Dor Abdominal Recorrente na Criança como Sintoma da Família
Keywords:
Psychosomatic family, Child, Recurrent abdominal painAbstract
The purpose of this study was to analyze the family dynamics of children with recurrent abdominal pain without organic cause. It was investigated whether common factors in psychosomatic families such as parental conflicts, relationship enmeshments, overprotectiveness, rigidity, and/or lack of conflict resolution were related with child symptoms. The design was a multiple case study. Interviews and the construction of a genogram were conducted with mothers of four children. It was observed an association between common factors in psychosomatic families and the child’s recurrent abdominal pain. Disturbed bonds, stressful events prior to the symptoms, and the occurrence of real or symbolic losses were noticed. The families seem to focus on the mother while the fathers, even when present, are virtual.
References
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Kaczynski, K. J., Claar, R. L., & Logan, D. E. (2009). Testing gender as a moderator of associations between psychosocial variables and functional disability in children and adolescents with chronic pain. Journal of Pediatric Psychology, 34, 738-748.
Kaminsky, L., Robertson, M., & Dewey, D. (2006). Psychological correlates of depression in children with recurrent abdominal pain. Journal of Pediatric Psychology, 31, 956-66.
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Puccini, R. F., & Bresolin, A. M. (2003). Dores recorrentes na infância e adolescência. Jornal de Pediatria, 79, S65-76.
Ríos-González, J. A. (1994). Manual de orientación y terapia familiar. Madrid: Instituto de Ciencias del Hombre.
Robinson, J. O., Alvarez, J. H., & Dodge, J. A. (1990). Life events and family history in children with recurrent abdominal pain. Journal of Psychosomatic Research, 34, 171-181.
Thiessen, P. N. (2002). Recurrent abdominal pain. Pediatrics in Review, 23, 39-46.
Walker, L. S., Garber, J., & Greene, J. W. (1991). Somatization symptoms in pediatric abdominal pain patients: Relation to chronicity of abdominal pain and parent somatization. Journal of Abnormal Child Psychology, 19, 379-94.
Walker, L. S., Garber, J., Smith, C. A., Van Slyke, D. A., & Claar, R. L. (2001). The relation of daily stressors to somatic and emotional symptoms in children with and without recurrent abdominal pain. Journal of Consulting and Clinical Psychology, 69, 85-91.
Walker, L. S., Smith, C. A., Garber, J., & Claar, R. L. (2007). Appraisal and Ccping with daily stressors by pediatric patients with chronic abdominal pain. Journal of Pediatric Psychology, 32, 206-216.
Yin, R. K. (2001). Estudo de caso: planejamento e métodos (2a ed.) (D. Grassi, Trad.). Porto Alegre: Bookman. (Data da publicação original não informada)
Andolfi, M., & Haber, R. (1998). Por favor, ajude-me com esta família: usando consultores como recursos na terapia familiar (M. Lopes, Trad). Porto Alegre: Artes Médicas. (Data da publicação original não informada)
Apley, J., & Naish, N. (1958). Recurrent abdominal pains: A field survey of 1,000 school children. Archives of Disease in Childhood, 33, 165-70.
Araújo-Soares, V., & Figueiredo, M. (2001). Dor: a hidra de sete cabeças. Revista Portuguesa de Psicossomática, 3, 159-184.
Ariès, P. (1981). História social da criança e da família (D. Flaksman, Trad.). Rio de Janeiro. (Trabalho original publicado em 1960)
Beck, J. E. (2008). A developmental perspective on functional somatic symptoms. Journal of Pediatric Psychology, 33, 547-562.
Boyle, J. T. (1997). Recurrent abdominal pain: An update. Pediatrics in Review, 18, 310-21.
Campo, J. V., Bridge, J., Ehmann, M., Altman, S., Lucas, A., Birmaher, B., Di Lorenzo, C., Iyengar, S., & Brent, D.A. (2004). Recurrent abdominal pain, anxiety and depression in primary care. Pediatrics, 113, 817-24.
Carter, B., & McGoldrick, M. (2001). As mudanças no ciclo de vida familiar: uma estrutura para terapia familiar (2a ed.) (A. V. Veronese, Trad.). Porto Alegre: Artes Médicas. (Trabalho original publicado em 1989)
Castoldi, L., Lopes, R. C., & Prati, L. E. (2006). O genograma como instrumento de pesquisa do impacto de eventos estressores na transição família-escola. Psicologia Reflexão e Crítica, 19, 292-300.
Chitkara, D. K., Rawat, D. J., & Talley, N. J. (2005). The epidemiology of childhood recurrent abdominal pain in Western countries: A systematic review. American Journal of Gastroenterology, 100, 1868-1875.
