Biopsychosocial Model of Gastroduodenal Pathology in Children
Journal Title: Здоров`я дитини - Year 2016, Vol 1, Issue 69
Abstract
From the standpoint of the biopsychosocial model of medicine, the formation of gastroduodenal diseases occurs as a result of interaction of biological, psychoemotional and psychosocial factors. Contribution of each of them to the development of certain nosological entities of gastroduodenal pathology in children is not studied enough. Current study was aimed to investigate the contribution of biological, psychoemotional and psychosocial factors to the formation of various nosological entities of gastroduodenal pathology in children and correlation between them. Materials and methods. The study involved 83 children aged 6 to 11 years with gastroduodenal diseases. The control group consisted of 45 children who showed no somatic pathology. To analyze the value of certain factors in the development of gastroduodenal pathology in children, methods of multiple correlation and factor analysis were used. Results. The findings showed dominance of the role of psychoemotional and psychosocial factors in the formation of functional disorders of the stomach and duodenum and gastritis/gastroduodenitis, while in destructive forms of gastroduodenal pathology, contribution of biological factors was predominant. Heterogeneity of functional dyspepsia as nosologic entity was revealed — both risk factors for mucosal destruction and psychoemotional factors, which are typical for functional disorders, were of great value. This explains the different course of functional dyspepsia — in some cases it is non-progressive, when the disorder remains functional for decades, and in others — this is the first stage of the continuum «functional dyspepsia — gastritis/gastroduodenitis — ulcer». Conclusion. Formation of gastroduodenal diseases, their course, prognosis are determined by the combination of risk factors. Defining their role in each case will enable to individualize the treatment and prevention approaches and to increase their efficiency, perhaps by reducing the economic costs.
Authors and Affiliations
O. L. Lychkovska
Keywords
Related Articles
- EP ID EP198173
- DOI -
- Views 79
- Downloads 0
Improving the diagnosis and treatment of hepatobiliary pathology in adolescents with obesity
Background. The prevalence of obesity among adolescents is increasing, and hepatobiliary pathology is often associated with it. Timely diagnosis and treatment of liver pathology, including non-alcoholic fatty liver disea...
Sanatorium-Resort Therapy Potential in the Treatment of Patients with Different Stages of Chronic Kidney Disease
Sanatorium rehabilitation measures aimed at preventing the development and progression of chronic renal failure on the early stages of chronic kidney disease also aimed at decrease in risk of complications development, i...
Clinical Case of Atopic Dermatitis in Child with Pancreatic Insufficiency
The paper presents a clinical case of atopic dermatitis in 5-year-old child. Combined therapy of this disease with the use of enzyme complex Pangrol 10000 contributes to the positive dynamics of symptoms and enhance qual...
The Role of Endogenous Antimicrobial Peptides in the Bacterial Colonization of the Nasopharynx in Children with Hyperplasia of the Pharyngeal Tonsil
We have investigated the level of antimicrobial peptides in the blood serum of 35 children with adenoiditis associated with hyperplasia of the pharyngeal tonsil. It was found that children with hyperplasia of the pharyng...
Modern Approaches to the Diagnosis and Treatment of Tonsillopharyngitis (Review of International Guidelines)
The article presents an overview of guidelines on the treatment of tonsillopharyngitis in children. Attention is given to the use of nonsteroidal anti-inflammatory drugs (NSAIDs) in this pathology. It is emphasized that...