Document Detail


Clinical profile of pediatric somatoform disorders.
MedLine Citation:
PMID:  18310789     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To study the prevalence, pattern, clinical and socio-demographic characteristics of somatoform disorders in children. METHODS: From Aug 2004 to July 2005, children up to 18 years with unexplained physical symptoms were evaluated prospectively using DSM-IV criteria. Detailed evaluation followed for those meeting criteria. RESULTS: The prevalence of Somatoform disorders was 0.59% and 0.78% among out-door and in-door patients respectively. Among 124 children (40 boys and 84 girls) meeting criteria, conversion disorder was the commonest (57.3%), followed by undifferentiated somatoform disorder (25.2%). Girls were significantly more represented among conversion disorder patients compared to other groups of somatoform disorders (78.9 vs. 52.8 %, P=0.002). In conversion disorder, 2/3rd patients presented within 3 months, whereas in other somatoform disorders, 2/3rd patients presented within 3 months after symptoms. Fainting attacks (52.1%) and ataxia (43.7%) in conversion disorder and pain abdomen (52.8%) and headache (52.8%) in other somatoform disorders, were the commonest symptoms. Stressors were identified in 73.4% and acute precipitating stressors were present in 14.4% children. Boys had significantly higher rates of poor inter-personal relations and communication problems within the family (72.5% vs. 41.7%, P=0.001), while girls had significantly higher rates of conflicts with the parents and other family members (21.4% vs. 5%, P=0.02). CONCLUSION: Somatoform disorders, particularly conversion disorder is commoner in girls. Important stressors are poor inter-personal relations and communication problems within the family in boys, and conflicts with family members among girls.
Authors:
Jaipal Bisht; Naveen Sankhyan; Ram Krishan Kaushal; Ravi C Sharma; Neelam Grover
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian pediatrics     Volume:  45     ISSN:  0019-6061     ISO Abbreviation:  Indian Pediatr     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-03-03     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985062R     Medline TA:  Indian Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  111-5     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, IGMC, Shimla, Himachal Pradesh, India.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / diagnosis,  epidemiology*
Child
Communication
Conversion Disorder / diagnosis,  epidemiology,  psychology
Diagnostic and Statistical Manual of Mental Disorders
Female
Health Status*
Humans
Interpersonal Relations
Life Change Events
Male
Prevalence
Prospective Studies
Severity of Illness Index
Sex Factors
Somatoform Disorders* / diagnosis,  epidemiology,  psychology
Syncope / epidemiology*

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