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

  • Lindsay D. Clendaniel
  • Paul E. Hyman
  • John C. Courtney
Chapter

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.

Keywords

Irritable Bowel Syndrome Cognitive Behavioral Therapy Coping Style Functional Dyspepsia Enteric Nervous System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Abu-Arafeh, I., & Russell, G. (1995). Cyclical vomting sydrome in children: a population-based study. Journal of Pediatric Gastroenterology and Nutrition, 21(4), 454–8.PubMedCrossRefGoogle Scholar
  2. Altun, A., & Ugur-Altun, B. (2007). Melatonin: therapeutic and clinical utilization. International Journal of Clinical Practice, 61(5), 835–45.PubMedCrossRefGoogle Scholar
  3. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: APA.Google Scholar
  4. Bahar, R. J., Collins, B. S., Steinmetz, B., & Ament, M. E. (2008). Double-blind placebo-­controlled trial of amitriptyline for the treatment of irritable bowel syndrome in adolescents. The Journal of Pediatrics, 152, 685–9.PubMedCrossRefGoogle Scholar
  5. Barsky, A. J., Orav, E. J., & Bates, D. Q. (2005). Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity. Archives of General Psychiatry, 62(8), 903–910.PubMedCrossRefGoogle Scholar
  6. Basu, R., Dodge, H., Stoehr, G. P., & Ganguli, M. (2003). Sedative-hypnotic use of diphenhydramine in a rural, older adult, community-based cohort: Effects on cognition. The American Journal of Geriatric Psychiatry, 11(2), 205–213.PubMedGoogle Scholar
  7. Belville, R. G., & Seupaul, R. A. (2005). Pain measurement in pediatric emergency care: a review of the Faces Pain Scale – Revised. Pediatric Emergency Care, 21(2), 90–93.PubMedCrossRefGoogle Scholar
  8. Benore, E., Wertalik, G., Beck, M., & Slifer, K. (2004). Shifting the focus from pain: The effect of child and family therapy targeting adaptive functioning in managing recurrent pain. Charleston, SC: Paper presented at the National Conference on Child Health Psychology.Google Scholar
  9. Beyer, J. E. (1984). The Oucher: A user’s manual and technical report. Evanston, IL: The Hospital Play Equipment Company.Google Scholar
  10. Brent, M., Lobato, D., & LeLeiko, N. (2008). Psychological treatments for pediatric functional gastrointestinal disorders. Journal of Pediatric Gastroenterology and Nutrition, 48, 13–21.CrossRefGoogle Scholar
  11. Broekaert, D., Fischler, B., Sifrim, D., Janssens, J., & Tack, J. (2006). Influence of citalopram, a selective serotonin reuptake inhibitor, on oesophageal hypersensitivity: a double-blind, placebo-controlled study. Alimentary Pharmacology & Therapeutics, 23, 365–370.CrossRefGoogle Scholar
  12. Burke, P., Meyer, V., Kocoshis, S., Chandra, R., & Sauer, J. (1994). Correlates of depression in new onset pediatric inflammatory bowel disease. Child Psychiatry and Human Development, 24, 275–283.PubMedCrossRefGoogle Scholar
  13. Burke, P., Meyer, V., Kocoshis, S., Orenstein, D.M., Chandra, R., Nord, D.J., et al. (1989). Depression and anxiety in pediatric inflammatory bowel disease and cystic fibrosis. Journal of the American Academy of Child and Adolescent, 28, 948–951.PubMedCrossRefGoogle Scholar
  14. Campo, J. C. (2007). Disorders primarily seen in general medical settings. In R. Findling (Ed.), Clinical manual of child and adolescent psychopharmcology. Arlington, VA: American Psychiatric.Google Scholar
  15. Campo, J. V., Perel, J., Lucas, A., Bridge, J., Ehmann, M., Kalas, C., et al. (2004). Citalopram treatment of pediatric recurrent abdominal pain and comorbid internalizing disorders: an exploratory study. Journal of the American Academy of Child and Adolescent Psychiatry, 43(10), 1234–42.PubMedCrossRefGoogle Scholar
