ORIGINAL PAPER
Assessment of the prevalence and somatisation of stress in the form of abdominal pain in school-aged children and adolescents
1
Student Scientific Society at the Chair and Clinical Department of Paediatrics, Hospital No. 2 in Bytom, School of Health Sciences, Medical University of Silesia in Katowice, Poland
2
Chair and Clinical Department of Paediatrics, Hospital No. 2 in Bytom, School of Health Sciences, Medical University of Silesia in Katowice, Poland
These authors had equal contribution to this work
Submission date: 2025-03-04
Acceptance date: 2025-06-24
Online publication date: 2025-09-29
Publication date: 2026-06-29
Corresponding author
Krystyna Stencel-Gabriel
Chair and Clinical Department of Paediatrics Hospital No. 2 in Bytom School of Health Sciences Medical University of Silesia in Katowice, Poland
Chair and Clinical Department of Paediatrics Hospital No. 2 in Bytom School of Health Sciences Medical University of Silesia in Katowice, Poland
Medical Studies 2026;42(2):186-191
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Somatisation is described as the physical manifestation of emotional distress. Pain is one of the most common forms of stress somatisation among the paediatric population. Stress somatisation in the form of abdominal pain results in chronic and/or recurrent gastrointestinal complaints encouraging to seek medical consultations, during which many diagnostic tests are performed, often intensifying the stress.
Aim of the research:
This study aims to characterise the paediatric population most likely to experience somatisation of stress in the form of abdominal pain, including gender, in the age range of 10–18 years. Material and methods: A total of 698 preadolescents were recruited from schools across Poland (mean age = 14.8 ±2.05 years, age range: 10–18 years; 66.8% female). Children completed the authors’ survey questionnaire on stress, lifestyle, abdominal pain and gastrointestinal complaints.
Results:
The majority of respondents, 75.4% (n = 416), experienced abdominal pain in stressful situations. Abdominal pain associated with stress somatisation was significantly more frequent in girls (86.4%, n = 324) compared to the boy group (52.0%, n = 92). Belonging to an age group of 16-18 years was associated with the abdominal pain of the highest intensity (p < 0.05).
Conclusions:
The results suggest that stress somatisation in the form of abdominal pain is a common phenomenon, occurring more frequently and with greater intensity in girls. Identifying high-risk groups has been discussed as essentially helpful for an early response and effective prevention of its consequences.
Somatisation is described as the physical manifestation of emotional distress. Pain is one of the most common forms of stress somatisation among the paediatric population. Stress somatisation in the form of abdominal pain results in chronic and/or recurrent gastrointestinal complaints encouraging to seek medical consultations, during which many diagnostic tests are performed, often intensifying the stress.
Aim of the research:
This study aims to characterise the paediatric population most likely to experience somatisation of stress in the form of abdominal pain, including gender, in the age range of 10–18 years. Material and methods: A total of 698 preadolescents were recruited from schools across Poland (mean age = 14.8 ±2.05 years, age range: 10–18 years; 66.8% female). Children completed the authors’ survey questionnaire on stress, lifestyle, abdominal pain and gastrointestinal complaints.
Results:
The majority of respondents, 75.4% (n = 416), experienced abdominal pain in stressful situations. Abdominal pain associated with stress somatisation was significantly more frequent in girls (86.4%, n = 324) compared to the boy group (52.0%, n = 92). Belonging to an age group of 16-18 years was associated with the abdominal pain of the highest intensity (p < 0.05).
Conclusions:
The results suggest that stress somatisation in the form of abdominal pain is a common phenomenon, occurring more frequently and with greater intensity in girls. Identifying high-risk groups has been discussed as essentially helpful for an early response and effective prevention of its consequences.
REFERENCES (24)
1.
Lipowski ZJ. Somatization: the concept and its clinical application. Am J Psychiatry. 1988; 145(11): 1358-1368.
2.
Rossi M, Bruno G, Chiusalupi M, Ciaramella A. Relationship between pain, somatisation, and emotional awareness in primary school children. Pain Res Treat. 2018; 2018: 4316234.
3.
Boerner KE, Green K, Chapman A, Stanford E, Newlove T, Edwards K, Dhariwal A. Making sense of “somatization”: a systematic review of its relationship to pediatric pain. J Pediatr Psychol. 2020; 45: 156-169.
4.
Al Busaidi ZQ. The concept of somatisation: a cross-cultural perspective. Sultan Qaboos Univ Med J. 2010 Aug; 10(2): 180-186.
5.
Spee LA, Lisman-Van Leeuwen Y, Benninga MA, Bierma-Zeinstra SM, Berger MY. Prevalence, characteristics, and management of childhood functional abdominal pain in general practice. Scand J Prim Health Care. 2013; 31(4): 197-202.
6.
Mousikou M, Kyriakou A, Skordis N. Stress and growth in children and adolescents. Horm Res Paediatr. 2023; 96(1): 25-33.
7.
Bao X, Yu W, Chu Z, Gao J, Zhou M, Gu Y. Functional abdominal pain disorders in children in southern Anhui Province, China are related to academic stress rather than academic performance. BMC Pediatr. 2023; 23: 333.
8.
Farmer AD, Aziz Q. Mechanisms and management of functional abdominal pain. J R Soc Med. 2014; 107(9): 347-354.
9.
