TY  - JOUR
U1  - Wissenschaftlicher Artikel
A1  - Opp, Joachim
A1  - Schümann, Mia
A1  - Jenke, Andreas
A1  - Job, Barbara
T1  - Drawing the abdominal pain: A powerful tool to distinguish between organic and functional abdominal pain
JF  - Journal of Pediatric Gastroenterology and Nutrition
N2  - Objectives:
Abdominal pain (AP) in children imposes a large economic burden on the healthcare system. Currently, there are no reliable diagnostic tools to differentiate between organic and functional disorders. We hypothesized from previous research that the analysis of patients' graphic expression of subjective symptoms as well as their interactional behavior adds new ways to differentiate between functional and organic AP.

Methods:
Conversation analyses of physician-patient-encounters and graphical expression of AP-based pain were performed.

Results:
Twenty-two interactions were recorded and analyzed. Fifteen children were diagnosed with organic AP and seven with functional AP. We found marked differences between children with organic and functional AP. For example, all 15 children with organic AP saw the task of drawing a picture of the pain during the interview as a duty, whereas the seven children with functional AP took this as an opportunity to provide detailed descriptions about the nature of the pain, the circumstances, and how the AP impaired their quality of life.

Conclusion:
Analysis of patients' interaction strategies in response to the painting task provides relevant clues as to whether AP is functional or requires further workup for organic causes.
KW  - Bauchschmerz
KW  - Nichtverbale Kommunikation
KW  - Pragmatik
KW  - Konversationsanalyse
KW  - organic abdominal pain
KW  - functional abdominal pain
KW  - graphic expressions
KW  - physician-patient-encounters
KW  - Pädiatrie
Y1  - 2024
UN  - https://nbn-resolving.org/urn:nbn:de:bsz:mh39-128555
SN  - 1536-4801
SS  - 1536-4801
U6  - https://doi.org/10.1002/jpn3.12165
DO  - https://doi.org/10.1002/jpn3.12165
VL  - 78
IS  - 4
SP  - 846
EP  - 852
PB  - Wiley Periodicals LLC
CY  - Hoboken
ER  -