The Relation of Trauma to the Persistence of Functional Abdominal Pain from Childhood into Adolescence and Young Adulthood

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dc.contributor.advisor Walker, Lynn S.
dc.contributor.author Westbrook, Travis
dc.date.accessioned 2012-04-30T18:37:19Z
dc.date.available 2012-04-30T18:37:19Z
dc.date.issued 2012-03
dc.identifier.uri http://hdl.handle.net/1803/5086
dc.description.abstract Traumatic life experiences in childhood, particularly sexual and physical assault and abuse, have been consistently related to poor physical and mental health outcomes later in life. There is some evidence linking such childhood trauma to subsequent medically unexplained, or “functional,” abdominal pain (FAP). However, the clinical significance and course of the symptomology within this relationship have yet to be fully understood. To examine this, the current study followed a cohort of pediatric FAP patients from childhood into adolescence and young adulthood. We hypothesized that, at the time of the long-term follow-up, adolescents and young adults who reported a history of trauma would be more likely than those without a history of trauma to report clinically significant abdominal pain as defined by the Rome III diagnostic criteria for an abdominal pain-related functional gastrointestinal disorder (FGID). We also hypothesized that, among individuals who met criteria for an FGID at follow-up, those who reported a history of trauma would be at increased risk for developing psychiatric comorbidities and additional sites of chronic pain beyond the gastrointestinal system. Results supported both hypotheses, suggesting that trauma may contribute to the persistence of clinically significant FAP over time. Implications of these findings and directions for future research will be discussed. en_US
dc.description.sponsorship Thesis completed in partial fulfillment of the requirements of the Honors Program in Psychological Sciences under the direction of Dr. Lynn Walker, Ph.D. en_US
dc.language.iso en_US en_US
dc.publisher Vanderbilt University en_US
dc.subject functional gastrointestinal disorder en_US
dc.subject Rome III en_US
dc.subject trauma en_US
dc.subject chronic pain en_US
dc.subject.lcsh Gastrointestinal system -- Diseases -- Psychological aspects en_US
dc.subject.lcsh Adult child abuse victims en_US
dc.subject.lcsh Abdominal pain en_US
dc.subject.lcsh Abused children -- Longitudinal studies en_US
dc.title The Relation of Trauma to the Persistence of Functional Abdominal Pain from Childhood into Adolescence and Young Adulthood en_US
dc.title.alternative Trauma and persistent functional abdominal pain en_US
dc.type Thesis en_US
dc.description.college College of Arts and Science en_US
dc.description.school Vanderbilt University en_US
dc.description.department Psychology en_US

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