Aproximación crítica a los trastornos somatomorfos en niños

Article information

Resumen

Los trastornos somatomorfos tienen en común manifestaciones somáticas que no tienen explicación médica y que pueden producir una alteración de la vida diaria. En niños, existen dificultades de evaluación por el reporte u observación de síntomas debido a su edad, a la influencia parental y a los factores asociados. El objetivo de este trabajo es reconocer las dificultades diagnósticas y las herramientas clínicas que permitan la aproximación a los trastornos somatomorfos en niños. Se realizó una búsqueda sistemática de la información publicada en los últimos diez años sobre el tema. La evolución histórica del concepto de somatización ha generado dificultades en su abordaje. Algunas signos pueden hacer sospechar un trastorno somatomorfo; sin embargo, existen muy pocas herramientas de evaluación en niños. Actualmente, dichas herramientas se basan solamente en listas de síntomas y no responden por completo a todos los interrogantes. Los trastornos somatomorfos o síntomas somáticos en niños son un campo con un vacío aún por llenar.

Palabras clave:

Trastorno somatomorfo

pediatría

diagnóstico

Abstract

Somatomorphic disorders have common somatic manifestations without medical explanation, that can affect daily life. There are evaluation difficulties regarding symptom report or observation in children due to their age, parental influence and associated factors. The aim of this work is to acknowledge diagnosis difficulties and clinic tools to approach somatomorphic disorders in children. A systematic search in the information published for the last ten years was carried out. Historical evolution of the concept of somatization has generated difficulties to approach this issue. Some signs could indicate a somatomorphic disorder; however, there are very little evaluating tools for children. Currently, said tools are only based on lists of symptoms without fully answering to all questions. Somatomorphic disorders or somatic symptoms in children are still a gap to be closed.

Key words:

Somatoform disorders

pediatrics

diagnosis

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Referencias

[1]

American Psychiatric Association (APA).

Diagnostic and statistical manual of mental disorders, 4th ed. Text Revision (DSM-IV-TR), APA, (2004),

[2]

IE Schulte, F Petermann.

Somatoform disorders: 30 years of debate about criteria! What about children and adolescents?.

J Psychos Res, 70 (2011), pp. 218-228

[3]

PM Leary.

Conversion disorder in childhood, diagnosed too late, investigated too much?.

J R Soc Med, 96 (2003), pp. 436-438

Medline

[4]

K Voigt, A Nagel.

Towards positive diagnostic criteria: A systematic review of somatoform disorder diagnoses and suggestions for future classification.

J Psychos Res, 68 (2010), pp. 403-414

[5]

M Allin, A Streeruwitz.

Progress in understanding conversion disorder.

Neuropsychiatr Dis Treat, 1 (2005), pp. 205-209

Medline

[6]

S Harvey, B Stanton.

Conversion disorder: towards a neurobiological understanding.

Neuropsychiatr Dis Treat, 2 (2006), pp. 13-20

Medline

[7]

A Lazare.

Current concepts in psychiatry. Conversion symptoms.

New Engl J Med, 305 (1981), pp. 745-748

http://dx.doi.org/10.1056/NEJM198109243051306 | Medline

[8]

A Gaedicke, J González.

Somatización y trastorno conversivo: clínica, fisiopatología, evaluación y tratamiento.

Rev Memoriz, 6 (2010), pp. 1-14

[9]

K Kroenke, P Sharpe.

Revising the classification of somatoform disorders: key questions and preliminary recommendations.

Psychosomatics, 48 (2007), pp. 277-285

http://dx.doi.org/10.1176/appi.psy.48.4.277 | Medline

[10]

J Dimsdale.

The proposed diagnosis of somatic symptom disorders in DSM-V to replace somatoform disorders in DSM-IV a preliminary report.

J Psychosom Res, 66 (2009), pp. 473-476

http://dx.doi.org/10.1016/j.jpsychores.2009.03.005 | Medline

[11]

American Psychiatric Association (APA).

DSM V: the future manual [internet]. 2012 [citado: 30 de Julio de 2012].

Disponible en: http://www.dsm5.org

[12]

M Browning, P Fletcher, M Sharpe.

Can neuroimaging help us to understand and classify somatoform disorders? A systematic and critical review.

Psychosom Med, 73 (2011), pp. 173-184

http://dx.doi.org/10.1097/PSY.0b013e31820824f6 | Medline

[13]

J Bisht, N Sankhyan.

