- 作者：Ditti Machnes-Maayan ; Maya Elazar ; Alan Apter ; Avraham Zeharia ; Orit Krispin ; Tal Eidlitz-Markus
- 关键词：Strength and Difficulties Questionnaire (SDQ) ; psychiatric comorbidity ; children ; recurrent abdominal pain ; recurrent headache ; Development and Well-Being Assessment (DAWBA)
- 刊名：Pediatric Neurology
- 出版年：January, 2014
- 年：2014
- 卷：50
- 期：1
- 页码：49-56
- 全文大小：330 K
Background
Recurrent pain symptoms in children are associated with psychiatric comorbidities that could complicate treatment. We investigated the prevalence of psychiatric comorbidity in children with recurrent headache or recurrent abdominal pain and evaluated the screening potential of the Strength and Difficulties Questionnaire compared with the Development and Well-Being Assessment (DAWBA).Methods
Eighty-three outpatients aged 5-17聽years attending a tertiary medical center for a primary diagnosis of migraine (n聽=聽32), tension-type headache (n聽=聽32), or recurrent abdominal pain (n聽=聽19), and 33聽healthy matched controls completed the brief self-reporting Strength and Difficulties Questionnaire followed by the Development and Well-Being Assessment. Findings were compared among groups and between instruments.
Results
The pain groups were characterized by a significantly higher number of Development and Well-Being Assessment diagnoses (range 0-11) than controls and a significantly greater prevalence (by category) of Development and Well-Being Assessment diagnoses (P聽<聽0.001 for both). Anxiety and depression were the most prevalent Development and Well-Being Assessment diagnoses. Comorbidities were more severe in the headache groups than the controls (P聽<聽0.001). In general, any diagnosis by the Development and Well-Being Assessment was associated with a significantly higher Strength and Difficulties Questionnaire score (P聽<聽0.001). Abnormal scores on the emotional, conduct, and hyperactivity Strength and Difficulties Questionnaire scales were significantly predictive of a Development and Well-Being Assessment diagnosis (P聽<聽0.003).
Conclusion
Children referred to specialized outpatient pediatric units for evaluation of recurrent pain are at high risk of psychopathology. The Strength and Difficulties Questionnaire may serve as a rapid cost-effective tool for initial screening of these patients.