Evidence map›Paper›PMID 23940244›Full record

ArticlePediatrics2013

Functional abdominal pain in childhood and long-term vulnerability to anxiety disorders.

Grace D Shelby, Kezia C Shirkey, Amanda L Sherman, Joy E Beck, Kirsten Haman, Angela R Shears, Sara N Horst, Craig A Smith, Judy Garber, Lynn S Walker

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04561401 (Can Brain Stimulation Enhance Outcomes Associated With Intensive Rehabilitation for Youth With Chronic Pain?), which is not on this map. Cited by 119 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 5 pooled it
12.5field-weighted citation impact, top 1% of its field
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.

NCT04561401 naactive not recruitingnot on this mapstarted 2020, after this paper: background citation

Can Brain Stimulation Enhance Outcomes Associated With Intensive Rehabilitation for Youth With Chronic Pain?

TypeinterventionalSponsorUniversity of CalgaryRan2020 to 2028Enrolled25ConditionsChronic PainArmsRepeated Transcranial Magnetic Stimulation (rTMS), Intensive Pain Rehabilitation Program (IPRP)
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 5 syntheses or guidelines pooled it, 269 citations in OpenAlex.

  1. Pooled it
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  3. Dietary interventions for recurrent abdominal pain in childhood.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Psychosocial interventions for recurrent abdominal pain in childhood.The Cochrane database of systematic reviews · 2017
    Pooled it
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  13. Iyengar yoga for adolescents and young adults with irritable bowel syndrome.Journal of pediatric gastroenterology and nutrition · 2014
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59 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

10 authors at 3 institutions in 2 countries.

Grace D ShelbyDepartment of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA.
Kezia C Shirkey
Amanda L Sherman
Joy E Beck
Kirsten Haman
Angela R Shears
Sara N Horst
Craig A Smith
Judy Garber
Lynn S Walker
Vanderbilt University · USPediatrics and Genetics · USChongqing Electromechanical Holdings (China) · CN

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
THREE-TIERED PREVENTION MODEL TO BETTER SERVE ALL STUDENP30HD015052 · NICHD · VANDERBILT UNIVERSITY · PI DYKENS, ELISABETH MAY · 1985 to 2014
$18.6M
LIFE-SPAN DEVELOPMENT OF NORMAL AND ABNORMAL BEHAVIORT32MH018921 · NIMH · VANDERBILT UNIVERSITY · PI HUMPHREYS, KATHRYN LEIGH · 1989 to 2024
$6.7M
ILLNESS BEHAVIOR AND SOMATIZATION IN CHILDRENR01HD023264 · NICHD · VANDERBILT UNIVERSITY · PI WALKER, LYNN D. · 1987 to 2011
$3.9M
NCRR NIH HHS UL1 RR024975NICHD NIH HHS P30 HD015052NICHD NIH HHS R01 HD023264NIDDK NIH HHS P30 DK058404NIMH NIH HHS T32 MH018921
6 · The paper itself

Abstract

backgroundCross-sectional studies link functional abdominal pain (FAP) to anxiety and depression in childhood, but no prospective study has evaluated psychiatric status in adulthood or its relation to pain persistence.

methodsPediatric patients with FAP (n = 332) and control subjects (n = 147) were tracked prospectively and evaluated for psychiatric disorders and functional gastrointestinal disorders (FGIDs) at follow-up in adolescence and young adulthood (mean age = 20.01 years). Participants were classified according to presence (FGID-POS) or absence (FGID-NEG) of FGIDs at follow-up.

resultsLifetime and current risk of anxiety disorders was higher in FAP than controls (lifetime: 51% vs 20%; current: 30% vs 12%). Controlling for gender and age, the odds ratio was 4.9 (confidence interval = 2.83-7.43) for lifetime anxiety disorder and 3.57 (confidence interval = 2.00-6.36) for current anxiety disorder at follow-up for FAP versus controls. Lifetime risk of depressive disorder was significantly higher in FAP versus controls (40% vs. 16%); current risk did not differ. In most cases, initial onset of anxiety disorders was before pediatric FAP evaluation; onset of depressive disorders was subsequent to FAP evaluation. Within the FAP group, risk of current anxiety disorders at follow-up was significantly higher for FGID-POS versus FGID-NEG (40% vs 24%), and both were higher than controls (12%); current depressive disorders did not differ across FGID-POS, FGID-NEG, and controls.

conclusionsPatients with FAP carry long-term vulnerability to anxiety that begins in childhood and persists into late adolescence and early adulthood, even if abdominal pain resolves.

Indexed as

Abdominal PainAdolescentAnxiety DisordersChildChronic DiseaseDepressive DisorderFemaleFollow-Up StudiesGastrointestinal DiseasesHumansInterview, PsychologicalMaleMental DisordersProspective StudiesRecurrenceRiskanxietydepressionfunctional gastrointestinal disorderpediatricprospectivepsychiatric disorders

Identifiers

PMID23940244
PMCPMC3876748
OpenAlexW2136729608

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.