Pediatric Somatic Symptom Disorders

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• 作者：Nasuh Malas ; Roberto Ortiz-Aguayo ; Lisa Giles…
• 关键词：Somatic symptom disorder ; Somatization ; Somatoform ; Conversion ; Functional ; Pediatric ; Medically unexplained symptoms
• 刊名：Current Psychiatry Reports
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：19
• 期：2
• 全文大小：
• 刊物主题：Psychiatry;
• 出版者：Springer US
• ISSN：1535-1645
• 卷排序：19

文摘

Somatic symptom disorder (SSD) is a common disorder encountered in pediatric medicine. It involves the presentation of physical symptoms that are either disproportionate or inconsistent with history, physical examination, laboratory, and other investigative findings. SSDs result in significant impairment with considerable increase in healthcare utilization, school absenteeism, and the potential for unnecessary diagnostic evaluation and treatment intervention. Patients and families often feel dismissed and may worry that a serious condition has been missed. Primary care providers are frequently frustrated due to a lack of a successful approach to patients and families impacted by SSD. The result is often a cycle of disability, frustration and missed opportunities for collaboration towards enhanced patient functionality. This review summarizes the current evidence-based understanding, as well as insights from clinician experience, on the evaluation and management of pediatric SSD.