Psycho-gastroenterological profile of an Italian population of children with disorders of gut-brain interaction: A case-control study.

Valentina Giorgio, Ilaria Venezia, Licia Pensabene, Elisa Blasi, Donato Rigante, Paolo Mariotti, Giuseppe Stella, Gaia Margiotta, Giovanna Quatrale, Giuseppe Marano, Marianna Mazza, Antonio Gasbarrini, Eleonora Gaetani
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Abstract

Background: Disorders of gut-brain interaction (DGBI) are common, but knowledge about their physiopathology is still poor, nor valid tools have been used to evaluate them in childhood.

Aim: To develop a psycho-gastroenterological questionnaire (PGQ) to assess the psycho-gastroenterological profile and social characteristics of a pediatric population with and without DGBI.

Methods: One hundred and nineteen Italian children (age 11-18) were included: 28 outpatient patients with DGBI (Rome IV criteria) and 91 healthy controls. They filled the PGQ, faces pain scale revised (FPS-R), Bristol stool chart, gastrointestinal symptoms rating scale, state-trait anxiety inventory, Toronto alexithymia scale 20, perceived self-efficacy in the management of negative emotions and expression of positive emotions (APEN-G, APEP-G), irritable bowel syndrome-quality of life questionnaire, school performances, tobacco use, early life events, degree of digitalization.

Results: Compared to controls, patients had more medical examinations (35% of them went to the doctor more than five times), a higher school performance (23% vs 13%, P < 0.05), didn't use tobacco (never vs 16%, P < 0.05), had early life events (28% vs 1% P < 0.05) and a higher percentage of pain classified as 4 in the FPS-R during the examination (14% vs 7%, P < 0.05).

Conclusion: Pediatric outpatients with DGBI had a higher prevalence of early life events, a lower quality of life, more medical examinations rising health care costs, lower anxiety levels.

意大利儿童肠脑相互作用障碍人群的心理-胃肠病学概况:一项病例对照研究。
背景:肠脑相互作用障碍(DGBI)很常见,但对其生理病理的认识仍然很差,也没有有效的工具用于儿童期的评估。目的:制定心理胃肠病学调查问卷(PGQ)来评估患有和不患有DGBI的儿科人群的心理胃肠病学特征和社会特征。方法:纳入119名意大利儿童(11-18岁):28名门诊DGBI患者(Rome IV标准)和91名健康对照。他们填写了PGQ、面部疼痛修正量表(ps - r)、Bristol大便表、胃肠道症状评定量表、状态-特质焦虑量表、多伦多述情障碍量表20、消极情绪管理和积极情绪表达的自我效能感(APEN-G、APEP-G)、肠易激综合征生活质量问卷、学校表现、吸烟情况、早期生活事件、数字化程度。结果:与对照组相比,患者进行了更多的医疗检查(35%的患者就诊超过5次),学业成绩更高(23%对13%,P < 0.05),不吸烟(从不对16%,P < 0.05),有早期生活事件(28%对1% P < 0.05),检查期间FPS-R评分为4级的疼痛比例更高(14%对7%,P < 0.05)。结论:DGBI患儿早期生活事件发生率较高,生活质量较低,体检次数较多,医疗费用增加,焦虑水平较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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