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A Selective Review of Child Psychiatric Syndromes with a Somatic Presentation

Published online by Cambridge University Press:  02 January 2018

M. E. Garralda
M. E. Garralda*
Affiliation:
St Mary's Hospital Medical School, Horace Joules Hall, Central Middlesex Hospital, Park Royal, London NW10 7NS
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Abstract

This review focuses on ‘aches and pains' and conversion syndromes as a basis for the description of psychological factors and mechanisms of relevance for the somatisation of distress in childhood and which may contribute to medical help-seeking for children. The characteristic pattern of associated psychological factors includes child personality features; academic concerns; family health problems; and styles of family interaction. Further research is required to explore in more depth the nature of these factors, the mechanisms that mediate the development of severe handicapping problems, and effective interventions.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 161 , Issue 6 , December 1992 , pp. 759 - 773
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Apley, J. (1975) The Child with Abdominal Pains. Oxford: Blackwell Scientific.Google Scholar
Apley, J. & Naish, N. (1958) Recurrent abdominal pains: a field survey of 11,000 school children. Archives of Disease in Childhood, 33, 165–170.Google Scholar
Apley, J. & Ounsted, C. (eds) (1982) One Child. London: Spastics International Medical Publications.Google Scholar
Arnold, R. P., Rogers, D. & Cook, D. A. G. (1990) Medical problems of adults who were sexually abused in childhood. British Medical Journal, 300, 705–708.CrossRefGoogle ScholarPubMed
Aro, H. (1987) Life stress and psychosomatic symptoms among 14 to 16-year old Finnish adolescents. Psychological Medicine, 17, 191–201.CrossRefGoogle ScholarPubMed
Aro, H. & Taipale, V. (1987) The impact of timing of puberty on psychosomatic symptoms among fourteen to sixteen year old Finnish girls. Child Development, 58, 261–268.Google Scholar
Aro, H., Paronen, O. & Aro, S. (1987) Psychosomatic symptoms among 14 to 16 year old Finnish adolescents. Social Psychiatry, 22, 171–176.Google Scholar
Bailey, V., Graham, P. & Boniface, D. (1978) How much child psychiatry does a general practitioner do? Journal of the Royal College of General Practitioners, 28, 621–626.Google Scholar
Bass, C. (ed.) (1990) Somatization: Physical Symptoms & Psychological Illness. Oxford: Blackwell Scientific.Google Scholar
Bille, B. (1962) Migraine in children. Acta Paediatrica, 51 (suppl. 136).CrossRefGoogle Scholar
Brown, T. H. (1985) Descartes, dualism and psychosomatic medicine. In The Anatomy of Madness: Essays in the History of Psychiatry, Vol. 1 (eds W. F. Bynum, R. Porter & M. Shepherd), pp. 40–62. London: Tavistock.Google Scholar
Christensen, M. F. & Mortensen, O. (1975) Long-term prognosis in children with recurrent abdominal pain. Archives of Disease in Childhood, 50, 110–114.CrossRefGoogle ScholarPubMed
Clough, C. (1989) Treating migraine: try stress reduction and simple analgesia first. British Medical Journal, 299, 141–142.CrossRefGoogle Scholar
Collin, C., Hockaday, J. M. & Waters, W. E. (1985) Headache and school absence. Archives of Disease in Childhood, 60, 245–247.CrossRefGoogle ScholarPubMed
Congdon, P. J. & Forsythe, W. I. (1979) Migraine in childhood: a study of 300 children. Developmental Medicine and Child Neurology, 21, 209–216.Google Scholar
Conway, D. J. (1951) A study of abdominal pain in childhood. Gt Ormond Street Journal, 29, 99–109.Google Scholar
Crossley, R. B. (1982) Hospital admissions for abdominal pain in childhood. Journal of the Royal Society of Medicine, 75, 772–776.Google Scholar
Davison, I. S., Faull, C. & Nicol, A. R. (1986) Research note: temperament and behaviour in six-year-olds with recurrent abdominal pain: a follow-up. Journal of Child Psychology and Psychiatry, 27, 539–544.Google Scholar
Dubowitz, V. & Hersov, L. (1976) Management of children with non-organic (hysterical) disorders of motor function. Developmental Medicine and Child Neurology, 18, 358–368.CrossRefGoogle ScholarPubMed
