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Presentation by: Gerianna Kneeland

The Relation of Negative Life Events to Symptoms and Functioning in Adolescents and Young Adults with a Childhood History of Chronic Abdominal Pain. Presentation by: Gerianna Kneeland. Chronic abdominal pain.

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Presentation by: Gerianna Kneeland

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  1. The Relation of Negative Life Events to Symptoms and Functioning in Adolescents and Young Adults with a Childhood History of Chronic Abdominal Pain Presentation by: Gerianna Kneeland

  2. Chronic abdominal pain • Defined as intermittent or constant abdominal pain of at least 3 months duration (American Academy of Pediatrics, 2005) • Psychosocial factors influence illness in CAP patients • Negative life events • Competence may serve as moderator

  3. Hypotheses • 1) higher levels of personal stress will be associated with poorer patient outcomes at follow-up including more emotional symptoms, somatic symptoms, and disability • 2) personal competence will moderate the effect of life stress on patient outcomes, such that life stress will be associated with poorer outcomes in patients with low competence compared to those with high competence

  4. Method • Recruited from research database • Telephone Interview • Online Surveys • Data analysis assessed by health interview and online surveys

  5. Measures • SF-36 Health Survey- assesses functioning and emotions of participants • Child/adult Somatization Inventory-assesses the severity of nonspecific somatic symptoms most commonly reported by children with chronic abdominal pain • Functional Disability Inventory- assesses the extent to which functional disability limits a child in different activities

  6. Measures (cont.) • Life Events Questionnaire (LEQ)- assesses negative life events in the past year • Self-Perception Profile For Adults/Adolescents- assesses perceived global and domain-specific competence

  7. Results • 218 CAP patients • 12-32 years • 57.8% female • 40.7% male • 90.8% Caucasian • 7.8% other

  8. Results Hypothesis #1 (Life stress predicts poor outcomes) • SF-36 p-value of .001* and ß of -.292 • CSI- p-value of .007* and ßof .188 • FDI- p-value of .074 Hypothesis #2(Competence moderates effect of life stress) • CSI- p-value of .035* • SF-36 p-value of .236 • FDI- p-value of .148 *p<.05

  9. Results Figure 1. The two-way interaction effect of stress and competence on CSI scores C S I S C O R E S High competence Low competence Low stress high stress Low stress

  10. Limitations • Competence is a self-report measure • Cross-sectional study • Life events were assessed for year preceding interview • Limited generalizability

  11. Future directions • Other factors moderating effect of life stress • Turn towards a prospective design

  12. Acknowledgements • Dr. Lynn Walker • Grace Shelby, doctoral student assistant • Dr. Craig Smith

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