본문 바로가기
KERD
논문KCI 등재

학동기 소아에서 반복성 재발성 복통과 불안 성향과의 관련성

The Relationship of between Anxiety Tendency and Recurrent Abdominal Pain in Elementary School Children

문경래|문지영
대한소아소화기영양학회 (The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition)|2007.09|Pediatric Gastroenterology, Hepatology & Nutrition|제10권 제2호|pp. 129-137

1

조회

0

다운로드

1

인용

0

참고문헌

주제분류소아과학

초록

목 적: 복통은 소아에서 흔히 보는 소화기 증상 중의 하나이다. 복통이 지속적으로 반복되면 불안이나 우울증 같은 정서적 장애를 호소하게 된다. 그리고 이로 인해 어린이들의 정서적 발달 및 인격형성에 부정적인 영향을 미치고, 다른 여러 가지 정신적 신체적 정상을 유발시키기도 한다. 이에 저자들은 복통과 불안 성향의 연관성을 알아보고 소아 복통의 치료에 심리적인 요인의 고려의 필요성을 확인하기 위하여 연구를 시행하였다.방 법: 광주 광주광역시에 소재하는 1개 초등학교 1학년부터 6학년 학생 1254명, 남아 592명, 여아 662명을 대상으로 복통의 양상을 평가하였으며, 불안의 정도는 한국판 상태-특성 불안검사 YZ형(STAI-YZ: Spielberger's State-Trait Anxiety Inventory YZ form) 설문지를 이용하여 비교ㆍ분석하였다.결 과: 1) 전체 1,254명 중 지난 1년간 복통이 있었던 아이의 수는 709명(56.5%)이었으며, 이 중 69명(5.5%)이 만성 반복성 복통이었다. 2) 특성 불안 및 상태 불안으로 진단한 아이는 각각 116명(9.3%), 63명(5.0%)이었다. 3) 최근 1년 동안 복통이 있었던 군과 만성 반복성 복통이 있었던 군에서 없었던 군에 비해 특성 및 태 불안 척도가 모두 의의 있게 높았다. 4) 복통의 정도가 심할수록 특성 및 상태 불안 척도가 의의 있게 높았다. 5) 상태 불안 척도가 높은 아이는 상태 불안 척도도 높았다. 6) 복통의 기간, 빈도, 지속시간, 발생시기, 복통의 부위를 구분하였을 때 특성 및 상태 불안 척도에 유의한 차이가 없었다. 7) 특성 불안이 있는 군이 복통을 경험한 학생의 비율은 전체 116명 중 80명(69.0%)로 특성 불안이 없는 군 1,138명 중 593명(52.1%)에 비해 의의 있게 많았다. 상태 불안군에서도 63명 중 46명(73%)으로 상태불안이 없는 군 1,191명 중 645명(59.2%)에 비해 의의 있게 많았다. 8) 특성 불안이 있는 군의 RAP에 대한 위험도는 특성 불안이 없는 군에 비해 1.96배 높았고, 상태 불안이 있는 군은 없는 군에 비해 2.37배 높았다.

Abstract

urpose: It has been reported that children with chronic pain have higher levels of anxiety than age-matched controls. Therefore, this study was designed to determine the relationship between anxiety and recurrent abdominal pain in elementary school children. Methods: In 2005, we surveyed 1,254 elementary school children (592 boys and 662 girls) whose ages ranged from 7 to 12 years. The degree of trait and state anxiety was compared between agroup suffering from intermittent abdominal pain, a group suffering from recurrent abdominal pain and a normal control group following the Korean version of Spielberger's State-Trait Anxiety Inventory YZ form (STAI-YZ). Results: 709 (56.5%) and 69 (5.5%) of the patients reported intermittent abdominal pain and and recurrent abdominal pain, respectively, during the 12 month period before this study was conducted, and trait and state anxiety values for each of these groups was 116 (9.3%) and 63 (5.0%), respectively. In addition, the State-Trait Anxiety score was significantly higher in the group with intermittent abdominal pain and RAP than the anxiety score of the normal control group. Additionally, the STAI-YZ score increased in proportion to the severity of abdominal pain, but was not correlated with the duration, frequency, onset time or location of abdominal pain. Furthermore, the proportion of the group with abdominal pain in the group that had trait or state anxiety was significantly higher than the proportion of the group that did not have trait and state anxiety. Conclusion: Recurrent abdominal pain during childhood is correlated with state and trait anxiety, therefore, psychological factors, such as anxiety duringtreatment, must also be considered when determining the cause of recurrent abdominal pain.

