AI Article Synopsis
- The study investigates the prevalence of somatization in a pediatric emergency department, where patients may exhibit physical symptoms without a clear medical explanation.
- Approximately 3.33% of youth were classified as having probable somatization, while 13.33% had possible somatizing factors requiring further investigation.
- Findings suggest that mental health issues may be more common in emergency visits than previously recognized, urging clinicians to consider somatization when diagnosing and treating patients.
Article Abstract
Objective: Somatization is a common phenomenon that can severely complicate youths' functioning and health. The burden of somatization on pediatric acute care settings is currently unclear; better understanding it may address challenges clinicians experience in effectively caring for somatizing patients. In this study, we estimate the prevalence of somatization in a pediatric emergency department (ED).
Methods: We conducted a retrospective cross-sectional study of visits for non-critical, non-mental health-related concerns (n = 150) to a quaternary-level pediatric ED between July 2016 and August 2017. Demographic and clinical visit details were collected through chart review and used by two reviewing clinicians to classify whether each visit had a "probable," "unclear" (possible), or "unlikely" somatizing component.
Results: Approximately 3.33% (n = 5) of youth displayed probable somatization, and an additional 13.33% (n = 20) possibly experienced a somatizing component but require additional psychosocial and visit documentation to be certain. Longer symptom duration and multiple negative diagnostic tests were associated with a higher likelihood of either probable or possible somatization.
Conclusions: A considerable proportion of non-mental health-related visits may involve a somatizing component, indicating the burden of mental health concerns on the ED may be underestimated. A higher index of suspicion for the possibility of somatization may support clinicians in managing somatizing patients.
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| http://dx.doi.org/10.1017/cem.2019.477 | DOI Listing |
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