Childhood Psychosomatic Disorders Examined by a Practicing Physician : Current Status and Treatment(<Special Issue>Psychosomatic Disorders in Childhood and Adolescence)

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  • 開業医が診る小児心身症 : 現状と対応(<特集>小児をめぐる心身医学)
  • 開業医が診る小児心身症--現状と対応
  • カイギョウイ ガ ミル ショウニ シンシンショウ ゲンジョウ ト タイオウ

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The current status and treatment of childhood psychosomatic disorders were reported by a practicing physician examining 558 children aged 15 or younger who had visited our clinic as psychosomatic outpatients during the decade from November 1998 (310 boys and 248 girls, with a mean age of 8.9±3.7 at the first visit). The reasons for their visits were classified into four groups: psychosomatic disorders (60.2%), behavioral problems (17.0%), developmental problems (14.0%), and nonattendance at school (8.8%). Overall, 25.6% had developmental disorders. While treatment was completed within 1 year in about 60% of children with psychosomatic disorders, it was suspended in about 30% of those with behavioral/developmental problems or not attending school. Treatment for these children was more effective when psychological care was concurrently given to their families and a network with other counseling centers in the community is formed to provide comprehensive support.

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