many children worldwide, predominantly girls, and cause considerable long-term negative consequences for individuals and society. Evidence-based and cost-effective treatments are therefore strongly needed. Physical activity has shown promising effects in the practical management of FAPDs. Dance and yoga are both popular activities that have been shown to provide significant psychological and pain-related benefits with minimal risk. The activities complement each other, in that dance involves dynamic, rhythmic physical activity, while yoga enhances relaxation and focus. OBJECTIVE This study aims to evaluate the effects of a dance and yoga intervention among girls aged 9 to 13 years with FAPDs. METHODS The study is a prospective randomized controlled trial among girls aged 9 to 13 years with functional abdominal pain, irritable bowel syndrome, or both. The target sample size was 150 girls randomized into 2 arms: an intervention arm that receives dance and yoga sessions twice weekly for 8 months and a control arm that receives standard care. Outcomes will be measured at baseline and after 4, 8, 12, and 24 months, and long-term follow-up will be conducted 5 years from baseline. Questionnaires, interviews, and biomarker measures, such as cortisol in saliva and fecal microbiota, will be used. The primary outcome is the proportion of girls in each group with reduced pain, as measured by the faces pain scale-revised in a pain diary, immediately after the intervention. Secondary outcomes are gastrointestinal symptoms, general health, mental health, stress, and physical activity. The study also includes qualitative evaluations and health economic analyses. This study was approved by the Regional Ethical Review Board in Uppsala (No. 2016/082 1-2). RESULTS Data collection began in October 2016. The intervention has been performed in 3 periods from 2016 through 2019. The final 5-year follow-up is anticipated to be completed by fall 2023. CONCLUSIONS Cost-effective and easily accessible interventions are warranted to reduce the negative consequences arising from FAPDs in young girls. Physical activity is an effective strategy, but intervention studies are needed to better understand what types of activities facilitate regular participation in this target group. The Just in TIME (Try, Identify, Move, and Enjoy) study will provide insights regarding the effectiveness of dance and yoga and is anticipated to contribute to the challenging work of reducing the burden of FAPDs for young girls. CLINICALTRIAL ClinicalTrials.gov (NCT02920268); https://clinicaltrials.gov/ct2/show/NCT02920268 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/19748


Energies ◽  
2019 ◽  
Vol 12 (8) ◽  
pp. 1443 ◽  
Author(s):  
Zhang ◽  
Yuan

The increasing demand for applying energy performance contracting (EPC) for urban energy conservation has resulted in a significant amount of publications over the past decade. This study tries to identify future research trends in the subject of EPC through analyzing 127 journal papers published from 2008 to 2018. Based on the analysis and discussion of the EPC research, several main research trends were identified. The research results reveal an increasing research interest in EPC over the period. The findings imply that case study is the major research method and descriptive analysis and statistical analysis are primarily used for data analysis. In addition, EPC research in the past decade focused on five major research topics, which are ‘implementation of EPC projects’, ‘EPC mechanism and business models’, ‘decision-making in EPC projects’, ‘Energy Service Companies (ESCOs) in EPC projects’, and ‘risk management in EPC projects’. Based on the five research topics, future research trends and directions in EPC were identified as well. The findings of this study can be informative and valuable for guiding future research in EPC, and are particularly helpful for researchers who are keen to open a new window of investigating EPC issues worldwide.


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