  16. Chial, H. J., Camilleri, M., Williams, D. E., Litzinger, K., & Perrault, J. (2003). Rumination ­syndrome in children and adolescents: diagnosis, treatment, and prognosis. Pediatrics, 111(1), 158–62.PubMedCrossRefGoogle Scholar
  17. Chiles, J., Lambert, M. J., & Hatch, A. L. (1999). The impact of psychological intervention on medical cost offset: A meta-analytic review. Clinical Psychology: Science and Practice, 6(2), 205–220.CrossRefGoogle Scholar
  18. Chitkara, D. K., Van Tilburg, M., Whitehead, W. E., & Talley, N. J. (2006). Teaching diaphragmatic breathing for rumination syndrome. The American Journal of Gastroenterology, 101, 2449–2452.PubMedGoogle Scholar
  19. Christophersen, E. R., & Mortweet, S. L. (2001). Treatments that work with children. Washington, DC: American Psychological Association.Google Scholar
  20. Clouse, R. E., Lustman, P. J., Exkert, T. C., Ferney, D.M., & Griffith, L.S. (1987). Low dose trazodone for symptomatic patients with esophageal contraction abnormalities. Gastroenterology, 92, 1027–1036.PubMedGoogle Scholar
  21. Cox, D. J., Sutphen, J., Borowitz, S., Kovatchev, B., & Ling, W. (1998). Contribution of behavior therapy and biofeedback to laxative therapy in the treatment of pediatric encopresis. Annals of Behavioral Medicine, 20, 70–76.PubMedCrossRefGoogle Scholar
  22. Cox, D. J., Sutphen, J., Ling, W., Quillian, W., & Borowitz, S. (1996). Additive benefits of laxative, toilet training, and biofeedback therapies in the treatment of pediatric encopresis. Journal of Pediatric Psychology, 21, 659–670.PubMedCrossRefGoogle Scholar
  23. Cunningham, C. L., & Banez, G. A. (2006). Pediatric gastrointestinal disorder: Biopsychosocial assessment and treatment. New York: Springer.Google Scholar
  24. Dahlquist, L., & Switkin, M. (2003). Chronic and recurrent pain. In M. Roberts (Ed.), Handbook of pediatric psychology (3rd ed., pp. 198–215). New York: Guilford.Google Scholar
  25. Davis, A., Bruce, A., Mangiaracina, C., Schulz, T., & Hyman, P. E. (2009). Moving from tube to oral feeding in medically fragile non-verbal toddlers. Journal of Pediatric Gastroenterology and Nutrition, 49(2), 233–6.PubMedCrossRefGoogle Scholar
  26. Di Lorenzo, C., Youssef, N. N., Sigurdsson, L., Scharf, L., Griffiths, J., & Wald, A. (2001). Visceral hyperalgesia in children with functional abdominal pain. The Journal of Pediatrics, 139(6), 838–843.PubMedCrossRefGoogle Scholar
  27. Donaldson, D., Spirito, A., & Overholser, J. (2003). Treatment of adolescent suicide attempters. In A. Spirito & J. Overholser (Eds.), Evaluating and treating adolescent suicide attempters: From research to practice (pp. 295–321). New York: Academic.CrossRefGoogle Scholar
  28. Doraiswamy, P. M., Varia, I., Hellegers, C., Wagner, H.R., Clary, G.L., Beyer, J.L., et al. (2006). A randomized controlled trial of paroxetine for noncardiac chest pain. Psychopharmacology Bulletin, 39, 15–24.Google Scholar
  29. DuPaul, G. J., McGoey, K. E., & Mautone, J. A. (2003). Pediatric pharmacology and psychopharmacology. In M. C. Roberts (Ed.), Handbook of pediatric psychology (3rd ed.). New York, NY: Guilford.Google Scholar
  30. Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–36.PubMedCrossRefGoogle Scholar
  31. Finney, J. W., Riley, A. W., & Cataldo, M. F. (1991). Psychology in primary healthcare: Effects of brief targeted therapy on children’s medical care utilization. Journal of Pediatric Psychology, 16(4), 447–461.PubMedCrossRefGoogle Scholar
  32. Finney, J. W., Lemanek, K. L., Cataldo, M. F., Katz, H. P., & Fuqua, R. W. (1989). Pediatric ­psychology in primary health care: Brief targeted therapy for recurrent abdominal pain. Behavior Therapy, 20, 283–291.CrossRefGoogle Scholar
