- Pediatric Pain Management Techniques
- Gastrointestinal motility and disorders
- Childhood Cancer Survivors' Quality of Life
- Infant Development and Preterm Care
- Infant Health and Development
- Child Nutrition and Feeding Issues
- Musculoskeletal pain and rehabilitation
- Psychosomatic Disorders and Their Treatments
- Child and Adolescent Psychosocial and Emotional Development
- Gastroesophageal reflux and treatments
- Health, psychology, and well-being
- Pain Management and Placebo Effect
- Child and Adolescent Health
- Family and Disability Support Research
- Adolescent and Pediatric Healthcare
- Helicobacter pylori-related gastroenterology studies
- Pain Management and Opioid Use
- Psychological Testing and Assessment
- Substance Abuse Treatment and Outcomes
- Child Therapy and Development
- Heart Rate Variability and Autonomic Control
- Intestinal and Peritoneal Adhesions
- Family Support in Illness
- Congenital gastrointestinal and neural anomalies
- Mindfulness and Compassion Interventions
Vanderbilt University
2015-2025
Vanderbilt University Medical Center
2009-2024
University Hospital of North Durham
2021
Pediatrics and Genetics
2017-2021
Monroe Carell Jr. Children's Hospital
2006-2019
Boston Children's Museum
2016
John F. Kennedy Center for the Performing Arts
2010-2016
Meharry Medical College
2016
Vanderbilt Health
2015-2016
Boston Children's Hospital
2016
Described the development and validation of Functional Disability Inventory (FDI) for school-age children adolescents. Results provide support construct, concurrent, predictive validity. FDI scores also demonstrated stability over a 3-month period in patients with chronic condition, instrument was sensitive to changes patient status subsequent medical treatment. There some evidence that gender played role disability, particularly adolescence. The may be used (a) studying individual...
The Functional Disability Inventory (FDI; Walker LS, Greene JW. functional disability inventory: measuring a neglected dimension of child health status. J Pediatr Psychol 1991;16:39-58) assesses activity limitations in children and adolescents with variety pediatric conditions. This study evaluated the psychometric properties FDI pain patients. Participants included 596 patients chronic abdominal pain, ages 8-17, subset their parents (n = 151) who completed measures school activities,...
This study provides further evidence of the validity Children's Somatization Inventory (CSI) and normative information about intensity, frequency, types somatic complaints reported by 540 children adolescents in a community sample. Among high school students, girls had significantly higher scores on CSI than did boys. Factor analysis yielded 4 factors that correspond to first categories DSM-1I1-R criteria. The good concurrent with another self-report measure symptoms low but significant...
The objective of this study was to assess the impact parent attention and distraction on symptom complaints by children with without chronic functional abdominal pain. water load provocation task used induce visceral discomfort in pediatric patients pain (N=104) well (N=119), ages 8-16 years. Parents were randomly assigned trained interact their according one three conditions: Attention, Distraction, or No Instruction. Children's parents' responses audiotaped coded. Children completed a...
Patients presenting with abdominal pain were classified into two groups: the recurrent (RAP) group (n = 41), consisting of patients without identifiable organic etiology for pain, and 28), findings (primarily ulcer-related conditions). A control well 41) also participated. RAP had higher anxiety, depression, somatic complaints than patients, but did not differ from each other. Anxiety, somatization greater in mothers mothers. Father symptomatology groups. Results suggest that psychological...
The objectives of this study were to characterize gastrointestinal dysfunction ( GID ) in autism spectrum disorder ASD ), examine parental reports relative evaluations by pediatric gastroenterologists, and explore factors associated with . One hundred twenty‐one children recruited into three groups: co‐occurring , without A gastroenterologist evaluated both groups. Parents all groups completed questionnaires about their child's behavior GI symptoms, a dietary journal. Functional constipation...
Cross-sectional studies link functional abdominal pain (FAP) to anxiety and depression in childhood, but no prospective study has evaluated psychiatric status adulthood or its relation persistence.Pediatric patients with FAP (n = 332) control subjects 147) were tracked prospectively for disorders gastrointestinal (FGIDs) at follow-up adolescence young (mean age 20.01 years). Participants classified according presence (FGID-POS) absence (FGID-NEG) of FGIDs follow-up.Lifetime current risk was...
Summary Distinct profiles of pain severity and pain-specific psychological characteristics in childhood prospectively predict differences clinical outcomes central sensitization adolescence young adulthood. Although pediatric functional abdominal (FAP) has been linked to later life, predictors long-term have not identified. This study evaluated whether distinct FAP based on patterns adaptation could be identified these predicted (wind-up) average 9 years later. In 843 patients, cluster...
The Pain Response Inventory (PRI) was developed as a multidimensional instrument to assess children's coping responses recurrent pain. PRI assesses 3 broad factors—Active, Passive, and Accommodative—each with subscales representing specific strategies for Confirmatory factor analysis used derive cross-validate the structure of in different samples children adolescents: school children, abdominal pain patients, former patients. were found be internally consistent reasonably stable. Validity...
OBJECTIVES: Unexplained abdominal pain in children has been shown to be related parental responses symptoms. This randomized controlled trial tested the efficacy of an intervention designed improve outcomes idiopathic childhood by altering and children's ways coping thinking about their METHODS: Two hundred with persistent functional parents were randomly assigned one two conditions—a three-session cognitive-behavioral treatment targeting parents' complaints responses, or a educational that...
A few studies of long-term outcomes for pediatric functional abdominal pain (FAP) have assessed acute non-abdominal at follow-up, but none has chronic pain. We followed a cohort patients with FAP (n=155) and well control group (n=45) prospectively up to 15 years. Participants ranged in age from 18 32 years follow-up telephone interview. were classified as Resolved (n=101) versus Unresolved (n=54) based on whether they reported symptoms consistent the adult Rome III criteria gastrointestinal...
Irritable bowel syndrome (IBS) runs in families. The aims of this study were (i) to exclude biased perception by a mother with irritable as the explanation for increased gastrointestinal (GI) symptoms their children, (ii) determine whether non-GI well GI run families, and (iii) parent IBS status solicitous responses illness exert independent effects on children's symptom reports, medical clinic visits, school absences.Two hundred eight mothers 296 children (cases: average age 11.9 yr; 48.6%...
Journal Article Parental Response to Child Illness Behavior Get access Lynn S. Walker, Walker 2 Vanderbilt University School of Medicine 2All correspondence should be addressed Division Adolescent Medicine, Medical Center, Nashville, Tennessee 37232-3571 Search for other works by this author on: Oxford Academic PubMed Google Scholar Janice L. Zeman Pediatric Psychology, Volume 17, Issue 1, February 1992, Pages 49–71, https://doi.org/10.1093/jpepsy/17.1.49 Published: 01 1992 history Received:...
Prior investigations of the relation between stressors and symptoms in children with recurrent abdominal pain (RAP) have focused on major negative life events. This study used consecutive daily telephone interviews to assess 154 pediatric patients RAP 109 well children. Results showed that reported more frequent than both at home school. Idiographic (within-subject) analyses indicated association somatic was significantly stronger for In contrast, affect did not differ groups. The who had...
Recurrent abdominal pain (RAP) is a common childhood complaint rarely associated with organic disease. Recently, the Pediatric Rome Criteria were developed to standardize classification of pediatric functional gastrointestinal disorders (FGIDs) using symptom-based approach. The authors tested hypothesis that most patients RAP could be classified into one or more symptom subtypes defined by Criteria.Using prospective longitudinal design, new (n = 114) studied at tertiary care children's...