Evidence map›Paper›PMID 16721324›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2006

Trajectories of symptoms and impairment for pediatric patients with functional abdominal pain: a 5-year longitudinal study.

Shelagh Mulvaney, E Warren Lambert, Judy Garber, Lynn S Walker

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Observational
  17. Review
  18. Article
  19. Article
  20. Article

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Shelagh MulvaneyDr. Mulvaney is with the Department of Pediatrics and Center for Evaluation and Program Improvement, Vanderbilt University; Dr. Lambert is with the Center for Evaluation and Program Improvement, Vanderbilt University; Dr. Garber is with the Department of Psychology, Vanderbilt University; and Dr. Walker is with the Department of Pediatrics, Vanderbilt University Medical Center. Electronic address: shelagh.mulvaney@vanderbilt.edu.
E Warren LambertDr. Mulvaney is with the Department of Pediatrics and Center for Evaluation and Program Improvement, Vanderbilt University; Dr. Lambert is with the Center for Evaluation and Program Improvement, Vanderbilt University; Dr. Garber is with the Department of Psychology, Vanderbilt University; and Dr. Walker is with the Department of Pediatrics, Vanderbilt University Medical Center.
Judy GarberDr. Mulvaney is with the Department of Pediatrics and Center for Evaluation and Program Improvement, Vanderbilt University; Dr. Lambert is with the Center for Evaluation and Program Improvement, Vanderbilt University; Dr. Garber is with the Department of Psychology, Vanderbilt University; and Dr. Walker is with the Department of Pediatrics, Vanderbilt University Medical Center.
Lynn S WalkerDr. Mulvaney is with the Department of Pediatrics and Center for Evaluation and Program Improvement, Vanderbilt University; Dr. Lambert is with the Center for Evaluation and Program Improvement, Vanderbilt University; Dr. Garber is with the Department of Psychology, Vanderbilt University; and Dr. Walker is with the Department of Pediatrics, Vanderbilt University Medical Center.

Funding

THREE-TIERED PREVENTION MODEL TO BETTER SERVE ALL STUDENP30HD015052 · NICHD · VANDERBILT UNIVERSITY · PI HARRELL, FRANK E. · 1985 to 2014
$18.6M
ILLNESS BEHAVIOR AND SOMATIZATION IN CHILDRENR01HD023264 · NICHD · VANDERBILT UNIVERSITY · PI WALKER, LYNN D. · 1987 to 2011
$3.9M
NICHD NIH HHS P30 HD015052NICHD NIH HHS P30 HD15052NICHD NIH HHS R01 HD023264NICHD NIH HHS R01 HD23264
6 · The paper itself

Abstract

objectiveThis prospective study characterizes trajectories of symptoms and impairment in pediatric patients with abdominal pain not associated with identifiable organic disease.

methodThe Children's Somatization Inventory and the Functional Disability Inventory were administered four times over 5 years to 132 patients (6-18 years old) seen in a pediatric gastroenterology clinic. Individual trajectories were empirically grouped and correlates of trajectory group membership at baseline were evaluated.

resultsA model with three unique trajectories was found to adequately fit both symptom and impairment data. Two trajectories indicated relatively long-term improvement and one indicated continued high levels of symptoms and impairment. At baseline, the long-term risk group did not have the most severe pain but had significantly more anxiety, depression, lower perceived self-worth, and more negative life events.

conclusionsThese results indicate that several distinct trajectories of relatively long-term outcomes may exist in children with functional abdominal pain. One trajectory indicated long-term risk for a high level of symptoms and impairment. Psychosocial correlates of long-term risk for physical symptoms and impairment, such as child-reported stress and internalizing symptoms, may be useful for treatment planning.

Indexed as

Disability EvaluationAbdominal PainAdolescentChildFemaleHumansLongitudinal StudiesMaleSomatoform Disorders

Identifiers

PMID16721324
PMCPMC3124957

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.