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Colombian School Children With Functional Gastrointestinal Disorders Respond Differently to Family Stress Than Healthy Children

Lu, Peter L.*; Blom, Puck J.J.; Qian, Qian; Velasco-Benítez, Carlos A.§,||; Benninga, Marc A.; Saps, Miguel

Journal of Pediatric Gastroenterology and Nutrition: April 2019 - Volume 68 - Issue 4 - p e58–e61
doi: 10.1097/MPG.0000000000002219
Short Communication: Gastroenterology

ABSTRACT Our objective is to compare coping methods, stress responses, and resilience in children with and without functional gastrointestinal disorders (FGIDs) in response to common sources of stress. We performed a case-control study. Children meeting criteria for FGIDs and matched controls completed measures of response to stress (Peer Stress, Family Stress, Academic Problems, and Recurrent Abdominal Pain versions of the Response to Stress Questionnaire) and resilience (Connor-Davidson Resilience Scale 10). We included 134 children with an FGID (57 with functional constipation and 74 with an abdominal pain-predominant FGID) and 135 controls. Children with FGIDs were more likely to take action (P < 0.001) and less likely to remain involuntarily engaged (P < 0.001) in response to family stress. Response to peer and academic stress and measures of resilience were similar between groups. Further research is needed to better understand the role that family stress and a child's response play in the pathophysiology of pediatric FGIDs.

*Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH

Department of Pediatric Gastroenterology and Nutrition, Emma Children's Hospital/Academic Medical Center, Amsterdam, The Netherlands

Department of Statistics, The Ohio State University, Columbus, OH

§Department of Pediatrics, Universidad del Valle, Cali, Colombia

||Department of Pediatrics, Universidad de Granada, Granada, Spain

Division of Gastroenterology, Hepatology, and Nutrition, University of Miami, Miller School of Medicine, Miami, FL.

Address correspondence and reprint requests to Peter L. Lu, MD, MS, Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH 43205 (e-mail:

Received 29 April, 2018

Accepted 10 November, 2018

The authors report no conflicts of interest.

© 2019 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,