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Parents’ experience when their child has chronic abdominal pain: a qualitative study in Norway

OBJECTIVE: Functional abdominal pain occurs frequently in children and adolescents. It is an exclusion diagnosis; somatic diseases have to be ruled out. However little explanation is given for why the child is experiencing pain. The aim was to explore the experiences of parents of children with chro...

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Autores principales: Brodwall, Anne, Glavin, Kari, Lagerløv, Per
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950638/
https://www.ncbi.nlm.nih.gov/pubmed/29748345
http://dx.doi.org/10.1136/bmjopen-2017-021066
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author Brodwall, Anne
Glavin, Kari
Lagerløv, Per
author_facet Brodwall, Anne
Glavin, Kari
Lagerløv, Per
author_sort Brodwall, Anne
collection PubMed
description OBJECTIVE: Functional abdominal pain occurs frequently in children and adolescents. It is an exclusion diagnosis; somatic diseases have to be ruled out. However little explanation is given for why the child is experiencing pain. The aim was to explore the experiences of parents of children with chronic abdominal pain discharged from hospital without a somatic explanation. DESIGN: The study has a qualitative design. The open questions concerned pain experiences and management. Interviews were conducted at the hospital, at the parents’ workplace or in their homes, audiotape recorded and transcribed. A descriptive content analysis was used to analyse the transcribed text. SETTING: Parents of children referred from general practice located in urban and rural areas in two municipals in Norway. PARTICIPANTS: Fourteen parents of children with functional abdominal pain aged 5–15 years. RESULTS: Fourteen parents participated. Some explained that their child’s disability glued the parents together on a common project to help the child. Other parents could tell that siblings got less attention and complained about too much fuss during pain. Parents wished for diagnosis that could be treated efficiently. Some were still anxious that an undetected condition triggered pain. They prompted their doctor to do further examinations. However, some parents knew that social factors could inflict pain and were concerned that their child was unable to distinguish sensations like anxiety and ‘butterfly’ tensions from physical pain. The parents and children needed professional guidance on how to manage the pain. CONCLUSION: The doctor’s consultation should not end at the diagnosis of functional abdominal pain. Doctors may help these families further by focusing on pain management strategies.
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spelling pubmed-59506382018-05-15 Parents’ experience when their child has chronic abdominal pain: a qualitative study in Norway Brodwall, Anne Glavin, Kari Lagerløv, Per BMJ Open General practice / Family practice OBJECTIVE: Functional abdominal pain occurs frequently in children and adolescents. It is an exclusion diagnosis; somatic diseases have to be ruled out. However little explanation is given for why the child is experiencing pain. The aim was to explore the experiences of parents of children with chronic abdominal pain discharged from hospital without a somatic explanation. DESIGN: The study has a qualitative design. The open questions concerned pain experiences and management. Interviews were conducted at the hospital, at the parents’ workplace or in their homes, audiotape recorded and transcribed. A descriptive content analysis was used to analyse the transcribed text. SETTING: Parents of children referred from general practice located in urban and rural areas in two municipals in Norway. PARTICIPANTS: Fourteen parents of children with functional abdominal pain aged 5–15 years. RESULTS: Fourteen parents participated. Some explained that their child’s disability glued the parents together on a common project to help the child. Other parents could tell that siblings got less attention and complained about too much fuss during pain. Parents wished for diagnosis that could be treated efficiently. Some were still anxious that an undetected condition triggered pain. They prompted their doctor to do further examinations. However, some parents knew that social factors could inflict pain and were concerned that their child was unable to distinguish sensations like anxiety and ‘butterfly’ tensions from physical pain. The parents and children needed professional guidance on how to manage the pain. CONCLUSION: The doctor’s consultation should not end at the diagnosis of functional abdominal pain. Doctors may help these families further by focusing on pain management strategies. BMJ Publishing Group 2018-05-10 /pmc/articles/PMC5950638/ /pubmed/29748345 http://dx.doi.org/10.1136/bmjopen-2017-021066 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle General practice / Family practice
Brodwall, Anne
Glavin, Kari
Lagerløv, Per
Parents’ experience when their child has chronic abdominal pain: a qualitative study in Norway
title Parents’ experience when their child has chronic abdominal pain: a qualitative study in Norway
title_full Parents’ experience when their child has chronic abdominal pain: a qualitative study in Norway
title_fullStr Parents’ experience when their child has chronic abdominal pain: a qualitative study in Norway
title_full_unstemmed Parents’ experience when their child has chronic abdominal pain: a qualitative study in Norway
title_short Parents’ experience when their child has chronic abdominal pain: a qualitative study in Norway
title_sort parents’ experience when their child has chronic abdominal pain: a qualitative study in norway
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950638/
https://www.ncbi.nlm.nih.gov/pubmed/29748345
http://dx.doi.org/10.1136/bmjopen-2017-021066
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