Pediatric Somatic Symptom Disorders

被引:0
作者
Nasuh Malas
Roberto Ortiz-Aguayo
Lisa Giles
Patricia Ibeziako
机构
[1] University of Michigan Medical School,Department of Psychiatry and Pediatrics
[2] Children’s Hospital of Pittsburgh of UPMC,Department of Psychiatry and Pediatrics
[3] University of Pittsburgh School of Medicine,Department of Pediatrics and Psychiatry
[4] University of Utah School of Medicine,Department of Psychiatry and Behavioral Health
[5] Primary Children’s Hospital,Department of Psychiatry, Boston Children’s Hospital
[6] Harvard Medical School,undefined
来源
Current Psychiatry Reports | 2017年 / 19卷
关键词
Somatic symptom disorder; Somatization; Somatoform; Conversion; Functional; Pediatric; Medically unexplained symptoms;
D O I
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学科分类号
摘要
Somatic symptom disorder (SSD) is a common disorder encountered in pediatric medicine. It involves the presentation of physical symptoms that are either disproportionate or inconsistent with history, physical examination, laboratory, and other investigative findings. SSDs result in significant impairment with considerable increase in healthcare utilization, school absenteeism, and the potential for unnecessary diagnostic evaluation and treatment intervention. Patients and families often feel dismissed and may worry that a serious condition has been missed. Primary care providers are frequently frustrated due to a lack of a successful approach to patients and families impacted by SSD. The result is often a cycle of disability, frustration and missed opportunities for collaboration towards enhanced patient functionality. This review summarizes the current evidence-based understanding, as well as insights from clinician experience, on the evaluation and management of pediatric SSD.
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