Child Adolesc Psychiatry Ment Health. 2018 Jun 28;12:34. doi: 10.1186/s13034-018-0239-y. eCollection 2018.
Somatic symptom and related disorders in children and adolescents: evaluation of a naturalistic inpatient multidisciplinary treatment.
Child and adolescent psychiatry and mental health
Pola Heimann, Beate Herpertz-Dahlmann, Jonas Buning, Norbert Wagner, Claudia Stollbrink-Peschgens, Astrid Dempfle, Georg G von Polier
Affiliations
Affiliations
- 1Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany.
- 2Department of Pediatrics, RWTH Aachen University, Aachen, Germany.
- 3Department of Medical Informatics and Statistic, University Schleswig-Holstein, Kiel, Germany.
PMID: 29988308
PMCID: PMC6022439 DOI: 10.1186/s13034-018-0239-y
Abstract
BACKGROUND: This naturalistic study assesses the effectiveness of inpatient multidisciplinary treatment of children and adolescents with somatic symptom disorders (SSD) and investigates the role of pain coping strategies and psychiatric comorbidity (anxiety, depression).
METHODS: Sixty children and adolescents (mean age 14.4 years) with SSD who underwent inpatient multidisciplinary treatment were assessed regarding their school attendance, levels of discomfort, coping strategies and psychiatric comorbidity (depression, anxiety) at pretreatment, discharge and 6 months following treatment.
RESULTS: At discharge, the children and adolescents reported improvements in their level of discomfort, psychiatric comorbidities (anxiety, depression) and pain coping strategies, with medium to large effect sizes. Six months following treatment, the improvements remained stable, including significantly higher school attendance rates (
CONCLUSION: Inpatient multidisciplinary treatment is effective in reducing levels of discomfort, psychiatric comorbidity (anxiety, depression), and school absence and in improving coping strategies.
Keywords: Comorbidity; Multidisciplinary treatment; Pain coping strategies; School attendance; Somatic symptom disorder
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