“My Body Hates Me”: A Qualitative Analysis of the Experience of Functional Nausea in Adolescent Girls and Their Mothers

Nausea is a somatic sensation typically associated with the need to vomit in order to remove a toxin from the body. When nausea occurs in the absence of a specific structural cause or toxin, it is classified as a functional gastrointestinal disorder (FGID). Functional nausea was newly recognized in...

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Main Authors: Michelle A. T. Cole, Dima Qu’d, Marcus G. Wild, Alexandra C. Russell, Aimee R. Caillet, Amanda L. Stone
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/7/8/83
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author Michelle A. T. Cole
Dima Qu’d
Marcus G. Wild
Alexandra C. Russell
Aimee R. Caillet
Amanda L. Stone
author_facet Michelle A. T. Cole
Dima Qu’d
Marcus G. Wild
Alexandra C. Russell
Aimee R. Caillet
Amanda L. Stone
author_sort Michelle A. T. Cole
collection DOAJ
description Nausea is a somatic sensation typically associated with the need to vomit in order to remove a toxin from the body. When nausea occurs in the absence of a specific structural cause or toxin, it is classified as a functional gastrointestinal disorder (FGID). Functional nausea was newly recognized in 2016 as a FGID in children and little is known about its prevalence, course or patient experiences. Nausea co-occurring with functional abdominal pain in childhood has been associated with long-term risk for anxiety and ongoing somatic symptoms into young adulthood. However, few studies have focused uniquely on the experience and impact of nausea on youth. The present study aimed to qualitatively understand the experiences of adolescent girls with functional nausea and their parents. Five mother–daughter dyads were recruited from a specialized pediatric gastroenterology clinic focused on nausea and completed semi-structured interviews. Interviews were transcribed and coded using interpretive phenomenological analysis (IPA). Four main themes emerged: nausea interference, body frustration, misunderstanding of symptoms, and maternal helplessness and guilt. These themes were similar to prior studies on the experiences of youth with chronic pain but also indicated unique challenges due to nausea, such as significant food restriction and subsequent weight loss.
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spelling doaj.art-1d0860efe93a48d1b81c36c19ab648cf2023-11-20T08:00:37ZengMDPI AGChildren2227-90672020-07-01788310.3390/children7080083“My Body Hates Me”: A Qualitative Analysis of the Experience of Functional Nausea in Adolescent Girls and Their MothersMichelle A. T. Cole0Dima Qu’d1Marcus G. Wild2Alexandra C. Russell3Aimee R. Caillet4Amanda L. Stone5Department of Medicine, Health, and Society, Vanderbilt University, Nashville, TN 37212, USADepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Psychology, Vanderbilt University, Nashville, TN 37212, USADivision of Pediatric Gastroenterology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37212, USADivision of Pediatric Gastroenterology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37212, USANausea is a somatic sensation typically associated with the need to vomit in order to remove a toxin from the body. When nausea occurs in the absence of a specific structural cause or toxin, it is classified as a functional gastrointestinal disorder (FGID). Functional nausea was newly recognized in 2016 as a FGID in children and little is known about its prevalence, course or patient experiences. Nausea co-occurring with functional abdominal pain in childhood has been associated with long-term risk for anxiety and ongoing somatic symptoms into young adulthood. However, few studies have focused uniquely on the experience and impact of nausea on youth. The present study aimed to qualitatively understand the experiences of adolescent girls with functional nausea and their parents. Five mother–daughter dyads were recruited from a specialized pediatric gastroenterology clinic focused on nausea and completed semi-structured interviews. Interviews were transcribed and coded using interpretive phenomenological analysis (IPA). Four main themes emerged: nausea interference, body frustration, misunderstanding of symptoms, and maternal helplessness and guilt. These themes were similar to prior studies on the experiences of youth with chronic pain but also indicated unique challenges due to nausea, such as significant food restriction and subsequent weight loss.https://www.mdpi.com/2227-9067/7/8/83qualitativesomatic symptomsfunctional gastrointestinal disorderschronic nauseapediatric
spellingShingle Michelle A. T. Cole
Dima Qu’d
Marcus G. Wild
Alexandra C. Russell
Aimee R. Caillet
Amanda L. Stone
“My Body Hates Me”: A Qualitative Analysis of the Experience of Functional Nausea in Adolescent Girls and Their Mothers
Children
qualitative
somatic symptoms
functional gastrointestinal disorders
chronic nausea
pediatric
title “My Body Hates Me”: A Qualitative Analysis of the Experience of Functional Nausea in Adolescent Girls and Their Mothers
title_full “My Body Hates Me”: A Qualitative Analysis of the Experience of Functional Nausea in Adolescent Girls and Their Mothers
title_fullStr “My Body Hates Me”: A Qualitative Analysis of the Experience of Functional Nausea in Adolescent Girls and Their Mothers
title_full_unstemmed “My Body Hates Me”: A Qualitative Analysis of the Experience of Functional Nausea in Adolescent Girls and Their Mothers
title_short “My Body Hates Me”: A Qualitative Analysis of the Experience of Functional Nausea in Adolescent Girls and Their Mothers
title_sort my body hates me a qualitative analysis of the experience of functional nausea in adolescent girls and their mothers
topic qualitative
somatic symptoms
functional gastrointestinal disorders
chronic nausea
pediatric
url https://www.mdpi.com/2227-9067/7/8/83
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