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Functional Somatic Symptoms in Pediatric Hematology and Oncology

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Functional Symptoms in Pediatric Disease

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Abstract

Functional somatic symptoms (FSS) in pediatric hematology and oncology significantly limit health-related quality of life and functional abilities, thus requiring regular assessment and treatment. This chapter focuses on FSS in pediatric sickle cell disease and pediatric cancer, diseases for which there is an established literature describing and explaining functional abilities, health-related quality of life, and other adaptive outcomes. Pain and fatigue in pediatric sickle cell disease and pain, nausea, vomiting, and fatigue in pediatric cancer are among the most common and distressing disease and treatment complications. Although physical in etiology, psychosocial risks and resources across multiple levels of pediatric patients’ social ecology influence the frequency, intensity, and course of these FSS. The literature regarding common approaches to assessment of pain, anticipatory nausea and vomiting, and fatigue as well as associated risk factors is summarized. Use of self- and parent proxy report measures of FSS, internalizing and externalizing symptoms, and psychosocial risk screening are recommended. Case studies demonstrate differential diagnosis and application of medical- and evidence-based psychological interventions for FSS. Importantly, multidisciplinary care models for pediatric sickle cell disease and pediatric cancer are consistent with the recommended approach to FSS.

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Authors and Affiliations

  1. Department of Pediatrics/Oncology, The Children’s Hospital of Philadelphia/Perelman School of Medicine, University of Pennsylvania, 3151 Civic Center Blvd., 10303 CTRB, Philadelphia, PA, 19104, USA

    Lamia P. Barakat PhD

  2. Division of Oncology, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Lauren C. Daniel PhD

  3. Department of Pediatrics, SUNY Upstate Medical University, Upstate Golisano Children’s Hospital, Syracuse, NY, USA

    Richard H. Sills MD

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Correspondence to Lamia P. Barakat PhD .

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  1. Department of Pediatrics, SUNY Upstate Medical University, Syracuse, New York, USA

    Ran D. Anbar

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Barakat, L.P., Daniel, L.C., Sills, R.H. (2014). Functional Somatic Symptoms in Pediatric Hematology and Oncology. In: Anbar, R. (eds) Functional Symptoms in Pediatric Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4899-8074-8_10

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