  33. Franck, L. S., Greenburg, C. S., & Stevens, B. (2000). Pain assessment in infants and children. Pediatric Clinics of North America, 47, 487–512.PubMedCrossRefGoogle Scholar
  34. Gertkin, J. T., Cocjin, J., Pehlivanov, N., Danda, C., & Hyman, P. E. (2005). Comorbidities associated with constipation in children referred for colon manometry may mask functional diagnoses. Journal of Pediatric Gastroenterology and Nutrition, 41(3), 328–331.CrossRefGoogle Scholar
  35. Gitlin, K., Markowitz, J., Pelcovitz, D., Strohmayer, A., Dorstein, L., & Klein, S. (1991). Stress mediators in children with inflammatory bowel disease. In Johnson, J. H. & Johnson, S. B. (Eds.), Advances in Child Healthy Psychology Gainesville: University of Florida Press. (pp. 54–62).Google Scholar
  36. Gordon, N. (1994). Recurrent vomiting in childhood, especially of neurological origin. Developmental Medicine and Child Neurology, 36, 463–467.CrossRefGoogle Scholar
  37. Gordon, N. (2000). The therapeutics of melatonin: a paediatric perspective. Brain & Development, 22(4), 213–217.CrossRefGoogle Scholar
  38. Grover, M., Herfarth, H., & Drossman, D. A. (2009). The functional-organic dichotomy: postinfectious irritable bowel syndrome and inflammatory bowel disease-irritable bowel syndrome. Clinical Gastroenterology and Hepatology, 7, 48–53.PubMedCrossRefGoogle Scholar
  39. Hauer, J. M., Wical, B. S., & Charnas, L. (2007). Gabapentin successfully manages chronic unexplained irritability in children with severe neurologic impairment. Pediatrics, 119(2), 519–22.CrossRefGoogle Scholar
  40. Hicks, C. L., von Baeyer, C. L., van Spafford, P. A., Korlaar, I., & Goodenough, B. (2001). The Faces Pain Scale – Revised: Toward a common metric in pediatric pain measurement. Pain, 93, 173–183.PubMedCrossRefGoogle Scholar
  41. Humphreys, P. A., & Gevirtz, R. N. (2000). Treatment of recurrent abdominal pain: Components analysis of four treatment protocols. Journal of Pediatric Gastroenterology and Nutrition, 31, 47–51.PubMedCrossRefGoogle Scholar
  42. Hyams, J. S., Burke, G., Davis, P. M., Rzepski, B., & Andrulonis, P. A. (1996). Abdominal pain and irritable bowel syndrome in adolescents: a community-based study. The Journal of Pediatrics, 129(2), 220–6.PubMedCrossRefGoogle Scholar
  43. Hyman, P. E., Bursch, B., Sood, M., Schwankovsky, L., Cocjin, J., & Zeltzer, L. K. (2002). Visceral pain-associated disability syndrome: a descriptive analysis. Journal of Pediatric Gastroenterology and Nutrition, 35, 663–68.PubMedCrossRefGoogle Scholar
  44. Hyman, P.E., & Fleisher, D.R. (in press). Approach to the child with a functional gastrointestinal disorder. In Wylie R & Hymans PE (Eds.) Pediatric gastrointestinal and liver diseases (4th ed.).Google Scholar
  45. Hyman, P. E., Milla, P. J., Benninga, M. A., Davidson, G. P., Fleisher, D. F., & Taminiau, L. S. (2006). Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology, 130(5), 1519–1526.PubMedCrossRefGoogle Scholar
  46. Iovino, P., Tremolaterra, F., Boccia, G., Miele, E., Ruju, F. M., & Staiano, A. (2009). Irritable bowel syndrome in childhood: visceral hypersensitivity and psychosocial aspects. Neurogastroenterology and Motility, 21(9), 940–e74.PubMedCrossRefGoogle Scholar
  47. Jellinek, M. S. (1997). Comment on cyclic vomiting. Journal of Developmental and Behavioral Pediatrics, 18, 269.CrossRefGoogle Scholar
  48. Kast, R. E. (1998). Crohn’s disease remission with phenelzine treatment. Gastroenterology, 115(4), 1034–5.PubMedCrossRefGoogle Scholar