Oswari H, Alatas FS, Hegar B, Cheng W, Pramadyani A, Benninga MA, Rajindrajith S. Functional abdominal pain disorders in adolescents in Indonesia and their association with family related stress. BMC Pediatr. 2019; 19(1): 342.
10.
Stachowska E, Maciejewska D, Ryterska K, Baszuk P. Abdominal pain and disturbed bowel movements are frequent among young people. A population based study in young participants of the Woodstock Rock Festival in Poland. J Gastrointestin Liver Dis. 2018; 27(4): 379-383.
11.
Devanarayana NM, Mettananda S, Liyanarachchi C, Nanayakkara N, Mendis N, Perera N, Rajindrajith S. Abdominal pain-predominant functional gastrointestinal diseases in children and adolescents: prevalence, symptomatology, and association with emotional stress. J Pediatr Gastroenterol Nutr. 2011; 53(6): 659-665.
12.
Alfvén G, Andersson E. Stress and recurrent abdominal pain. Acta Paediatr. 2023; 112(11): 2312-2316.
13.
Vinall J, Pavlova M, Asmundson GJ, Rasic N, Noel M. Mental health comorbidities in pediatric chronic pain: a narrative review of epidemiology, models, neurobiological mechanisms and treatment. Children (Basel). 2016; 3(4): 40.
14.
Zia JK, Lenhart A, Yang PL, Heitkemper MM, Baker J, Keefer L, Saps M, Cuff C, Hungria G, Videlock EJ, Chang L. Risk factors for abdominal pain-related disorders of gut-brain interaction in adults and children: a systematic review. Gastroenterology. 2022; 163(4): 995-1023.e3.
15.
Sperber AD, Bangdiwala SI, Drossman DA, Ghoshal UC, Simren M, Tack J, Whitehead WE, Dumitrascu DL, Fang X, Fukudo S, Kellow J, Okeke E, Quigley EMM, Schmulson M, Whorwell P, Archampong T, Adibi P, Andresen V, Benninga MA, Bonaz B, Bor S, Fernandez LB, Choi SC, Corazzia- ri ES, Francisconi C, Hani A, Lazebnik L, Lee YY, Mulak A, Rahman MM, Santos J, Setshedi M, Syam AF, Vanner S, Wong RK, Lopez-Colombo A, Costa V, Dickman R, Kanazawa M, Keshteli AH, Khatun R, Maleki I, Poitras P, Pra- tap N, Stefanyuk O, Thomson S, Zeevenhooven J, Pals- son OS. Worldwide prevalence and burden of functional gastrointestinal disorders, results of Rome Foundation Global Study. Gastroenterology. 2021; 160(1): 99-114.e3.
16.
Randall ET, Shapiro JB, Smith KR, Jervis KN, Logan DE. Under pressure to perform. Clin J Pain. 2019; 35(12): 967-974.
17.
Ayonrinde OT, Ayonrinde OA, Adams LA, Sanfilippo FM, O’Sullivan TA, Robinson M, Oddy WH, Olynyk JK. The relationship between abdominal pain and emotional wellbeing in children and adolescents in the Raine Study. Sci Rep. 2020; 10(1): 1646.
18.
Breivik H. Depression and anxiety in adolescents aggravate abdominal pain, and abdominal pain deepens depression which increases suffering from chronic pain. Scand J Pain. 2014; 5(3): 182-183.
19.
Siajunboriboon S, Tanpowpong P, Empremsilapa S, Lertudomphonwanit C, Nuntnarumit P, Treepongkaruna S. Prevalence of functional abdominal pain disorders and functional constipation in adolescents. J Paediatr Child Health. 2022; 58(7): 1209-1214.
20.
Vork L, Keszthelyi D, Mujagic Z, Kruimel JW, Leue C, Pontén I, Törnblom H, Simrén M, Albu-Soda A, Aziz Q, Corsetti M, Holvoet L, Tack J, Rao SS, van Os J, Quetglas EG, Drossman DA, Masclee AAM. Development, content validity, and cross-cultural adaptation of a patient-reported outcome measure for real-time symptom assessment in irritable bowel syndrome. Neurogastroenterol Motil. 2018; 30(3): e13244.
21.
Puckett-Perez S, Gresl B. Psychological treatment for pediatric functional abdominal pain disorders. Curr Opin Pediatr. 2022; 34(5): 516-520.
22.
Thapar N, Benninga MA, Crowell MD, Di Lorenzo C, Mack I, Nurko S, Saps M, Shulman RJ, Szajewska H, van Tilburg MAL, Enck P. Paediatric functional abdominal pain disorders. Nat Rev Dis Primers. 2020; 6(1): 89.
23.
Gorka AM, Nauta F, Bijlsma MW, Taselaar P, Diederen K, Hol J, Oeij N, Goede J, Rijpert M, Ten Tusscher GW, Plötz FB. Current treatment practice of functional abdominal pain disorders in children: a multicenter survey. Indian J Gastroenterol. 2022; 41(4): 369-377.
24.
Chen JY, Chen SN, Lee CH, Huang YJ. A systematic review and meta-analysis of randomized control trials: efficacy of cognitive behavioral therapies for the management of functional and recurrent abdominal pain disorders in children and adolescents. Cogn Behav Ther. 2023 Sep; 52(5): 438-459.
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| ISSN: | 1899-1874 |
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