Somatoform disorders in children and adolescents: A review of the past 10 years

Author(s): Fritsch, S., Hagino, O.

Journal/Book: J Amer Acad Child Adolesc Psy. 1997; 36: 351 West Camden St, Baltimore, MD 21201-2436. Williams & Wilkins. 1329-1338.

Abstract: Objective: To review the literature on somatoform disorders in children and adolescents relevant to recertification by the American Board of Psychiatry and Neurology. Method: The psychiatric, pediatric, and psychological literatures were searched for clinical or research articles in the past 10 years dealing with somatization and somatoform disorders. Results: Somatizing presentations are organized conceptually; somatization disorder, body dysmorphic disorder, hypochondriasis, conversion disorder, vocal cord dysfunction, pain disorder, and recurrent abdominal pain are described in children and adolescents; empirical evidence for treatment efficacy is scant, but clinically reasonable approaches are applied. Conclusion: More developmentally appropriate diagnostic schemas and better outcome studies are needed in all the somatoform disorders for children and adolescents.

Note: Article Fritz GK, Rhode Isl Hosp, 593 Eddy St, Providence,RI 02903 USA

Keyword(s): somatization; conversion disorder; pain; vocal cord dysfunction; RECURRENT ABDOMINAL-PAIN; BODY DYSMORPHIC DISORDER; REFLEX NEUROVASCULAR DYSTROPHY; SOUTH LONDON SOMATIZATION; FOLLOW-UP; CONVERSION DISORDERS; SOMATIC COMPLAINTS; PSYCHIATRIC DIAGNOSES; BEHAVIORAL TREATMENT; CLINICAL-FEATURES

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