Lammens, Romy (2023) Verschillen in klinische kenmerken en impact tussen kinderen met functionele buikpijn en prikkelbare darmsyndroom in de eerstelijnszorg en tweede- en derdelijnszorg. thesis, Medicine.
Full text available on request.Abstract
Background: Limited research has been conducted on the distinctions between children with functional abdominal pain (FAP) in primary care (primary care population, PCp) and children with FAP in secondary and tertiary care (secondary and tertiary care population, STCp) regarding the severity and frequency of symptoms, somatization, pain beliefs, coping strategies, anxiety and depression and health-related quality of life (HR-QOL). The aim of this study was to compare clinical characteristics between the populations and gain insight into the similarities and differences between these populations. Method: The clinical characteristics of children and adolescents with FAP aged 7 to 18 years in the PCp (N=43) and STCp (N=260) were compared based on demographic characteristics (age, gender, educational level), abdominal pain symptoms, somatization, pain beliefs, coping strategies, anxiety and depression, and HR-QOL. The outcomes of the two populations were compared both statistically and visually. Results: The STCp was significantly older than the PCp, with an equal proportion of girls in the PCp (PCp: 10.8 years, 70% ♀; STCp: 13.4 years, 71% ♀). The STCp reported more severe and frequent abdominal pain attacks and more somatization (p <0.001) than the PCp. There were no significant differences in outcome measures of anxiety and depression between the populations. The STCp had a better emotion-focused coping mechanism but a worse problem-focused coping mechanism than the PCp (p < 0.04). HR-QOL was lower in almost all domains in the PCp than in the STCp (p <0.001). Conclusion: The STCp have more severe and long-lasting symptoms, but the PCp has a significantly lower HR-QOL than the STCp. This suggests that the care populations are different from each other and that this should be taken into account in treatment and future research.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Holtman, Dr. G.A. and Ganzevoort, I.N. |
| Faculty: | Medical Sciences |
| Date Deposited: | 24 Apr 2023 13:02 |
| Last Modified: | 24 Apr 2023 13:02 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3491 |
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