Advancing the Assessment and Treatment of Comorbid Pediatric Chronic Functional Abdominal Pain (CFAP) and Restrictive Eating Disorders

The aim of this review is to heighten awareness of the association between chronic functional abdominal pain (CFAP) and restrictive eating disorders (ED) in adolescents. We describe current diagnostic practices and propose future research efforts to improve the assessment and treatment of comorbid C...

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Main Authors: Emily A. Beckmann, Claire M. Aarnio-Peterson, Kristen E. Jastrowski Mano
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/9/1539
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author Emily A. Beckmann
Claire M. Aarnio-Peterson
Kristen E. Jastrowski Mano
author_facet Emily A. Beckmann
Claire M. Aarnio-Peterson
Kristen E. Jastrowski Mano
author_sort Emily A. Beckmann
collection DOAJ
description The aim of this review is to heighten awareness of the association between chronic functional abdominal pain (CFAP) and restrictive eating disorders (ED) in adolescents. We describe current diagnostic practices and propose future research efforts to improve the assessment and treatment of comorbid CFAP and restrictive EDs. A narrative review of the literature on CFAP and EDs was performed using <i>PubMed</i>, <i>JSTOR</i>, <i>ScienceDirect</i>, and <i>PsycINFO</i> and the following search terms: ‘restrictive eating disorders’, ‘chronic functional abdominal pain’, ‘chronic pain’ ‘treatment’ ‘diagnosis’ and ‘adolescents’. Published studies on restrictive EDs and CFAP from May 2008 to March 2023 were included. Ascribable to the overlap in etiology and symptom presentation, adolescents with chronic pain are significantly less likely to have their ED pathology promptly identified by providers compared to adolescents without comorbid chronic pain. This highlights the importance of the time sensitive and accurate identification of EDs in adolescents with CFAP. Overall, assessment methods are limited and EDs take longer to be identified in adolescents with comorbid CFAP. Future efforts should address diagnostic practices in pediatric settings and improve the communication among medical and mental health providers in order to promote the rapid and effective diagnosis and treatment of comorbid CFAP and EDs.
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spelling doaj.art-ad66e593ad5044f19e243fe49a44f40c2023-11-19T10:03:56ZengMDPI AGChildren2227-90672023-09-01109153910.3390/children10091539Advancing the Assessment and Treatment of Comorbid Pediatric Chronic Functional Abdominal Pain (CFAP) and Restrictive Eating DisordersEmily A. Beckmann0Claire M. Aarnio-Peterson1Kristen E. Jastrowski Mano2Department of Psychology, University of Cincinnati, Cincinnati, OH 45221, USADivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229, USADepartment of Psychology, University of Cincinnati, Cincinnati, OH 45221, USAThe aim of this review is to heighten awareness of the association between chronic functional abdominal pain (CFAP) and restrictive eating disorders (ED) in adolescents. We describe current diagnostic practices and propose future research efforts to improve the assessment and treatment of comorbid CFAP and restrictive EDs. A narrative review of the literature on CFAP and EDs was performed using <i>PubMed</i>, <i>JSTOR</i>, <i>ScienceDirect</i>, and <i>PsycINFO</i> and the following search terms: ‘restrictive eating disorders’, ‘chronic functional abdominal pain’, ‘chronic pain’ ‘treatment’ ‘diagnosis’ and ‘adolescents’. Published studies on restrictive EDs and CFAP from May 2008 to March 2023 were included. Ascribable to the overlap in etiology and symptom presentation, adolescents with chronic pain are significantly less likely to have their ED pathology promptly identified by providers compared to adolescents without comorbid chronic pain. This highlights the importance of the time sensitive and accurate identification of EDs in adolescents with CFAP. Overall, assessment methods are limited and EDs take longer to be identified in adolescents with comorbid CFAP. Future efforts should address diagnostic practices in pediatric settings and improve the communication among medical and mental health providers in order to promote the rapid and effective diagnosis and treatment of comorbid CFAP and EDs.https://www.mdpi.com/2227-9067/10/9/1539eating disordersadolescentsanorexia nervosachronic functional abdominal painfunctional gastrointestinal disorderschronic pain
spellingShingle Emily A. Beckmann
Claire M. Aarnio-Peterson
Kristen E. Jastrowski Mano
Advancing the Assessment and Treatment of Comorbid Pediatric Chronic Functional Abdominal Pain (CFAP) and Restrictive Eating Disorders
Children
eating disorders
adolescents
anorexia nervosa
chronic functional abdominal pain
functional gastrointestinal disorders
chronic pain
title Advancing the Assessment and Treatment of Comorbid Pediatric Chronic Functional Abdominal Pain (CFAP) and Restrictive Eating Disorders
title_full Advancing the Assessment and Treatment of Comorbid Pediatric Chronic Functional Abdominal Pain (CFAP) and Restrictive Eating Disorders
title_fullStr Advancing the Assessment and Treatment of Comorbid Pediatric Chronic Functional Abdominal Pain (CFAP) and Restrictive Eating Disorders
title_full_unstemmed Advancing the Assessment and Treatment of Comorbid Pediatric Chronic Functional Abdominal Pain (CFAP) and Restrictive Eating Disorders
title_short Advancing the Assessment and Treatment of Comorbid Pediatric Chronic Functional Abdominal Pain (CFAP) and Restrictive Eating Disorders
title_sort advancing the assessment and treatment of comorbid pediatric chronic functional abdominal pain cfap and restrictive eating disorders
topic eating disorders
adolescents
anorexia nervosa
chronic functional abdominal pain
functional gastrointestinal disorders
chronic pain
url https://www.mdpi.com/2227-9067/10/9/1539
work_keys_str_mv AT emilyabeckmann advancingtheassessmentandtreatmentofcomorbidpediatricchronicfunctionalabdominalpaincfapandrestrictiveeatingdisorders
AT clairemaarniopeterson advancingtheassessmentandtreatmentofcomorbidpediatricchronicfunctionalabdominalpaincfapandrestrictiveeatingdisorders
AT kristenejastrowskimano advancingtheassessmentandtreatmentofcomorbidpediatricchronicfunctionalabdominalpaincfapandrestrictiveeatingdisorders