- Gastrointestinal motility and disorders
- Pediatric Pain Management Techniques
- Child Nutrition and Feeding Issues
- Obesity, Physical Activity, Diet
- Infant Health and Development
- Infant Development and Preterm Care
- Childhood Cancer Survivors' Quality of Life
- Eating Disorders and Behaviors
- Health, psychology, and well-being
- Adolescent and Pediatric Healthcare
- Complementary and Alternative Medicine Studies
- Pain Management and Placebo Effect
- Music Therapy and Health
- Obesity and Health Practices
- Gastroesophageal reflux and treatments
- Behavioral Health and Interventions
- Diet and metabolism studies
- Congenital gastrointestinal and neural anomalies
- Microscopic Colitis
- Inflammatory Bowel Disease
- Eosinophilic Esophagitis
- Social Work Education and Practice
- Child and Adolescent Psychosocial and Emotional Development
- Child and Adolescent Health
- Intestinal and Peritoneal Adhesions
University of Washington
2014-2024
Behavioral Tech Research, Inc.
2007-2016
Seattle University
2009-2014
Western Sydney University
2012
Group Health Cooperative
1999-2008
Sorbonne Université
2006-2008
Assistance Publique – Hôpitaux de Paris
2007-2008
Pitié-Salpêtrière Hospital
2007-2008
Inserm
1998-2008
University of Minnesota
2008
The superior frontal gyrus (SFG) is thought to contribute higher cognitive functions and particularly working memory (WM), although the nature of its involvement remains a matter debate. To resolve this issue, methodological tools such as lesion studies are needed complement functional imaging approach. We have conducted first study investigate role SFG in WM address following questions: do lesions impair and, if so, what impairment? answer these questions, we compared performance eight...
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...
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%...
Left unilateral neglect, a dramatic condition which impairs awareness of left-sided events, has been classically reported after right hemisphere cortical lesions involving the inferior parietal region. More recently, involvement long range white matter tracts highlighted, consistent with idea that events occurring in space depends on coordinated activity anatomically distributed brain regions. Damage to superior longitudinal fasciculus (SLF), linking frontal regions, or (ILF), connecting...
Summary Aim To provide estimates of actual costs to deliver health care patients with functional bowel disorders, and assess the cost impact symptom severity, recency onset, satisfaction treatment. Methods We enrolled 558 irritable (IBS), 203 constipation, 243 diarrhoea 348 abdominal pain from primary gastroenterology clinics at a maintenance organization within weeks visit. Costs were extracted administrative claims. Symptom treatment out‐of‐pocket expenses assessed by questionnaires....
BACKGROUND Comorbid nongastrointestinal symptoms account for two-thirds of excess health-care costs in irritable bowel syndrome (IBS). OBJECTIVES To determine whether IBS patients are at greater risk specific comorbid disorders versus showing a general tendency to overreport symptoms; with inflammatory disease (IBD) show patterns comorbidity similar IBS; is explained by psychiatric disease; and occurs all patients. METHODS All 3,153 health maintenance organization diagnosis 1994–1995 were...
The Rome III classification system treats functional constipation (FC) and irritable bowel syndrome with (IBS-C) as distinct disorders, but this distinction appears artificial, the same drugs are used to treat both. This study's hypothesis is that FC IBS-C defined by not entities.In all, 1,100 adults a primary care visit for 1,700 age- gender-matched controls from health maintenance organization completed surveys 12 months apart; 66.2% returned first questionnaire. criteria identified 231...
<b>Objective:</b> The aim was to determine whether lower visceral pain thresholds in irritable bowel syndrome (IBS) primarily reflect physiological or psychological factors. <b>Methods:</b> Firstly, 121 IBS patients and 28 controls underwent balloon distensions the descending colon using ascending methods of limits (AML) assess urge thresholds. Secondly, sensory decision theory analysis used separate from components perception: neurosensory sensitivity (p(A)) measured by ability discriminate...
Functional Bowel Disorders (FBD) are chronic disorders that difficult to treat and manage. Many patients doctors dissatisfied with the level of improvement in symptoms can be achieved standard medical care which may lead them seek alternatives for care. There currently no data on types Complementary Alternative Medicine (CAM) used FBDs other than Irritable Syndrome (IBS), or economic costs CAM treatments. The aim this study is determine prevalence, IBS, functional diarrhea, constipation,...
OBJECTIVE: Previous research, based on retrospective reporting, suggests that parental reinforcement and modeling may be important mechanisms in the development of gastrointestinal illness behavior children adults. The aim this study was to determine relationship between parents, form health care use for irritable bowel symptoms, their children, without relying recall. METHODS: A comparison two matched groups made. Groups included 631 parents who were diagnosed with syndrome during 1...
Abstract OBJECTIVES: The aims of this study were: 1) to determine the total costs care and related lower GI–related problems for patients who received a diagnosis irritable bowel syndrome (IBS), 2) compare them age- sex-matched population controls treated inflammatory disease (IBD) or gastroesophageal reflux (GERD). METHODS: Use cost data were obtained through computerized information systems large staff-model health maintenance organization on three groups diagnosed in 1994 1995 with IBS,...
The aims of this study were: 1) to determine the total costs care and related lower GI-related problems for patients who received a diagnosis irritable bowel syndrome (IBS), 2) compare them age- sex-matched population controls treated inflammatory disease (IBD) or gastroesophageal reflux (GERD).Use cost data were obtained through computerized information systems large staff-model health maintenance organization on three groups diagnosed in 1994 1995 with IBS, IBD, GERD; an control group...
OBJECTIVE: Previous research, based on retrospective reporting, suggests that parental reinforcement and modeling may be important mechanisms in the development of gastrointestinal illness behavior children adults. The aim this study was to determine relationship between parents, form health care use for irritable bowel symptoms, their children, without relying recall. METHODS: A comparison two matched groups made. Groups included 631 parents who were diagnosed with syndrome during 1...
Summary Background Studies suggest that the positive predictive value of Rome II criteria for diagnosing irritable bowel syndrome can be enhanced by excluding red flag symptoms suggestive organic diseases. Aim We assessed utility flags detecting diseases in patients diagnosed their physicians. Methods Systematic chart reviews were completed 1434 with clinical diagnoses syndrome, abdominal pain, diarrhoea or constipation, who also questionnaires to identify and symptoms. Results The overall...
To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to child's resulted in improved coping 12 months later.Prospective, randomized, longitudinal study.Families were recruited during 4-year period Seattle, Washington, Morristown, New Jersey.Two hundred persistent parents.A 3-session social learning cognitive behavioral therapy or an education support intervention.Child symptoms pain-coping monitored using standard instruments, as...