Impaired Health-Related Quality of Life in Brazilian Children with Chronic Abdominal Pain: A Cross-Sectional Study

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dc.contributor.authorde Jesus, Carine Dias Ferreira [UNESP]
dc.contributor.authorde Assis Carvalho, Mary [UNESP]
dc.contributor.authorMachado, Nilton Carlos [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T13:45:53Z
dc.date.available2023-07-29T13:45:53Z
dc.date.issued2022-01-01
dc.description.abstractPurpose: We compared the health-related quality of life (HRQOL) of children and adolescents with functional abdominal pain disorders (FAPDs) and organic abdominal pain disorders (ORGDs). Methods: This was a single-center, cross-sectional, observational study. The PedsQL 4.0 generic cores scales parent proxy-report was administered to parents/caregivers of 130 and 56 pediatric patients with FAPDs and ORGDs respectively on their first visit. The self-reported pain intensity in the patients was assessed using a visual analog scale (VAS) and facial affective scale (FAS). Results: Irritable bowel syndrome was the most prevalent FAPDs, and the most prevalent ORGDs were reflux esophagitis (41.1%) and gastritis associated with Helicobacter pylori (21.4%). There was no difference in HRQOL among patients diagnosed with ORGDs and FAPDs (p>0.05). Patients with ORGDs and FAPDs had lower HRQOL Scale scores than healthy Brazilian and American children’s references, with a high proportion of children at risk for impaired HRQOL (p<0.0001). There was no difference in the VAS and the FAS scores between the ORGDs and the FAPDs. FAPDs had a higher prevalence of girls’ and couples’ disagreement (p<0.02), although poor school performance (p<0.0007) and bullying (p<0.01) were higher in patients with ORGD. Conclusion: This study revealed that there was a difference in impaired HRQOL between patients with ORGDs and FAPDs. Thus, considering the high prevalence of chronic abdominal pain in children, a well-founded treatment plan is necessary for a multidisciplinary cognitive-behavioral Pain management program.en
dc.description.affiliationBotucatu Medical School Sao Paulo State University
dc.description.affiliationDivision of Pediatric Gastroenterology Hepatology and Nutrition Department of Pediatrics Botucatu Medical School São Paulo State University
dc.description.affiliationUnespBotucatu Medical School Sao Paulo State University
dc.description.affiliationUnespDivision of Pediatric Gastroenterology Hepatology and Nutrition Department of Pediatrics Botucatu Medical School São Paulo State University
dc.format.extent500-509
dc.identifierhttp://dx.doi.org/10.5223/pghn.2022.25.6.500
dc.identifier.citationPediatric Gastroenterology, Hepatology and Nutrition, v. 25, n. 6, p. 500-509, 2022.
dc.identifier.doi10.5223/pghn.2022.25.6.500
dc.identifier.issn2234-8840
dc.identifier.issn2234-8646
dc.identifier.scopus2-s2.0-85149864918
dc.identifier.urihttp://hdl.handle.net/11449/248506
dc.language.isoeng
dc.relation.ispartofPediatric Gastroenterology, Hepatology and Nutrition
dc.sourceScopus
dc.subjectAbdominal pain
dc.subjectFunctional gastrointestinal disorders
dc.subjectHelicobacter pylori
dc.subjectPain measurement
dc.subjectQuality of life
dc.subjectReflux esophagitis
dc.titleImpaired Health-Related Quality of Life in Brazilian Children with Chronic Abdominal Pain: A Cross-Sectional Studyen
dc.typeArtigo
unesp.author.orcid0000-0002-9343-972X[1]
unesp.author.orcid0000-0002-8059-1730[2]
unesp.author.orcid0000-0003-4769-1139[3]

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