참고문헌 (54)

  1. Apley J, "Recurrent abdominal pains: a field survey of 1,000 school children", 33, pp.165~170 (1958)
  2. Scharff L, "Recurrent abdominal pain in children: a review of psychological factors and treatment", 17, pp.145~166 (1997)
  3. Oster J. Recurrent abdominal pain, "and limb pains in children and adolescents. Pediatrics 1972", pp.~36
  4. Abu-Arafeh I, "Prevalence and clinical features of abdominal migraine compared with those of migraine headache", 72, pp.413~417 (1995)
  5. Borge AI, "Bakketeig LS. Prevalence and persistence of stomach ache and headache among children. Follow-up of a cohort of Norwegian children from 4 to 10 years of age. Acta Paediatr 1994", (rdhagen r), pp.~7
  6. Apley J, "Hale B. Children with recurrent abdominal pain: how do they grow up? Br Med J 1973", pp.~9
  7. Gaylord N, "Carson S. Assessing recurrent abdominal pain in children. Nurse Pract 1983", pp.~24
  8. "Liebman WM. Recurrent abdominal pain in children: a retrospective survey of 119 patients. Clin Pediatr", pp.~53
  9. Drossman DA, "Whitehead WE. Identification of subgroups of functional bowel disorders. Gastroentero Int 1990", pp.~72
  10. Hotopf M, "Why do children have chronic abdominal pain, and what happens to them when they grow up? Population based cohort study", 316, pp.1196~1200 (1998)
  11. Campo JV, "Recurrent abdominal pain, anxiety, and depression in primary care", 113, pp.817~824 (2004)
  12. Livingston R, "A study of somatic complaints and psychiatric diagnosis in children", 27, pp.185~187 (1988)
  13. "Spielberger CD. Anxiety: current research trends in theory and research", 1, pp.343~50 (1972), . New York: Academic Press
  14. 김정택, "신동균. STAI의 한국 표준화에 관한 연구. 최신의학 1978", pp.~75
  15. Coleman WI, "Levine MD. Recurrent abdominal pain: the cost of the aches and the aches of the cost. Pediatr Rev 1986", pp.~51
  16. Walker WA, "Abdominal pain", pp.211~226 (1996), St. Louis: Mosby
  17. Talley NJ, "Philips SF. Non-ulcer dyspepsia: potential causes and pathophysiology. Ann Intern Med 1988", pp.~79
  18. Walsh TL, "Kessler ES. Recurrent abdominal pain in children and associated DSM-III diagnosis. Am J Psychiatry 1981", pp.~8
  19. "Bury RG. A study of 111 children with recurrent abdominal pain. Aust Paediatr J 1987", pp.~9
  20. Howell S, "Relationship between abdominal pain subgroups in the community and psychiatric diagnosis and personality. A birth cohort study", 55, pp.179~187 (2003)
  21. Garber J, "Walker L. Recurrent abdominal pain in children: psychiatric diagnoses and parental psychopathology. J Am Acad Child Adolesc Psychiatry 1990", pp.~56
  22. Liakopoulou-Kairis M, "Recurrent abdominal pain and headache--psychopathology, life events and family functioning", 11, pp.115~122 (2002)
  23. Sanders MR, "et al. Cognitive-behavioral treatment of recurrent nonspecific abdominal pain in children: an analysis of generalization", pp.~300
  24. Sanders MR, "Woolford H. The treatment of recurrent abdominal pain in children: a controlled comparison of cognitive-behavioral family intervention and standard pediatric care. J Consult Clin Psychol 1994", pp.~14
  25. Hyams JS, "Recurrent abdominal pain and the biopsychosocial model of medical practice", 33, pp.473~478 (1998)
  26. Crushell E, "Importance of parental conceptual model of illness in severe recurrent abdominal pain", 112, pp.1368~1372 (2003)
  27. "Dimson SB. Transit time related to clinical findings in children with recurrent abdominal pain. Pediatrics 1971", pp.~74
  28. Apley J, "a field survey of 1", pp.165~70
  29. Scharff L, "Recurrent abdominal pain in children a review of psychological factors and treatment", 17, pp.145~166 (1997)
  30. Oster J. Recurrent abdominal pain, "and limb pains in children and adolescents. Pediatrics 1972", pp.429~36
  31. Abu-Arafeh I, "Russell G. Prevalence and clinical features of abdominal migraine compared with those of migraine headache", 72, pp.413~417 (1995)
  32. Borge AI, "Bakketeig LS. Prevalence and persistence of stomach ache and headache among children. Follow-up of a cohort of Norwegian children from 4 to 10 years of age. Acta Paediatr 1994", (rdhagen r), pp.433~7
  33. Apley J, "Hale B. Children with recurrent abdominal pain", pp.7~9
  34. Gaylord N, "Carson S. Assessing recurrent abdominal pain in children. Nurse Pract 1983"
  35. "Liebman WM. Recurrent abdominal pain in children a retrospective survey of 119 patients. Clin Pediatr", pp.149~53
  36. Drossman DA, "Whitehead WE. Identification of subgroups of functional bowel disorders. Gastroentero Int 1990", pp.159~72
  37. Hotopf M, "Why do children have chronic abdominal pain, and what happens to them when they grow up? Population based cohort study", 316, pp.1196~1200 (1998)
  38. Campo JV, "Recurrent abdominal pain, anxiety, and depression in primary care", 113, pp.817~824 (2004)
  39. Livingston R, "Crawford SL. A study of somatic complaints and psychiatric diagnosis in children. J Am Acad Child Adolesc Psychiatry 1988"
  40. Spielberger CD. Anxiety, "current research trends in theory and research", 1, pp.343~50 (1972), Academic Press
  41. 김정택, "신동균. STAI의 한국 표준화에 관한 연구. 최신의학 1978", pp.69~75
  42. Coleman WI, "the cost of the aches and the aches of the cost. Pediatr Rev 1986", pp.143~51
  43. Walker WA, "Abdominal pain", pp.211~226 (1996), St. Louis: Mosby
  44. Talley NJ, "potential causes and pathophysiology. Ann Intern Med 1988", pp.865~79
  45. Walsh TL, "Kessler ES. Recurrent abdominal pain in children and associated DSM-III diagnosis. Am J Psychiatry 1981", pp.687~8
  46. "Bury RG. A study of 111 children with recurrent abdominal pain. Aust Paediatr J 1987", pp.117~9
  47. Howell S, "Relationship between abdominal pain subgroups in the community and psychiatric diagnosis and personality. A birth cohort study", 55, pp.179~187 (2003)
  48. Garber J, "Walker L. Recurrent abdominal pain in children", pp.648~56
  49. Liakopoulou-Kairis M, "Recurrent abdominal pain and headache--psychopathology, life events and family functioning", 11, pp.115~122 (2002)
  50. Sanders MR, "et al. Cognitive-behavioral treatment of recurrent nonspecific abdominal pain in children an analysis of generalization", pp.294~300
  51. Sanders MR, "Woolford H. The treatment of recurrent abdominal pain in children a controlled comparison of cognitive-behavioral family intervention and standard pediatric care. J Consult Clin Psychol 1994", pp.306~14
  52. Hyams JS, "Recurrent abdominal pain and the biopsychosocial model of medical practice", 33, pp.473~478 (1998)
  53. Crushell E, "Importance of parental conceptual model of illness in severe recurrent abdominal pain", 112, pp.1368~1372 (2003)
  54. "Dimson SB. Transit time related to clinical findings in children with recurrent abdominal pain. Pediatrics 1971", pp.666~74