Faull, C. & Nicol, A. R. (1986) Abdominal pain in six-year-olds: an epidemiological study in a new town. Journal of Child Psychology and Psychiatry, 27, 251–260.Google Scholar
Garralda, M. E. (1992) Severe chronic fatigue syndrome in childhood. A discussion of psychopathological mechanisms. European Child and Adolescent Psychiatry, 1, 111–118.CrossRefGoogle ScholarPubMed
Garralda, M. E. & Bailey, D. (1987) Psychosomatic aspects of children's consultations in primary care. European Archives of Psychiatry and Neurological Sciences, 236, 319–322.CrossRefGoogle ScholarPubMed
Garralda, M. E. & Bailey, D. (1989) Psychiatric disorders in general paediatric referrals. Archives of Disease in Childhood, 64, 1727–1733.CrossRefGoogle ScholarPubMed
Garralda, M. E. & Bailey, D. (1990) Paediatric identification of psychological factors associated with general paediatric consultations. Journal of Psychosomatic Research, 34, 303–312.Google Scholar
Golding, J. & Butler, N. R. (1986) Headaches and stomach aches. In From Birth to Five (eds N. R. Butler & J. Golding) Chap. 9. Oxford: Pergamon Press.Google Scholar
Goodyer, I. (1981) Hysterical conversion reactions in childhood. Journal of Child Psychology and Psychiatry, 11, 179–188.Google Scholar
Grattan-Smith, P., Fairley, M. & Procopis, P. (1988) Clinical features of conversion disorder. Archives of Disease in Childhood, 63, 408–414.Google Scholar
Greene, J. W., Walker, L. S., Hickson, G., et al (1985) Stressful life events and somatic complaints in adolescents. Pediatrics, 75, 19–22.Google Scholar
Heisel, J. S. (1972) Life changes as etiologic factors in juvenile rheumatoid arthritis. Journal of Psychosomatic Research, 16, 411–420.Google Scholar
Hickie, I., Lloyd, A., Wakefield, D., et al (1990) The psychiatric status of patients with the chronic fatigue syndrome. British Journal of Psychiatry, 156, 534–540.CrossRefGoogle ScholarPubMed
Hockaday, J. M. (1982) Headache in children. British Journal of Hospital Medicine, 27, 383–391.Google Scholar
Hodges, K., Kline, J. J., Barbero, G., et al (1985) Depressive symptoms in children with recurrent abdominal pain and in their families. Journal of Pediatrics, 107, 622–626.Google Scholar
Holguin, J. & Fenichel, G. (1967) Migraine. Journal of Pediatrics, 70, 290–297.CrossRefGoogle ScholarPubMed
Hughes, M. C. (1984) Recurrent abdominal pain and childhood depression: clinical observations of 23 children and their families. American Journal of Orthopsychiatry, 54, 146–155.Google Scholar
Jacobs, T. J. & Charles, E. (1980) Life events and the occurrence of cancer in children. Psychosomatic Medicine, 42, 11–24.Google Scholar
Kowal, A. & Pritchard, D. (1990) Psychological characteristics of children who suffer from headache: a research note. Journal of Child Psychology and Psychiatry, 31, 637–649.CrossRefGoogle ScholarPubMed
Kroenke, K., Wood, D. R., Mangelsdorff, D., et al (1988) Chronic fatigue in primary care: prevalence, patient characteristics, and outcome. Journal of the American Medical Association, 260, 929–934.Google Scholar
Lask, B. (1986) The high-achieving child. Postgraduate Medical Journal, 62, 143–145.Google Scholar
Lask, B. & Fosson, A. (1989) Childhood Illness: The Psychosomatic Approach, Chichester: Wiley.Google Scholar
Leslie, S. A. (1988) Diagnosis and treatment of hysterical conversion reactions. Archives of Disease in Childhood, 63, 506–511.CrossRefGoogle ScholarPubMed
Leviton, A., Slack, W. V., Masek, B., et al (1984) A computerized behavioral assessment for children with headaches. Headache, 24, 182–185.Google Scholar
Lewis, C. E., Lewis, M. A., Lorimer, A., et al (1977) Child-initiated care: the use of school nursing services by children in an “Adult-free” system. Pediatrics, 60, 499–507.CrossRefGoogle Scholar
Lewis, C. E., Lewis, M. A. (1989) Educational outcomes and illness behaviors in participants in a child-initiated care system: a 12–year follow-up study. Pediatrics, 84, 845–850.Google Scholar
Livingston, R., Taylor, J. L. & Crawford, S. L. (1988) A study of somatic complaints and psychiatric diagnoses in children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 185–187.Google Scholar
