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Article

The Impact of Posttraumatic Stress Disorder on Clinical Presentation and Psychosocial Treatment Response in Youth with Functional Abdominal Pain Disorders: An Exploratory Study

1
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital, Boston, MA 02115, USA
2
Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA
3
Department of Family Medicine, Michigan State University, East Lansing, MI 48824, USA
*
Author to whom correspondence should be addressed.
Received: 27 April 2020 / Revised: 20 May 2020 / Accepted: 29 May 2020 / Published: 2 June 2020
Youth with functional abdominal pain disorders (FAPDs) may report high rates of trauma and/or posttraumatic stress disorder (PTSD), which could impact both physical and psychosocial functioning, in addition to psychosocial treatment response. The current study aimed to examine the rates of PTSD in a sample of 89 youth with FAPDs and examine the association between PTSD with physical and psychosocial functioning. The impact of PTSD on psychosocial treatment response in a subsample of youth with FAPDs was also explored. Participants were youth with FAPDs (ages 9–14) enrolled in a larger study examining the effect of a short-term pain and anxiety focused cognitive behavioral therapy (CBT) treatment (Aim to Decrease Anxiety and Pain Treatment (ADAPT)) for youth with FAPDs. Youth were administered a semi-structured diagnostic interview by a trained clinician to confirm the presence of psychological diagnoses, including PTSD. Measures of physical and psychosocial functioning were also completed. Results revealed a high rate of PTSD in youth with FAPDs with 12.4% meeting diagnostic criteria for the disorder. PTSD was associated with several indicators of increased psychosocial impairment and one indicator of physical impairment. Exploratory analyses revealed comorbid PTSD may impact response to a brief CBT intervention targeting pain and anxiety, but more rigorous controlled studies are needed. View Full-Text
Keywords: pediatric; functional abdominal pain; posttraumatic stress disorder; cognitive behavioral therapy; treatment response pediatric; functional abdominal pain; posttraumatic stress disorder; cognitive behavioral therapy; treatment response
MDPI and ACS Style

Nelson, S.; Cunningham, N. The Impact of Posttraumatic Stress Disorder on Clinical Presentation and Psychosocial Treatment Response in Youth with Functional Abdominal Pain Disorders: An Exploratory Study. Children 2020, 7, 56. https://0-doi-org.brum.beds.ac.uk/10.3390/children7060056

AMA Style

Nelson S, Cunningham N. The Impact of Posttraumatic Stress Disorder on Clinical Presentation and Psychosocial Treatment Response in Youth with Functional Abdominal Pain Disorders: An Exploratory Study. Children. 2020; 7(6):56. https://0-doi-org.brum.beds.ac.uk/10.3390/children7060056

Chicago/Turabian Style

Nelson, Sarah, and Natoshia Cunningham. 2020. "The Impact of Posttraumatic Stress Disorder on Clinical Presentation and Psychosocial Treatment Response in Youth with Functional Abdominal Pain Disorders: An Exploratory Study" Children 7, no. 6: 56. https://0-doi-org.brum.beds.ac.uk/10.3390/children7060056

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