Podcast
Questions and Answers
What is the primary goal of Stage 3 in the biopsychosocial model?
What is the primary goal of Stage 3 in the biopsychosocial model?
What is the purpose of reframing complaints in a biopsychosocial model?
What is the purpose of reframing complaints in a biopsychosocial model?
What is an example of a coping technique that can be taught to a child with headaches?
What is an example of a coping technique that can be taught to a child with headaches?
What is the role of the clinician in addressing help-seeking behavior?
What is the role of the clinician in addressing help-seeking behavior?
Signup and view all the answers
What is an example of a life event that can exacerbate physical symptoms?
What is an example of a life event that can exacerbate physical symptoms?
Signup and view all the answers
What is the purpose of addressing family and social network factors?
What is the purpose of addressing family and social network factors?
Signup and view all the answers
What is the role of depression in physical symptoms?
What is the role of depression in physical symptoms?
Signup and view all the answers
What is an example of a practical explanation for how stress, tension, and anxiety cause physical symptoms?
What is an example of a practical explanation for how stress, tension, and anxiety cause physical symptoms?
Signup and view all the answers
What is the role of graded physical exercise in managing symptoms?
What is the role of graded physical exercise in managing symptoms?
Signup and view all the answers
What is the purpose of considering psychopharmacologic interventions?
What is the purpose of considering psychopharmacologic interventions?
Signup and view all the answers
Study Notes
Somatization in Children
- Parents often report symptoms suggestive of somatization in children as young as 5-7 years old.
- Somatization-related disorders in young children are primarily manifested through parental concerns, beliefs, and behaviors.
Clinical Presentations and Diagnosis
- Typical presentations in children include:
- Recurrent episodes of severe abdominal pain, headaches, or vomiting
- Accompanied by lethargy, pale appearance, and unwellness
- May look like tension headaches, but sometimes coexist with migraine attacks
- Additional complaints of other less prominent physical symptoms, mood changes, and marked impairment with reduction in social contact and school absence are common.
Assessment and Diagnosis Tools
- Chalder Fatigue Scale (CFS): measures physical and mental fatigue in patients
- Functional Disability Inventory (FDI): assesses physical impairment and functioning
- Munich-Composite International Diagnostic Interview (M-CIDI): diagnoses somatoform and dissociative disorders
- Schedules for Clinical Assessment in Neuropsychiatry (SCAN): diagnoses somatoform and dissociative disorders
- The Child and Adolescent Psychiatric Assessment (CAPA): assesses symptom diagnosis based on information on onset date, duration, frequency, and impact
- The Preschool Age Psychiatric Assessment (PAPA): assesses symptom diagnosis in preschool children
- The Soma Assessment Interview (SAI): assesses functional somatic symptoms and impairment
Management and Treatment
- Necessary investigations to exclude organic disease and discuss with parents tactfully
- Modify harmful aspects in the child's environment (e.g., excessive academic and emotional demands)
- Share information about population frequency of FSS, risk factors, and management strategies to "normalize" the problem and "empower" families
- Specialized mental health treatment, including family CBT and pharmacological treatment, may be necessary
- Reframe complaints in a biopsychosocial model, linking physical, psychological, and social factors
- Help the child and family learn new coping techniques and address contributing factors in the family or school
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Learn about somatization in children, its clinical presentations, and diagnosis, including recurrent episodes of severe abdominal pain, headaches, and vomiting.
