Gastro Medical News about Abdominal Pain Child Anxiety Maternal Behavior

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Medical evaluation of children with chronic abdominal pain: Impact of diagnosis, physician practice orientation, and maternal trait anxiety on mothers’ responses to the evaluation
Pain, 09/23/09

Williams SE et al. – Results indicated that mothers in all conditions reported reduced distress pre– to post–vignette; however, the degree of the reduction differed as a function of diagnosis, presentation, and anxiety. Mothers reported more post–vignette negative affect, pain catastrophizing, and dissatisfaction with the physician when the physician presented a functional rather than an organic diagnosis. These effects were significantly greater for mothers with high trait anxiety who received a functional diagnosis presented by a physician with a biomedical orientation than for mothers in any other condition. Anxious mothers of children evaluated for chronic abdominal pain may be less distressed and more satisfied when a functional diagnosis is delivered by a physician with a biopsychosocial rather than a biomedical orientation.

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