  49. Kast, R. E., & Altschuler, E. L. (2001). Remission of Crohn’s disease on bupropion. Gastroenterology, 121(5), 1260–1.PubMedCrossRefGoogle Scholar
  50. Keck, J.F., Gerkensmeyer, J.E., Joyce, B.A., & Schade, J.G. (1996). Reliability and validity of the Faces and Word Descriptor Scales to measure procedural pain. Journal of Pediatric Nursing, 11, 368–374.PubMedCrossRefGoogle Scholar
  51. Kelly, A., Powell, C., & Williams, A. (2002). Parent visual analogue scale ratings of children’s pain do not reliably reflect pain reported by child. Pediatric Emergency Care, 18, 159–162.PubMedCrossRefGoogle Scholar
  52. Khan, S., Hyman, P. E., Cocjin, J., & Di Lorenzo, C. (2000). Rumination syndrome in adolescents. The Journal of Pediatrics, 136, 528–31.PubMedCrossRefGoogle Scholar
  53. Lackner, J. M., Mesmer, C., Morley, S., Dowzer, C., & Hamilton, S. (2004). Psychological treatments for irritable bowel syndrome: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 72(6), 1100–1113.PubMedCrossRefGoogle Scholar
  54. Levy, R. L., Langer, S. L., Walker, L. S., Romano, J. M., Christie, D. L., Youssef, N., et al. (2010). Cognitive-behavioral therapy for children with functional abdominal pain and their parents decreases pain and other symptoms. The American Journal of Gastroenterology, 105(4), 946–56.PubMedCrossRefGoogle Scholar
  55. Li, B. U., & Fleisher, D. R. (1999). Cyclic vomiting syndrome: Features to be explained by a pathophysiological model. Digestive Diseases and Sciences, 44(8), 13S–18S.PubMedGoogle Scholar
  56. Li, B. U., & Misiewicz, L. (2003). Cyclic vomiting syndrome: a brain-gut disorder. Gastroenterology Clinics of North America, 32(3), 997–1019.PubMedCrossRefGoogle Scholar
  57. Li, B. U., Murray, R. D., Heitlinger, L. A., Robbins, J. L., & Hayes, J. R. (1999). Is cyclic vomiting syndrome related to migraine? The Journal of Pediatrics, 134, 533–535.CrossRefGoogle Scholar
  58. Masters, K. (2006). Recurrent abdominal pain, medical intervention, and biofeedback: What happened to the biopsychosocial model? Applied Psychophysiology and Biofeedback, 31(2), 155–165.PubMedCrossRefGoogle Scholar
  59. Maynard, C. S., Amari, A., Wieczorek, B., Christensen, J. R., & Slifer, K. J. (2010). Interdisciplinary behavioral rehabilitation of pediatric pain-associated disability: retrospective review of an inpatient treatment protocol. Journal of Pediatric Psychology, 35(2), 128–37.PubMedCrossRefGoogle Scholar
  60. McGrath, M. L., Mellon, M. W., & Murphy, L. (2000). Empirically supported treatment in pediatric psychology: Constipation and encopresis. Journal of Pediatric Psychology, 25, 225–254.PubMedCrossRefGoogle Scholar
  61. McGrath, P. A. (1990). Pain in children: nature, assessment and treatment. New York: Guilford.Google Scholar
  62. McGrath, P. J., Johnson, G., Goodman, J. T., Schillinger, J., Dunn, J., & Chapman, J. (1985). CHEOPS: A behavioral scale for rating postoperative pain in children. Advances in pain Research and Therapy, 9, 395–402.Google Scholar
  63. McGrath, P. J., Goodman, J. T., Firestone, P., Shipman, R., & Peters, S. (1983). Recurrent abdominal pain: A psychogenic disorder? Archives of Disease in Childhood, 58, 888–890.PubMedCrossRefGoogle Scholar
  64. Merkel, S. I., Voepel-Lewis, T., Shayevitz, J. R., & Malviya, S. (1997). The FLACC: A behavioral scale for scoring postoperative pain in young children. Pediatric Nursing, 23(3), 293–297.PubMedGoogle Scholar
  65. Mertz, H. R. (2003). Overview of functional gastroenterological disorders: Dysfunction of the brain-gut axis. Gastroenterology Clinics of North America, 32, 463–476.PubMedCrossRefGoogle Scholar