관련 논문AI추천

학동기 소아에서 반복성 복통과 우울 성향과의 관계안영준대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2002 · 제5권 제2호국내 소아청소년에서 Rome Ⅲ Criteria에 근거한 만성 복통 관련 기능 위장관 질환 연구고재성, 서정기, 양혜란, 한재준대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2009 · 제12권 제2호Risk Factors for Recurrent Abdominal Pain in Children with Nonorganic Acute Abdominal PainChukiat Sirivichayakul, Kriengsak Limkittikul, Pongsak Noipayak, Salin Sirinam, Suwanna Pornrattanarungsri, Varisa Piriyakitphaiboon대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2022 · 제25권 제2호소아 청소년 불안장애에 동반된 신체증상권선영, 김성미, 이호준, 임주현, 정철호대한생물치료정신의학회 · 생물치료정신의학2009 · 제15권 제1호소아의 기능성 위장관 질환과 기질 및 성격과의 관계김형중, 이선행, 이은주, 장규태대한한방소아과학회 · 대한한방소아과학회지2015 · 제29권 제1호Functional Abdominal Pain in Children고홍대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2011 · 제14권 제3호

이 간행물의 다른 논문 (15건)

식품 단백질 유발성 장염 증후군:임상적 접근과 병태생리의 최신 지견황진복pp. 117-128소아에서 발생한 허혈성 소장결장염이병기, 박재홍pp. 138-146디스크 전지를 삼킨 소아에서내시경적 이물 제거술의 비교홍석진, 홍은희, 추미애, 심예지, 김정옥, 임해리, 조민효, 최병호, 박선민, 황수경, 서혜은pp. 147-156소아에서 위장관 이물의 자연 배출에 대한 경험적 고찰이해정, 남숙현, 최연호, 이지혁, 이지현pp. 157-165HBsAb와 HBcAb가 양성인 장기 공여자의 간조직에서 Hepatitis B Virus DNA의 발현장주영, 정창우, 김경모, 이승규pp. 166-172
원문 보기