Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-29T10:48:48.899Z Has data issue: false hasContentIssue false

Chapter 1 - Becoming a Feeling and Body Investigator – Pain Division

from Part I - The Background Science Behind Feeling and Body Investigators

Published online by Cambridge University Press:  18 November 2023

Nancy L. Zucker ,
Katharine L. Loeb  and
Martha E. Gagliano
Nancy L. Zucker
Affiliation:
Duke University Medical Center, Durham
Katharine L. Loeb
Affiliation:
Chicago Center for Evidence Based Treatment
Martha E. Gagliano
Affiliation:
Duke University Medical Center, Durham
Get access

Summary

Functional abdominal pain (FAP) is one of the most common medical complaints children present to their pediatricians. Despite the prevalence of FAP as well as its early onset, treatments for young children are particularly rare. Young children are just beginning to learn about the complex messages that their body communicates. Yet, pain can contribute to a fear of the body and an attempt to avoid these important signals. This chapter describes the background and rationale for a new approach to pain for young children, one that conceptualizes the sensitivity to pain and other experiences of the body as a superpower rather than a vulnerability - “sensory superpowers!” We train children to be Feeling and Body Investigators (FBI), individuals who have awe-inspiring curiosity and responsivity towards the many wise communications from their bodies and who respond to these messages with dexterity and skill. The end result is children who are not only fearless about pain, but also who are adept at emotion awareness and regulation. They are Feeling and Body Investigators!

Keywords

paingastrointestinal disorderspediatricabdominal painpediatric primary caretreatmentchildreninteroceptive exposuresensory sensitivityvisceral hypersensitivitygut-brain interactionbody image
Type
Chapter
Information
Treating Functional Abdominal Pain in Children
A Clinical Guide Using Feeling and Body Investigators (FBI)
 , pp. 1 - 8
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Korterink, J.J., Diederen, K., Benninga, M.A., et al. (2015). Epidemiology of pediatric functional abdominal pain disorders: a meta-analysis. PloS One 10, e0126982. https://doi.org/10.1371/journal.pone.0126982CrossRefGoogle ScholarPubMed
Stein, K., Pearson, R.M., Stein, A., et al. (2017). The predictive value of childhood recurrent abdominal pain for adult emotional disorders, and the influence of negative cognitive style. Findings from a cohort study. PloS One 12, e0185643. https://doi.org/10.1371/journal.pone.0185643CrossRefGoogle ScholarPubMed
Groenewald, C.B., Giles, M., Palermo, T.M. (2019). School absence associated with childhood pain in the United States. Clin J Pain 35, 525–531. https://doi.org/10.1097/ajp.0000000000000701CrossRefGoogle ScholarPubMed
Mehta, V., D’Amico, S., Luo, M., et al. (2020). Food habits, stressors, and use of complementary medicine therapies among pediatric patients who attend an integrative medicine pediatric pain clinic. J Altern Complement Med 26, 691–700. https://doi.org/10.1089/acm.2019.0253CrossRefGoogle ScholarPubMed
Devanarayana, N.M., de Silva, D.G., de Silva, H.J. (2008). Recurrent abdominal pain syndrome in a cohort of Sri Lankan children and adolescents. J Trop Pediatr 54, 178–183. https://doi.org/10.1093/tropej/fmm114CrossRefGoogle Scholar
Calvano, C., Warschburger, P. (2018). Quality of life among parents seeking treatment for their child’s functional abdominal pain. Qual Life Res 27, 2557–2570. https://doi.org/10.1007/s11136-018-1916-2CrossRefGoogle ScholarPubMed
Shelby, G.D., Shirkey, K.C., Sherman, A.L., et al. (2013). Functional abdominal pain in childhood and long-term vulnerability to anxiety disorders. Pediatrics 132, 475–482. https://doi.org/10.1542/peds.2012–2191CrossRefGoogle ScholarPubMed
Ayonrinde, O.T., Ayonrinde, O.A., Adams, L.A., et al. (2020). The relationship between abdominal pain and emotional wellbeing in children and adolescents in the Raine Study. Sci Rep 10, 1646–1611. https://doi.org/10.1038/s41598-020-58543-0CrossRefGoogle ScholarPubMed
Vierola, A., Suominen, A.L., Lindi, V., et al. (2016). Associations of sedentary behavior, physical activity, cardiorespiratory fitness, and body fat content with pain conditions in children: The Physical Activity and Nutrition in Children Study. J Pain 17, 845–853. https://doi.org/10.1016/j.jpain.2016.03.011CrossRefGoogle ScholarPubMed
Sollerhed, C., Andersson, I., Ejlertsson, G. (2013). Recurrent pain and discomfort in relation to fitness and physical activity among young school children. Eur J Sport Sci 13, 591–598. https://doi.org/10.1080/17461391.2013.767946CrossRefGoogle ScholarPubMed
Kichline, T., Cushing, C.C., Ortega, A., et al. (2019). Associations between physical activity and chronic pain severity in youth with chronic abdominal pain. Clin J Pain 35, 618–624. https://doi.org/10.1097/ajp.0000000000000716CrossRefGoogle ScholarPubMed
Meijer, S.A., Sinnema, G., Bijstra, J.O., et al. (2000). Social functioning in children with a chronic illness. J Child Psychol Psychiatry 41, 309–317. https://doi.org/10.1111/1469-7610.00615CrossRefGoogle ScholarPubMed
Drossman, D.A. (senior ed.), Di Lorenzo, C., Nurko, S., (guest eds.), with editors Chang, L., Chey, W.D., Kellow, J., Tack, J. Whitehead, W.E., & the Rome IV Committee. (2016). Rome IV Pediatric Functional Gastrointestinal Disorders: Disorders of Gut-Brain Interaction. Rome Foundation, Raleigh, North Carolina.Google Scholar
Drossman, D.A. (2005). Functional GI disorders: what’s in a name? Gastroenterology 128, 1771–1772. https://doi.org/10.1053/j.gastro.2005.04.020CrossRefGoogle Scholar
Hyams, J.S., Di Lorenzo, C., Saps, M., et al. (2016). Functional disorders: children and adolescents. Gastroenterology 150, 1456–1468. https://doi.org/10.1053/j.gastro.2016.02.015CrossRefGoogle Scholar
Thapar, N., Benninga, M.A., Crowell, M.D., et al. (2020). Paediatric functional abdominal pain disorders. Nat Rev Dis Primers 6, 89. https://doi.org/10.1038/s41572-020-00222-5CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×