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Artikel: An algorithm for defining somatization in children.

Postilnik, Inna / Eisman, Howard D / Price, Rebecca / Fogel, Joshua

Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent

2008  Band 15, Heft 2, Seite(n) 64–74

Abstract: Introduction: Defining somatization in pediatric populations presents a unique challenge, because DSM-IV somatization criteria may be inadequate for identifying a child with somatization. Two approaches exist. Child somatization has frequently been ... ...

Abstract Introduction: Defining somatization in pediatric populations presents a unique challenge, because DSM-IV somatization criteria may be inadequate for identifying a child with somatization. Two approaches exist. Child somatization has frequently been rooted in a questionnaire model, focusing on child or parent responses to assess how well a child conforms to a specific mental health profile. Others use a medical diagnosis model, designating a child with somatization as those for whom a limited number of medical measures have failed to reveal a pathological source of symptoms.
Method: We incorporate concepts based upon a literature review from January 1994 to June 2005 of PubMed, PsycINFO, and CINAHL on classification and diagnosis of somatization in children ages 6 to 12. Our goal is to understand in depth the topic and suggest a way to better understand and classify somatization in children.
Results: We incorporate an integrative approach toward defining child somatization and propose an algorithm to step-by-step classify children with somatic symptoms into three distinct groups: sick, somatizers, and well. This approach includes information from self-report questionnaire, physician questionnaire, and the child's medical chart.
Conclusion: This new algorithm suggests an approach for differentiating primary care pediatric clinic visitors into three distinct groups. Although used in clinical practice, empirical validation is necessary to further validate this algorithm.
Sprache Englisch
Erscheinungsdatum 2008-04-04
Erscheinungsland Canada
Dokumenttyp Journal Article
ZDB-ID 2381637-5
ISSN 2293-6122 ; 1719-8429
ISSN (online) 2293-6122
ISSN 1719-8429
Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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