Craig, T. K. J., Cox, A. D., & Klein, K. (2002). Intergenerational transmission of somatization behavior: A study of chronic somatizers and their children. Psychological Medicine, 32, 805-16.
Evans, S., & Keenan, T. R. (2007). Parents with chronic pain: Are children equally affected by fathers as mothers in pain? A pilot study. Journal of Child Health Care, 11, 143-57.
Garralda, M. E. (1996). Somatization in children. Journal of Child Psychology and Psychiatry, 37, 13-33.
Kaczynski, K. J., Claar, R. L., & Logan, D. E. (2009). Testing gender as a moderator of associations between psychosocial variables and functional disability in children and adolescents with chronic pain. Journal of Pediatric Psychology, 34, 738-748.
Kaminsky, L., Robertson, M., & Dewey, D. (2006). Psychological correlates of depression in children with recurrent abdominal pain. Journal of Pediatric Psychology, 31, 956-66.
Kellner, R. (1990). Somatization: Theories and reserch. The Journal of Nervous and Mental Disease, 178, 150-60.
Logan, D. E., & Sharff, L. (2005) Relationships between family and parent characteristics and functional abilities in children with recurrent pain syndromes: An investigation of 65 moderating effects on the pathway from pain to disability. Journal of Pediatric Psychology, 30, 698”“707.
Marcelli, D. (1998). Manual de psicopatologia da infância de Ajuriaguerra (P. C. Ramos Trad.). Porto Alegre: Artmed. (Trabalho original publicado em 1982)
McDougall, J. (1996). Teatros do corpo: o psicossoma em psicanálise (P. H. Bernardes, Trad.). São Paulo: Martins Fontes. (Trabalho original publicado em 1989)
Mello Filho, J., & Burd, M. (2004). Doença e família. São Paulo: Casa do Psicólogo.
Minuchin, S., Baker, L., Rosman, B. L., Liebman, R., Milman, L., & Todd, T. C. (1975). A conceptual model of psychosomatic illness in children. Archives of General Psychiatry, 32, 1031-38.
Minuchin, S. (1982). Famílias: funcionamento & tratamento (J. A. Cunha, Trad.). Porto Alegre: Artes Médicas. (Trabalho original publicado em 1974)
Peterson, C., & Palermo, T. M. (2004). Parental reinforcement of recurrent pain: The moderating impact of child depression and anxiety on functional disability. Journal of Pediatric Psychology, 29, 331-41.
Pinto, P. C. G. (2007). Presença de eventos estressantes de vida em crianças e adolescentes com dor abdominal recorrente não orgânica. Dissertação de Mestrado, Universidade Federal de Minas Gerais, Belo Horizonte.
Pinto, P. C. G., & Duarte, M. A. (2008). Associação entre eventos estressantes de vida e dor abdominal recorrente não orgânica ”“ revisão. Revista de Medicina de Minas Gerais, 18, 83-89.
Puccini, R. F., & Bresolin, A. M. (2003). Dores recorrentes na infância e adolescência. Jornal de Pediatria, 79, S65-76.
Ríos-González, J. A. (1994). Manual de orientación y terapia familiar. Madrid: Instituto de Ciencias del Hombre.
Robinson, J. O., Alvarez, J. H., & Dodge, J. A. (1990). Life events and family history in children with recurrent abdominal pain. Journal of Psychosomatic Research, 34, 171-181.
Thiessen, P. N. (2002). Recurrent abdominal pain. Pediatrics in Review, 23, 39-46.
Walker, L. S., Garber, J., & Greene, J. W. (1991). Somatization symptoms in pediatric abdominal pain patients: Relation to chronicity of abdominal pain and parent somatization. Journal of Abnormal Child Psychology, 19, 379-94.
Walker, L. S., Garber, J., Smith, C. A., Van Slyke, D. A., & Claar, R. L. (2001). The relation of daily stressors to somatic and emotional symptoms in children with and without recurrent abdominal pain. Journal of Consulting and Clinical Psychology, 69, 85-91.
Walker, L. S., Smith, C. A., Garber, J., & Claar, R. L. (2007). Appraisal and Ccping with daily stressors by pediatric patients with chronic abdominal pain. Journal of Pediatric Psychology, 32, 206-216.
Yin, R. K. (2001). Estudo de caso: planejamento e métodos (2a ed.) (D. Grassi, Trad.). Porto Alegre: Bookman. (Data da publicação original não informada)
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Published
2010-07-30
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Section
Estudos Empíricos
How to Cite
Dor Abdominal Recorrente na Criança como Sintoma da Família. (2010). Psicologia: Teoria E Pesquisa, 26(2), 217-226. https://periodicostestes.bce.unb.br/index.php/revistaptp/article/view/17795