  66. Mindell, J. A., Emslie, G., Blumer, J., Genel, M., Glaze, D., Ivanenko, A., et al. (2006). Pharmacologic management of insomnia in children and adolescents: consensus statement. Pediatrics, 117(6), e1223–32.PubMedCrossRefGoogle Scholar
  67. Naliboff, B.D., Munakata, J., Fullerton, S., Gracely, R.H., Kodner, A., Harraf, F., & Mayer, E.A. (1997). Evidence for two distinct perceptual alterations in irritable bowel syndrome. Gut, 41, 505–512.PubMedCrossRefGoogle Scholar
  68. Oelschlager, B. K., Chan, M. M., Eubanks, T. R., Pope, C. E 2nd, & Pellegrini, C. A. (2002). Effective treatment of rumination with Nissen fundoplication. Journal of Gastrointestinal Surgery, 6(4), 638–44.PubMedCrossRefGoogle Scholar
  69. Parkman, H., Abell, T. L., Adams, K. A., Boles, R. G., Bousvaros, A., Chong, S. K., et al. (2008). Cyclic vomiting syndrome in adults. Neurogastroenterol Motility, 20, 269–84.CrossRefGoogle Scholar
  70. Pellissier, S., Dantzer, C., Canini, F., Mathieu, N., & Bonaz, B. (2010). Psychological adjustment and autonomic disturbances in inflammatory bowel diseases and irritable bowel syndrome. Psychoneuroendocrinology, 35(5), 653–62.PubMedCrossRefGoogle Scholar
  71. Pillar, G., Shahar, E., Peled, N., Ravid, S., Lavie, P., & Etzioni, A. (2000). Melatonin improves sleep-wake patterns in psychomotor retarded children. Pediatric Neurology, 23(3), 225–228.PubMedCrossRefGoogle Scholar
  72. Plunkett, A., & Beattie, R. M. (2005). Recurrent abdominal pain in childhood. Journal of the Royal Society of Medicine, 98, 101–106.PubMedCrossRefGoogle Scholar
  73. Pothman, R. (1990). Comparison of the visual analogue scale (VAS) and a smiley analog scale (SAS) for the evaluation of pain in children. Advances in Pain Research and Therapy, 15, 95–99.Google Scholar
  74. Quittner, A., Drotar, D., Ievers-Landis, C., & Hoffman, S. J. (2004). Behavioral family systems therapy (BFST) – for teenagers with cystic fibrosis and their parents. Unpublished manuscript. Google Scholar
  75. Rahimi, R., Nikfar, S., Rezaie, A., & Abdollahi, M. (2009). Efficacy of tricyclic antidepressants in irritable bowel syndrome: a meta-analysis. World Journal of Gastroenterology, 15(13), 1548–53.PubMedCrossRefGoogle Scholar
  76. Ranjagopalan, M., Kurian, G., & on, J. (1998). Symptom relief with amitriptyline in the irritable bowel syndrome. Journal of Gastroenterology and Hepatology, 13, 738–741.CrossRefGoogle Scholar
  77. Rasquin, A., Di Lorenzo, C., Forbes, D., Guiraldes, E., Hyams, J.S., Staiano, A., & Walker, L.S. (2006). Childhood functional gastrointestinal disorders: Child/adolescent. Gastroenterology, 130(5), 1527–1537.PubMedCrossRefGoogle Scholar
  78. Richter, J. E., & Bradley, L. C. (1996). Psychophysiological interactions in esophageal diseases. Seminars in Gastrointestinal. Disease, 7(4), 169–184.Google Scholar
  79. Riekert, K., & Drotar, D. (2000). Adherence to medical treatment in pediatric chronic illness: Critical issues and answered questions. In D. Drotar (Ed.), Promoting adherence to medical treatment and chronic childhood illness: Concepts, methods, and interventions (pp. 3–32). Mahwah, NJ: Erlbaum.Google Scholar
  80. Robins, P. M., Smith, S. M., Glutting, J. J., & Bishop, C. T. (2005). A randomized controlled trial of cognitive-behavioral family intervention for pediatric recurrent abdominal pain. Journal of Pediatric Psychology, 30, 397–408.PubMedCrossRefGoogle Scholar
  81. Sanders, M. R., Rebetz, M., Morrison, M., Bor, W., Gordon, A., Dadds, M. R., & Shephard, R. (1989). Cognitive-behavioral treatment of recurrent nonspecific abdominal pain in children: An analysis of generalization, maintenance, and side effects. Journal of Consulting and Clinical Psychology, 2, 294–300.PubMedCrossRefGoogle Scholar