Clinical profile of pediatric somatoform disorders.

Indian Pediatr, 45 (2007), pp. 111-115

Medline

[14]

T Silber.

Somatization disorders: diagnosis, treatment, and prognosis.

Pediatr Rev, 32 (2011), pp. 56-63

http://dx.doi.org/10.1542/pir.32-2-56 | Medline

[15]

J Garber, L Walker, J Zeman.

Somatization symptoms in a community sample of children and adolescents: further validation of the children's somatization inventory.

J Consult Clin Psychol, 3 (1991), pp. 588-595

[16]

EL Peckham, M Hallet.

Psychogenic movement disorders.

Neurol Clin, 27 (2009), pp. 801-819

http://dx.doi.org/10.1016/j.ncl.2009.04.008 | Medline

[17]

M Hallett.

Physiology of psychogenic movement disorders.

J Clin Neurosci, 17 (2010), pp. 959-965

http://dx.doi.org/10.1016/j.jocn.2009.11.021 | Medline

[18]

J Iriarte, J Parra, E Urrestarazu, et al.

Controversies in the diagnosis and management of psychogenic pseudoseizures.

Epilepsy Behav, 4 (2003), pp. 354-359

Medline

[19]

MI Forcadas.

Tipos de crisis epilépticas y pseudocrisis.

Gac Med Bilbao, 100 (2003), pp. 105-107

[20]

R Lieb, P Zimmermann.

The natural course of DSM-IV somatoform disorders and syndromes among adolescents and young adults: a prospective-longitudinal community study.

Eur Psychiatry, 17 (2002), pp. 321-331

Medline

[21]

K Roelofs.

Childhood abuse in patients with conversion disorder.

Am J Psychiatry, 159 (2002), pp. 1908-1913

http://dx.doi.org/10.1176/appi.ajp.159.11.1908 | Medline

[22]

G Akyuz, N Kugu.

Dissociation and childhood abuse history in epileptic and pseudoseizure patients.

Epileptic Disord, 6 (2004), pp. 187-192

Medline

[23]

S Vincentiis, K Valente.

Risk factors for psychogenic nonepileptic seizures in children and adolescents with epilepsy.

Epilepsy Behav, 8 (2006), pp. 294-298

http://dx.doi.org/10.1016/j.yebeh.2005.08.014 | Medline

[24]

E. Wyllie, J Glazer.

Psychiatric features of children and adolescents with pseudoseizures.

Arch Pediatr Adolesc Med, 153 (1999), pp. 244-248

Medline

[25]

K Roelofs, P Spinhoven.

Trauma and medically unexplained symptoms towards an integration of cognitive and neuro-biological accounts.

Clin Rsychol Rev, 27 (2007), pp. 798-820

[26]

B Rehlivanturk, F Unal.

Conversion disorder in children and adolescents: A four-year follow-up study.

J Psychosom Res, 52 (2002), pp. 187-191

Medline

[27]

S Groben, C Hausteiner.

Somatoform disorders and causal attributions in patients with suspected allergies: Do somatic causal attributions matter?.

J Psychosom Res, 70 (2011), pp. 229-238

http://dx.doi.org/10.1016/j.jpsychores.2010.09.002 | Medline

[28]

IE Schulte, F Petermann.

Familial risk factors for the development of somatoform symptoms and disorders in children and adolescents: a systematic review.

Child Psychiatry Hum Dev, 42 (2011), pp. 569-583

http://dx.doi.org/10.1007/s10578-011-0233-6 | Medline

[29]

K Kroenke.

Physical symptom disorder: A simpler diagnostic category for somatization-spectrum conditions.

J Psychosom Res, 60 (2006), pp. 335-339

http://dx.doi.org/10.1016/j.jpsychores.2006.01.022 | Medline

[30]

J Weinman.

The illness perception questionnaire: a new method for assessing the cognitive representation of illness.

Psychol Health, 11 (1996), pp. 431-445

[31]

C Ulrikka, M Fjord.

The soma assessment interview: new parent interview on functional somatic symptoms in children.

J Psychosom Res, 66 (2009), pp. 455-464

http://dx.doi.org/10.1016/j.jpsychores.2008.10.012 | Medline

Conflictos de interés: Los autores manifiestan que no tienen conflictos de interés en este artículo.

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