It is seldom an easy exercise to la

It is seldom an easy exercise to label pain symptoms in a child as functional. Even in
absence of any clinical signs, child needs to be
investigated in view of severity of symptoms
and disability caused by pain. Presence of
anxiety or depressive features does not
exclude possibility of medical illnesses.
Ongoing vigilance about all organic
probabilities of pain symptoms is definitely
indicated. Similarly, unindicated treatment
with NSAIDS may harm the child’s health.
Careful assessment is needed to establish this
diagnosis [5]. Psychosocial factors are known
to play an important role in causation,
maintenance, clinical severity and
management of these pain symptoms. These
complex problems are thus best dealt with by
management by psychiatrist in liaison with
pediatrician. At times both may co-exist.
Some of the children in this study had suffered
organic causes for pain like pain in abdomen
due to acid peptic symptoms, or headache due
to sinusitis and so on. However, pain
symptoms during current presentation were
not explained by these causes as per
pediatrician’s assessment and were thus
referred to psychiatry department. 17 of the 59
children in this study had such dual problems.
Among these 5 (29.4 %) had depressive
episode as against 12 out of 42 (28.5 %)
without any medical co-morbidity (Chi square = 0.0639, p = 0.08004). Other psychiatric comorbidities
were also comparable. Psychiatric
illnesses have been reported to be more
common in children with medically
unexplained pain than those with medically
explained pain in literature [15].

Hasil (Bahasa Indonesia) 1:

It is seldom an easy exercise to label pain symptoms in a child as functional. Even inabsence of any clinical signs, child needs to beinvestigated in view of severity of symptomsand disability caused by pain. Presence ofanxiety or depressive features does notexclude possibility of medical illnesses.Ongoing vigilance about all organicprobabilities of pain symptoms is definitelyindicated. Similarly, unindicated treatmentwith NSAIDS may harm the child’s health.Careful assessment is needed to establish thisdiagnosis [5]. Psychosocial factors are knownto play an important role in causation,maintenance, clinical severity andmanagement of these pain symptoms. Thesecomplex problems are thus best dealt with bymanagement by psychiatrist in liaison withpediatrician. At times both may co-exist.Some of the children in this study had sufferedorganic causes for pain like pain in abdomendue to acid peptic symptoms, or headache dueto sinusitis and so on. However, painsymptoms during current presentation werenot explained by these causes as perpediatrician’s assessment and were thusreferred to psychiatry department. 17 of the 59children in this study had such dual problems.Among these 5 (29.4 %) had depressiveepisode as against 12 out of 42 (28.5 %)without any medical co-morbidity (Chi square = 0.0639, p = 0.08004). Other psychiatric comorbiditieswere also comparable. Psychiatricillnesses have been reported to be moreumum pada anak-anak dengan medisdijelaskan sakit dibandingkan dengan medissakit menjelaskan dalam sastra [15].

Hasil (Bahasa Indonesia) 2:

Hal ini jarang latihan mudah untuk gejala sakit label pada anak sebagai fungsional. Bahkan dalam
tidak adanya tanda-tanda klinis, anak perlu
diselidiki dalam pandangan keparahan gejala
dan cacat yang disebabkan oleh rasa sakit. Kehadiran
kecemasan atau depresi fitur tidak
mengecualikan kemungkinan penyakit medis.
Kewaspadaan terus menerus tentang semua organik
probabilitas dari gejala sakit pasti
ditunjukkan. Demikian pula, pengobatan unindicated
dengan OAINS dapat membahayakan kesehatan anak.
Assessment Hati-hati diperlukan untuk membuat ini
diagnosis [5]. Faktor psikososial dikenal
untuk memainkan peran penting dalam penyebab,
perawatan, keparahan klinis dan
manajemen gejala nyeri tersebut. Ini
masalah yang kompleks demikian terbaik ditangani oleh
manajemen dengan psikiater dalam hubungan dengan
dokter anak. Pada kali kedua mungkin hidup berdampingan.
Beberapa anak dalam penelitian ini telah menderita
penyebab organik untuk nyeri seperti sakit di perut
karena gejala lambung asam, atau sakit kepala karena
sinusitis dan sebagainya. Namun, rasa sakit
gejala selama presentasi saat yang
tidak dijelaskan oleh sebab-sebab ini sesuai
penilaian dokter anak dan dengan demikian
disebut departemen psikiatri. 17 dari 59
anak-anak dalam penelitian ini memiliki masalah ganda tersebut.
Di antaranya 5 (29,4%) memiliki depresi
episode seperti terhadap 12 dari 42 (28,5%)
tanpa medis co-morbiditas (Chi square = 0,0639, p = 0,08004). Komorbiditas kejiwaan lainnya
juga sebanding. Psikiatri
penyakit telah dilaporkan lebih
sering terjadi pada anak-anak dengan medis
nyeri dijelaskan dibandingkan dengan medis
menjelaskan nyeri dalam literatur [15].