Lloyd, G. G. (1986) Psychiatric syndromes with a somatic presentation. Journal of Psychosomatic Research, 30, 113–120.Google Scholar
Maisami, M. & Freeman, J. M. (1987) Conversion reactions in children as body language: a combined child psychiatry/neurology team approach to the management of functional neurological disorders in children. Pediatrics, 80, 46–52.CrossRefGoogle Scholar
Maratos, J. & Wilkinson, M. (1982) Migraine in children: a medical and psychiatric study. Cephalalgia, 2, 179–187.Google Scholar
Meijer, A., Zakay-Rones, Z. & Morag, A. (1988) Post-influenzal psychiatric disorder in adolescents. Acta Psychiatrica, 78, 176–181.Google Scholar
Minuchin, S., Baker, I. M., Rosman, B. L., et al (1975) A conceptual model of psychosomatic illness in children. Archives of General Psychiatry, 32, 1031–1038.Google Scholar
Mutter, A. Z. & Schleifer, M. J. (1966) The role of psychology and social factors in the onset of somatic illness in children. Psychosomatic Medicine, 28, 333–343.Google Scholar
Offord, D. R., Boyle, M. H., Szatmari, P., et al (1987) Ontario child health study. II. Six-month prevalence of disorder and rates of service utilization. Archives of General Psychiatry, 44, 833–836.CrossRefGoogle ScholarPubMed
Oster, J. (1972) Recurrent abdominal pain, headache and limb pains in children and adolescents. Pediatrics, 50, 429–436.Google Scholar
Raymer, D., Weininger, O. & Hamilton, J. R. (1984) Psychological problems in children with abdominal pain. Lancet, i, 439–440.Google Scholar
Rivinus, T. M., Jamison, D. L. & Graham, P. J. (1975) Childhood organic neurological disease presenting as psychiatric disorder. Archives of Disease in Childhood, 50, 115–119.Google Scholar
Routh, D. K. & Ernst, A. R. (1984) Somatization disorder in relatives of children and adolescents with functional abdominal pain. Journal of Pediatric Psychology, 9, 427–437.Google Scholar
Schor, E. L. (1986) Use of health care services by children and diagnoses received during presumably stressful life transitions. Pediatrics, 77, 834–841.Google Scholar
Shepherd, M. (1978) Epidemiological perspective: psychosomatic medicine. Journal of Epidemiology, 7, 201–204.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C., et al (1966) Psychiatric Illness in General Practice. London: Oxford University Press.Google Scholar
Starfield, B., Gross, E., Wood, M., et al (1980) Psychosocial and psychosomatic diagnoses in primary care of children. Pediatrics, 66, 159–167.Google Scholar
Stickler, G. B. & Murphy, D. B. (1979) Recurrent abdominal pain. American Journal of Diseases of Children, 133, 486–489.Google Scholar
Stone, R. T. & Barbero, G. J. (1970) Recurrent abdominal pain in childhood. Pediatrics, 45, 732–738.Google Scholar
Taylor, D. C. (1986) Hysteria, play acting and courage. British Journal of Psychiatry, 149, 37–41.Google Scholar
Volkmar, F. R., Poll, J. & Lewis, M. (1984) Conversion reactions in childhood and adolescence. Journal of the American Academy of Child Psychiatry, 23, 424–430.Google Scholar
Wasserman, A. L., Whitington, P. F. & Rivara, F. (1988) Psychogenic basis for abdominal pain in children and adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 27, 179–184.Google Scholar
Wessely, S. (1990) Old wine in new bottles: neurasthenia and “ME”. Psychological Medicine, 20, 35–53.CrossRefGoogle ScholarPubMed
Wessely, S. & Powell, R. (1989) Fatigue syndromes: a comparison of chronic “postviral” fatigue with neuromuscular and affective disorder. Journal of Neurology, Neurosurgery and Psychiatry, 52, 940–948.CrossRefGoogle Scholar
Wilson, P. M. J., Kusumakar, V., McCartney, R. A., et al (1989) Features of Coxsackie B virus (CBV) infection in children with prolonged physical and psychological morbidity. Journal of Psychosomatic Research, 33, 29–36.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the 9th Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar
Zuckerman, B., Stevenson, J. & Bailey, V. (1987) Stomach aches and headaches in a community sample of preschool children. Pediatrics, 79, 677–682.Google Scholar
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