  82. Saps, M., Youssef, N., Miranda, A., Nurko, S., Hyman, P., Cocjin, J., et al. (2009). Multicenter, randomized placebo-controlled trial of amitriptyline in children with functional gastrointestinal disorders. Gastroenterology, 137, 1261–1269.PubMedCrossRefGoogle Scholar
  83. Schurman, J. V., Danda, C. E., Friesen, C. A., Hyman, P. E., Simon, S. D., & Cocjin, J. T. (2008). Variations in psychological profile among children with recurrent abdominal pain. Journal of Clinical Psychology in Medical Settings, 15, 241–25.PubMedCrossRefGoogle Scholar
  84. Shields, B.J., Palermo, T.M., Powers, J.D., Grewe, S.D., & Smith, S.A. (2003). Predictors of a child’s ability to use a visual analogue scale. Child: Care, Health and Development, 29, 281–290.CrossRefGoogle Scholar
  85. Singer, A.J., Gulla, J., & Thode, H.C. Jr. (2002). Parents and practitioners are poor judges of young children’s pain severity. Academic Emergency Medicine, 9, 609–612.PubMedCrossRefGoogle Scholar
  86. Smits, M. G., Nagtegaal, E. E., van der Heijden, J., Coenen, A. M., & Kerkhof, G. A. (2001). Melatonin for chronic sleep onset insomnia in children: a randomized placebo-controlled trial. Journal of Child Neurology, 16(2), 86–92.PubMedGoogle Scholar
  87. Spirito, A., & Kazak, A. E. (2006). Effective and emerging treatments in pediatric psychology. New York, NY: Oxford University Press.Google Scholar
  88. Stahl, S. (2009). Essential psychopharmacology: The prescriber’s guide (3rd ed.). New York: Cambridge University Press.Google Scholar
  89. Stark, L. J., Owens-Stively, J., Spirito, A., Lewis, A., & Guevremont, D. (1990). Group treatment of retentive encopresis. Journal of Pediatric Psychology, 15, 659–671.PubMedCrossRefGoogle Scholar
  90. Stark, L. J., Opipari, L., Donaldson, D. L., Danovsky, M. B., Rasile, D. A., & DelSanto, A. F. (1997). Evaluation of a standard protocol for retentive encopresis: A replication. Journal of Pediatric Psychology, 22, 619–633.PubMedCrossRefGoogle Scholar
  91. Steinberg, L., & Levine, A. (1990). You and your adolescent: A parent’s guide for ages 10 to 20 (pp. 156–181). New York: Harper & Row.Google Scholar
  92. Subcommittee on Chronic Abdominal Pain. (2005). Chronic abdominal pain in children. Pediatrics, 115, 370–881.CrossRefGoogle Scholar
  93. Szigethy, E., Levy-Warren, A., Whitton, S., Bousvaros, A., Gauvreau, K., Leichtner, A.M., & Beardslee, W.R. (2004). Depression symptoms and inflammatory bowel disease in children and adolescents: A cross-sectional study. Journal of Pediatric Gastroenterology, 39(4), 395–403.PubMedCrossRefGoogle Scholar
  94. Talley, N.J., Kellow, J.E., Boyce, P., Tennant, C., Huskic, S., & Jones, M. (2008). Antidepressant therapy(imipramine and citalopram) for irritable bowel syndrome: a double blind, randomized placebo-controlled study. Digestive Diseases and Sciences, 53, 108–115.CrossRefGoogle Scholar
  95. Tjon Pian Gi, C. V., Broeren, J. P., Starreveld, J. S., & Versteegh, F. G. (2003). Melatonin for treatment of sleeping disorders in children with attention deficit/hyperactivity disorder: a ­preliminary open label study. European Journal of Pediatrics, 162(7), 554–555.PubMedCrossRefGoogle Scholar
  96. Toner, B. B., Segal, Z. V., Emmot, S. D., & Myran, D. (2000). Cognitive-behavioral treatment of IBS. New York: Guilford.Google Scholar
  97. van der Zagg-Loonen, H. J., Groothenhuis, M. A., Last, B. F., & Derkx, H. H. (2004). Coping strategies and quality of life of adolescents with inflammatory bowel disease. Quality of Life Research, 13, 1011–1019.CrossRefGoogle Scholar
