Behavioral Gastroenterology Program

Behavioral Gastroenterology: Average Improvement in Symptoms and Disability

2018-2019

The Behavioral Gastroenterology Program is a joint initiative between the departments of Pediatric Gastroenterology and Pediatric Behavioral Health to provide comprehensive medical and psychological care to patients with complex needs. Children and adolescents generally present with abdominal pain or other functional gastrointestinal (GI) disorders (48%), toileting and constipation difficulties (30%), or challenges coping with a chronic GI disease (22%). Treatment goals and interventions vary based on the presenting concerns of each individual child, but often will target:

  • Decreased somatic symptoms
  • Improved physical and psychosocial functioning
  • Decreased depression symptoms
  • Decreased anxiety symptoms
Average Improvement in Symptoms and Disability (N=145)

2018-2019

Treatment OnsetTreatment ConclusionGoal% Improvement

Physical/Somatic Symptoms (CSI-24)

N=107

21.112.810.239%

Severity of Disability (FDI)

N=64

20.609.2013.0055.3%

Depression Symptoms (CES-DC)

N=72

29.4016.7015.0043.2%

Anxiety Symptoms (SCARED)

N=72

37.8023.6024.0037.6%
  • CSI-24 = Children's Somatization Inventory
  • FDI = Functional Disability Inventory
  • CES-DC = Center for Epidemiological Studies Depression Scale for Children
  • SCARED = Screen for Childhood Anxiety Related Emotional Disorders
References

Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baucher M. Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a replication study. J Am Acad Child Adolesc. 1999 Oct;38(10):1230-1236.

Kashikar-Zuck S, Flowers SR, Claar RL, Guite JW, Logan DE, Lynch-Jordan AM, Palermo TM, Wilson AC. Clinical utility and validity of the Functional Disability Inventory among a multicenter sample of youth with chronic pain. Pain. 2011 Jul;152(7):1600-1607.

Meesters C, Muris P, Ghys A, Reumerman T, Rooijmans M. The Children’s Somatization Inventory: further evidence for its reliability and validity in a pediatric and a community sample of Dutch children and adolescents. J Pediatr Psychol. 2003;28(6):413-422.

Weissman MM, Orvaschel H, Padian N. Children’s symptom and social functioning self-report scales. Comparison of mothers’ and children’s reports. J Nerv Ment Dis. 1980 Dec;168(12):736-740.