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Capacidad diagnóstica de los síntomas de alarma y los factores psicosociales en el dolor abdominal


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Título :
Capacidad diagnóstica de los síntomas de alarma y los factores psicosociales en el dolor abdominal
Autor :
Recio Linares, Aranzazu
Magaña Villanueva, Sandra
Botija Arcos, Gonzalo
Barrio Merino, Alfonso
Férreo Santos, Paula
Editor :
Universidad Miguel Hernández
Departamento:
Departamentos de la UMH::Psicología de la Salud
Fecha de publicación:
2024-09
URI :
https://hdl.handle.net/11000/33829
Resumen :
El dolor abdominal afecta al 15% de los niños escolarizados y tiene un gran impacto sobre su calidad de vida y la de sus familiares. Supone un desafío para los profesionales de la salud y repercute enormemente en el coste sanitario. Puede ser de causa orgánica, o bien funcional (90-95%), definido p...  Ver más
Diagnostic capacity of alarm symptoms and psychosocial factors in abdominal pain. Abdominal pain affects 15% of school children and has a major impact on their quality of life and that of their families. It is a challenge for health professionals and has a major impact on health care costs. It can be either organic or functional (90-95%), defined by the Rome IV Criteria and based on a biopsychosocial model. The main objective of the study was to determine the diagnostic capacity of alarm symptoms in organic abdominal pain and psychosocial factors in functional abdominal pain, using data collected in the anamnesis and more objectively using a validated neuropsychological questionnaire in self-report mode (BASC-3). A prospective observational study was carried out, including 44 patients aged between 5.1 and 15.9 years (M=10.8, SD=3.2), who were assessed for abdominal pain in a paediatric gastroenterology department of a secondary hospital. Good values of Sensitivity (S) = 84.62%, Specificity (S) = 77.42%, Positive Predictive Value (PPV) = 61.11% and Negative Predictive Value (NPV) = 92.31% were obtained for alarm symptoms for the diagnosis of organic abdominal pain, with area under the curve (AUC) of 0.80 (IC95% 0.654-0.946). These results translate into the usefulness of alarm symptoms as a tool in the diagnostic approach of an organic disorder. On the other hand, psychosocial factors presented low validity and performance in the diagnosis of functional abdominal pain, both those referred by the patient and those objectified by means of the BASC-3 questionnaire. This could be explained by the high prevalence of these factors in the paediatric population, so that they may not only be the trigger of a functional disorder, but may also be present in children with organic pathology (coinciding with an organic disorder or as a consequence of it).
Palabras clave/Materias:
pediátrico
dolor abdominal
funcional
biopsicosocial
paediatric
abdominal pain
biopsychosocial
functional
Área de conocimiento :
CDU: Filosofía y psicología: Psicología
Tipo de documento :
info:eu-repo/semantics/article
Derechos de acceso:
info:eu-repo/semantics/openAccess
DOI :
https://doi.org/10.21134/rpcna.2024.11.3.8
Aparece en las colecciones:
Revista de Psicología Clínica con Niños y Adolescentes (RPCNA) Vol. 11, Nº 3 (Septiembre 2024)



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