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Collaborating with Pediatricians and Gastroenterologists: A Biopsychosocial Approach to Treatment of Gastrointestinal Disorders

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Abstract

Gastrointestinal (GI) disorders are common in children. Functional constipation, for example, affects about 12% of children (van Dijk, Benninga, Groothenhuis, & Last, 2010), irritable bowel syndrome (IBS) is found in 14% of adolescents (Hyams, Burke, Davis, Rzepski, & Andrulonis, 1996), and cyclic vomiting syndrome (CVS) afflicts 2% of children (Abu-Arafeh & Russell, 1995). Pediatric gastrointestinal disorders include both organic disease (e.g., Crohn’s disease) and functional symptoms (i.e., irritable bowel syndrome, functional dyspepsia, rumination syndrome, etc.). The symptom expression of pediatric GI disorders depends on each child’s cognitive abilities and psychosocial considerations such as adjustment to physical symptoms and body image changes, impact of disease management and treatment, behavioral and emotional disturbances related to symptoms (pain, ­vomiting, incontinence, etc.), family and social functioning, activity restrictions, and school avoidance. Chronic illness also has an impact on parent and sibling adjustment, both emotionally and financially. The child’s understanding of the ­illness varies with their cognitive and emotional stage of development. Due to all of these considerations, a biopsychosocial approach to treating children with GI disorders is critical.

Readers are cautioned that a significant number of the ­recommendations for psychotropic medications made in this chapter are “off label” and unendorsed by the Food and Drug Administration. As such, while rational ­literature exists to support their use, readers are cautioned to carefully weigh the risks and benefits of nonapproved medications with any population treated, and in this case, with children.

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  1. Department of Psychology, Children’s Hospital of New Orleans, New Orleans, LA, USA

    Lindsay D. Clendaniel

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  1. Lindsay D. Clendaniel
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  2. Paul E. Hyman
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  3. John C. Courtney
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Correspondence to Lindsay D. Clendaniel .

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    George M. Kapalka

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Clendaniel, L.D., Hyman, P.E., Courtney, J.C. (2011). Collaborating with Pediatricians and Gastroenterologists: A Biopsychosocial Approach to Treatment of Gastrointestinal Disorders. In: Kapalka, G. (eds) Pediatricians and Pharmacologically Trained Psychologists. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7780-9_12

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