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Year : 2017  |  Volume : 18  |  Issue : 2  |  Page : 138-143

“Psycho Social Factors Associated With Pediatric Abdominal Pain in Children from South India”

1 Assistant Professor of Clinical Psychology, Department of Psychiatry, Katsurba Medical Collegeand Hospital, Manipal Academy of Higher Education (MAHE) Manipal University, Mangalore- 575001, India
2 Consultant Clinical Psychologist, Bangalore, India

Correspondence Address:
G Pushpalatha
#1009, D - Block, 3rd Cross, 2nd Stage, Rajajinagar, Bangalore - 560010
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Source of Support: None, Conflict of Interest: None

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Background: Unravellingthe cause of abdominal pain from a psychosocial perspective is ever dynamic, and assessment of psychopathology is crucial. We have several research studies that have enumerated on various causal factors related to abdominal pain in children, predominantly from the western population. However, in a diverse country like India, there is a clear paucity of research evidence in the area of pediatric abdominal pain, especially from a psychosocial perspective. Aim: The present investigation was carried out with the aim of studying the psychosocial factors associated with abdominal pain in pediatric cases in the Indian setting and any gender differences in perceiving the stressors were explored. Methodology: Thirty children in early to late childhood, having abdominal pain with the age group of 5 – 12 years were examinedin this exploratorystudy. Children attending the pediatric and child guidance outpatient clinics who presented with recurrent abdominal pain with no known medical cause were included in the study. Clinical interviews were conducted using Parent's Interview schedule and Kuppuswamy's Socioeconomic Status Scale. Analysis: A statistical package SPSS was used for theanalysis.Descriptive statistics such as mean, standard deviation, chi-square and t test were calculated. Results: Profiling the psychosocial factors revealed that thecommonly associated stressors were abnormal qualities of upbringing, interpersonal stress related to school and abnormal intra-familial relationship. These factors form the vicious cycle in the relapse, accentuating and maintaining clinically significant features. Genderdifferences were found in perceiving the stressors that may indicate the cultural difference in parenting based on the given gender. Children from lower Socio Economic Status were foundto be having more of abnormal immediate environment compared to high or middleclass children. Conclusion: The current findingscontribute to understanding of multifactorial causes which necessarily underpins the psychosocial causes and warrants comprehensive multi-disciplinary interventions.

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