  98. van Dijk, M., Benninga, M. A., Grootenhuis, M. A., & Last, B. F. (2010). Prevalence and associated clinical characteristics of behavior problems in constipated children. Pediatrics, 125(2), 309–17. ePub 2010 Jan 18.CrossRefGoogle Scholar
  99. van Dijk, M., Bongers, M. E., de Vries, G. J., Grootenhuis, M. A., Last, B. F., & Benninga, M. A. (2008). Behavioral therapy for childhood constpiation: A randomized, controlled trial. Pediatrics, 121(5), 1334–41.CrossRefGoogle Scholar
  100. van Tilburg, M. A., Chitkara, D. K., Palsson, O. S., Levy, R. L., & Whitehead, W. E. (2009). Parental worries and beliefs about abdominal pain. Journal of Pediatric Gastroenterology and Nutrition, 48(3), 311–17.PubMedCrossRefGoogle Scholar
  101. Varia, I., Logue, E., O’Connor, C., Newby, K., Wagner, H.R., Davenport, C., et al. (2000). Randomized trial of sertraline in patients with unexplained chest pain of noncardiac origin. American Heart Journal, 140, 376–372.CrossRefGoogle Scholar
  102. Varni, J. W., Thompson, K. L., & Hanson, V. (1987). The Varni–Thompson pediatric pain questionnaire: I. Chronic musculo-skeletal pain in juvenile rheumatoid arthritis. Pain, 28, 27–38.PubMedCrossRefGoogle Scholar
  103. Vlieger, A. M., Menko-Frankenhuis, C., Wolfkamp, S. C., Tromp, E., & Benninga, M. A. (2007). Hypnotherapy for children with functional abdominal pain or irritable bowel syndrome: a randomized controlled trial. Gastroenterology, 133(5), 1430–6.PubMedCrossRefGoogle Scholar
  104. Van Ginkel, R., Voskuijl, W. P., Benninga, M. A., Taminiau, J. A., & Boeckxstaens, G. E. (2001). Alterations in rectal sensitivity and motility in childhood irritable bowel syndrome. Gastroenterology, 120, 31–38.PubMedCrossRefGoogle Scholar
  105. von Baeyer, C. L., Spagrud, L. J., McCormick, J. C., Choo, E., Neville, K., & Connelly, M. A. (2009). Three new datasets supporting use of the Numerical Rating Scale (NRS-11) for children’s self-reports of pain intensity. Pain, 143(3), 223–7.CrossRefGoogle Scholar
  106. Wagaman, J. R., Williams, D. E., & Camilleri, M. (1998). Behavioral intervention for the treatment of rumination. Journal of Pediatric Gastroenterology and Nutrition, 27, 596–598.PubMedCrossRefGoogle Scholar
  107. Wald, A., Chandra, R., Gabel, S., & Chiponis, D. (1987). Evaluation of biofeedback in childhood encopresis. Journal of Pediatric Gastroenterology and Nutrition, 6, 554–558.PubMedCrossRefGoogle Scholar
  108. Walker, L. S. (1999). The evolution of research on recurrent abdominal pain: History, assumptions, and a conceptual model. In P. J. McGrath & G. A. Finney (Eds.), Progress in pain research and management (Chronic and recurrent pain in children and adolescents (  Vol. 13, pp. 141–172). Seattle, WA: IASP Press.Google Scholar
  109. Walker, L. S., Baber, K. F., Garber, J., & Smith, C. A. (2008). A typology of pain coping strategies in pediatric patients with chronic abdominal pain. Pain, 137(2), 266–75.PubMedCrossRefGoogle Scholar
  110. Walker, L. S., Claar, R. L., & Garber, J. (2002). Social consequences of children’s pain: When do they encourage symptom maintenance? Journal of Pediatric Psychology, 24, 364–374.Google Scholar
  111. Walker, L. S., Garber, J., & Greene, J. W. (1993). Psychosocial correlates of recurrently childhood pain: A comparison of pediatric patients with recurrent abdominal pain, organic illness, and psychiatric disorders. Journal of Abnormal Psychology, 102, 248–258.PubMedCrossRefGoogle Scholar
  112. Walker, L. S., Garber, J., Smith, C. A., Van Slyke, D. A., & Lewis Claar, R. (2001). The relation of daily stressors to somatic and emotional symptoms in children with and without recurrent abdominal pain. Journal of Consulting and Clinical Psychology, 69, 85–91.PubMedCrossRefGoogle Scholar
