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Drawing the abdominal pain: A powerful tool to distinguish between organic and functional abdominal pain

  • 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.

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Metadaten
Author:Joachim OppORCiDGND, Mia SchümannGND, Andreas JenkeORCiD, Barbara Job
URN:urn:nbn:de:bsz:mh39-128555
DOI:https://doi.org/10.1002/jpn3.12165
ISSN:1536-4801
Parent Title (English):Journal of Pediatric Gastroenterology and Nutrition
Publisher:Wiley Periodicals LLC
Place of publication:Hoboken
Document Type:Article
Language:English
Year of first Publication:2024
Date of Publication (online):2024/10/11
Publishing Institution:Leibniz-Institut für Deutsche Sprache (IDS)
Publicationstate:Veröffentlichungsversion
Reviewstate:Peer-Review
Tag:Pädiatrie
functional abdominal pain; graphic expressions; organic abdominal pain; physician-patient-encounters
GND Keyword:Bauchschmerz; Konversationsanalyse; Nichtverbale Kommunikation; Pragmatik
Volume:78
Issue:4
First Page:846
Last Page:852
DDC classes:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin, Gesundheit
Open Access?:ja
Linguistics-Classification:Nonverbale Kommunikation
Linguistics-Classification:Pragmalinguistik / Kommunikationsforschung
Program areas:Pragmatik
Licence (English):License LogoCreative Commons - Attribution-NonCommercial 4.0 International