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Psychiatric Considerations on Pediatric Psychosomatic Disorders with Gastrointestinal Symptoms

소화기 증상을 보이는 소아 정신신체 질환에 대한 정신과적 고찰

  • Yoo, Hanik K. (Department of Psychiatry, College of Medicine, University of Ulsan, Children's Hospital, Asan Medical Center) ;
  • Paik, Kyoung-won (Department of Psychiatry, College of Medicine, University of Hanyang, Hanyang University Medical Center)
  • 유한익 (울산대학교 의과대학 서울아산병원 소아청소년병원 정신과) ;
  • 백경원 (한양대학교 의과대학 한양대학교병원 정신과)
  • Received : 2009.10.31
  • Accepted : 2009.11.06
  • Published : 20091100

Abstract

Gastrointestinal (GI) symptoms in children and adolescents are influenced by diverse psychiatric components such as psychosocial stresses, familial environment, school-related situations, and comorbid psychiatric conditions. Absolutely psychiatric symptoms of pediatric patients are also affected by problems of GI system. Lots of symptoms including anorexia, dyspepsia, nausea and so on are commonly originated from either GI or psychiatric causes or both. Sometimes the negative interactions between GI and psychiatric problems aggravate the severity and eventually decline the functions of children and adolescents with GI symptoms. We summarized the common GI and psychiatric conditions which have GI and psychiatric associations. To a clinician who manages pediatric GI disorders, psychiatric considerations can be beneficial to understand the clinical manifestations of patients and to find the way to relieve them. This short and somewhat superficial review may help to have a bird's-eye view on this topic.

Keywords

References

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