  113. Walker, L. S., & Greene, J. W. (1991). Negative life events and symptom resolution in pediatric abdominal pain patients. Journal of Pediatric Psychology, 16, 341–360.PubMedCrossRefGoogle Scholar
  114. Walker, L. S., & Jones, D. S. (2005). Psychosocial factors: Impact on symptom severity and outcomes of pediatric functional gastrointestinal disorders. Journal of Pediatric Gastroenterology and Nutrition, 41, S51–S52.PubMedCrossRefGoogle Scholar
  115. Walker, L. S., Lipani, T. A., Greene, J. W., Caines, K., Stutts, J., Polk, D. B., et al. (2004). Recurrent abdominal pain: symptom subtypes based on the Rome II criteria for pediatric functional gastrointestinal disorders. Journal of Pediatric Gastroenterology and Nutrition, 38, 187–191.PubMedCrossRefGoogle Scholar
  116. Walker, L. S., Smith, C. A., Garber, J., & Claar, R. L. (2005). Testing a model of pain appraisal and coping in children with recurrent abdominal pain. Health Psychology, 24, 364–74.PubMedCrossRefGoogle Scholar
  117. Walker, L. S., Williams, S. E., Smith, C. A., Garber, J., Van Slyke, D. A., & Lipani, T. A. (2006). Parent attention versus distraction: impact on symptom complaints by children with and without chronic functional abdominal pain. Pain, 122(1–2), 43–52.PubMedCrossRefGoogle Scholar
  118. Wasserman, A. L., Whitington, P. F., & Rivara, F. P. (1988). Psychogenic basis for abdominal pain in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 179–184.PubMedCrossRefGoogle Scholar
  119. Weydert, J. A., Ball, T. M., & Davis, M. F. (2003). Systematic review of treatments for recurrent abdominal pain. Pediatrics, 111, 1–11.CrossRefGoogle Scholar
  120. Wicksell, R. K., Dahl, J., Magnusson, B., & Olsson, G. L. (2005). Using acceptance and commitment therapy in the rehabilitation of an adolescent female with chronic pain: a case example. Cognitive and Behavioral Practice, 12(4), 415–423.CrossRefGoogle Scholar
  121. Wicksell, R. K., Melin, L., Lekander, M., & Olsson, G. L. (2009). Evaluating the effectiveness of exposure and acceptance strategies to improve functioning and quality of life in longstanding pediatric pain – A randomized controlled trial. Pain, 141(3), 248–57.PubMedCrossRefGoogle Scholar
  122. Withers, G. D., Silburn, S. R., & Forbes, D. A. (1998). Cyclic vomiting syndrome: A descriptive analysis of symptoms, precipitants, aetiology, and treatment. Acta Paediatrica, 87, 272–277.PubMedCrossRefGoogle Scholar
  123. Wong, D., & Baker, C. (1988). Pain in children: comparison of assessment scales. Pediatric Nursing, 14(1), 9017.Google Scholar
  124. Wong, D.L., Hockenberry-Eaton, M., Wilson, D., Winkelstein, M.L., Ahmann, E., DiVito-Thomas, P.A. (1999). Pain assessment. In Whaley and Wong’s nursing care of infants and children (6th ed., pp. 1148–1159). St. Louis, MO: Mosby.Google Scholar
  125. Wysocki, T., Harris, M., Greco, P., Bubb, J., Danda, C., Harvey, L., et al. (2000). Randomized controlled trial of behavioral therapy for families of adolescents with insulin-dependent diabetes mellitus. Journal of Pediatric Psychology, 25, 23–33.PubMedCrossRefGoogle Scholar
  126. Zangen, T., Ciarla, C., Di Lorenzo, C., Griffiths, J., Flores, A. F., Cocjin, J., et al. (2000). Food refusal in medically fragile children. Journal of Pediatric Gastroenterology and Nutrition, 31(2), 952.Google Scholar
  127. Zeltzer, L. K. (2005). Conquering your child’s chronic pain. New York: Harper-Collins.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Lindsay D. Clendaniel
    • 1
  • Paul E. Hyman
  • John C. Courtney
  1. 1.Department of PsychologyChildren’s Hospital of New OrleansNew OrleansUSA

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