Evidence-based Care for Suspected Pediatric Somatic Symptom and Related Disorders in Emergent Settin...

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" Evidence-based Care for Suspected Pediatric Somatic Symptom and Related Disorders in Emergent Settings "
Malas, Nasuh

Document Type	:	AL
Record Number	:	932858
Doc. No	:	LA1xs899q6
Language of Document	:	English
Main Entry	:	Malas, Nasuh
Title & Author	:	Evidence-based Care for Suspected Pediatric Somatic Symptom and Related Disorders in Emergent Settings [Article]\ Malas, Nasuh
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	20/2
Date	:	2019
Abstract	:	Introduction: Somatic symptom and related disorders (SSRDs) are a group of diagnoses characterized by the presentation of one or more physical symptoms that are either inconsistent with physical disease based on a thorough medical evaluation or vastly disproportionate to findings on a thorough medical evaluation, and result in significant impairment. These symptoms are often significantly influenced by psychological factors including acute or chronic distress, as well as visceral hypersensitivity and habituation of maladaptive responses to somatic sensations. These conditions are common in pediatric medicine, accounting for up to 50% of primary care visits for abdominal pain, headache, and fatigue. There is a lack of a coordinated approach to SSRD care, often resulting in excessive and unnecessary healthcare utilization, miscommunications, missed opportunities to intervene, and considerable frustration from patients, families and providers.