Somatic symptom severity during acute illnesses among children with functional gastrointestinal disorders

Background Functional gastrointestinal disorders (FGIDs) are associated with various gastrointestinal (GI) and non-GI symptoms, risk factors for which commonly include psychosocial and physical stresses. Purpose This study aimed to compare somatic symptom severity between children with FGIDs and hea...

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Main Authors: Rattanachart Sirinil, Anundorn Wongteerasut
Format: Article
Language:English
Published: The Korean Pediatric Society 2025-08-01
Series:Clinical and Experimental Pediatrics
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Online Access:http://www.e-cep.org/upload/pdf/cep-2024-01795.pdf
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author Rattanachart Sirinil
Anundorn Wongteerasut
author_facet Rattanachart Sirinil
Anundorn Wongteerasut
author_sort Rattanachart Sirinil
collection DOAJ
description Background Functional gastrointestinal disorders (FGIDs) are associated with various gastrointestinal (GI) and non-GI symptoms, risk factors for which commonly include psychosocial and physical stresses. Purpose This study aimed to compare somatic symptom severity between children with FGIDs and healthy controls during acute illnesses. Methods This was a prospective descriptive cross-sectional study whose inclusion criterion was age 4–18 years. Children were classified into FGID and control groups using the Rome IV diagnostic criteria. Somatic symptom severity was estimated using a visual analogue scale (VAS) and the Children’s Somatic Symptoms Inventory-24 (CSSI-24) questionnaire and compared between groups. Results Ninety-three children, including 40 with FGIDs (43%), were enrolled. The FGID group had statistically significantly higher VAS scores for abdominal pain than controls (2.93±3.68 vs. 0.72±2.08, P<0.001). However, no significant intergroup differences were noted in VAS scores for nausea (P=0.493) or headache (P=0.311). For somatization symptoms, the CSSI-24 total (20.58±18.32 vs. 7.06±10.49, P<0.001), GI symptom (9.60±7.48 vs. 2.43±3.39, P≤0.001) and non-GI symptom (10.98±11.67 vs. 4.62±7.88, P< 0.001) scores were significantly higher for the FGID versus control groups, respectively. Conclusion Children with FGIDs exhibited more significant somatic symptoms than controls during acute illnesses. GI and non-GI manifestations were significantly more common in children with FGIDs.
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spelling doaj-art-6d487f6bf1aa42f9addea2e6ab44fe8a2025-08-20T03:44:36ZengThe Korean Pediatric SocietyClinical and Experimental Pediatrics2713-41482025-08-0168858759310.3345/cep.2024.0179520125555799Somatic symptom severity during acute illnesses among children with functional gastrointestinal disordersRattanachart Sirinil0Anundorn Wongteerasut1 Department of Pediatrics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand Department of Pediatrics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, ThailandBackground Functional gastrointestinal disorders (FGIDs) are associated with various gastrointestinal (GI) and non-GI symptoms, risk factors for which commonly include psychosocial and physical stresses. Purpose This study aimed to compare somatic symptom severity between children with FGIDs and healthy controls during acute illnesses. Methods This was a prospective descriptive cross-sectional study whose inclusion criterion was age 4–18 years. Children were classified into FGID and control groups using the Rome IV diagnostic criteria. Somatic symptom severity was estimated using a visual analogue scale (VAS) and the Children’s Somatic Symptoms Inventory-24 (CSSI-24) questionnaire and compared between groups. Results Ninety-three children, including 40 with FGIDs (43%), were enrolled. The FGID group had statistically significantly higher VAS scores for abdominal pain than controls (2.93±3.68 vs. 0.72±2.08, P<0.001). However, no significant intergroup differences were noted in VAS scores for nausea (P=0.493) or headache (P=0.311). For somatization symptoms, the CSSI-24 total (20.58±18.32 vs. 7.06±10.49, P<0.001), GI symptom (9.60±7.48 vs. 2.43±3.39, P≤0.001) and non-GI symptom (10.98±11.67 vs. 4.62±7.88, P< 0.001) scores were significantly higher for the FGID versus control groups, respectively. Conclusion Children with FGIDs exhibited more significant somatic symptoms than controls during acute illnesses. GI and non-GI manifestations were significantly more common in children with FGIDs.http://www.e-cep.org/upload/pdf/cep-2024-01795.pdfchildrenfunctional gastrointestinal disorderssomatic symptoms
spellingShingle Rattanachart Sirinil
Anundorn Wongteerasut
Somatic symptom severity during acute illnesses among children with functional gastrointestinal disorders
Clinical and Experimental Pediatrics
children
functional gastrointestinal disorders
somatic symptoms
title Somatic symptom severity during acute illnesses among children with functional gastrointestinal disorders
title_full Somatic symptom severity during acute illnesses among children with functional gastrointestinal disorders
title_fullStr Somatic symptom severity during acute illnesses among children with functional gastrointestinal disorders
title_full_unstemmed Somatic symptom severity during acute illnesses among children with functional gastrointestinal disorders
title_short Somatic symptom severity during acute illnesses among children with functional gastrointestinal disorders
title_sort somatic symptom severity during acute illnesses among children with functional gastrointestinal disorders
topic children
functional gastrointestinal disorders
somatic symptoms
url http://www.e-cep.org/upload/pdf/cep-2024-01795.pdf
work_keys_str_mv AT rattanachartsirinil somaticsymptomseverityduringacuteillnessesamongchildrenwithfunctionalgastrointestinaldisorders
AT anundornwongteerasut somaticsymptomseverityduringacuteillnessesamongchildrenwithfunctionalgastrointestinaldisorders