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| 1 | Psychosocial mechanisms for the transmission of somatic symptoms from parents to children显示文摘AIM: To examine familial aggregation of irritable bowel syndrome(IBS) via parental reinforcement/modeling of symptoms, coping, psychological distress, and exposure to stress.METHODS:Mothers of children between the ages of8 and 15 years with and without IBS were identified through the Group Health Cooperative of Puget Sound.Mothers completed questionnaires,including the Child Behavior Checklist(child psychological distress),the Family Inventory of Life Events(family exposure to stress),SCL-90R(mother psychological distress),and the Pain Response Inventory(beliefs about pain).Children were interviewed separately from their parents and completed the Pain Beliefs Questionnaire(beliefs about pain),Pain Response Inventory(coping)and Child Symptom Checklist[gastrointestinal(GI)symptoms].In addition,health care utilization data was obtained from the automated database of Group Health Cooperative.Mothers with IBS(n=207)and their 296 children were compared to 240 control mothers and their 335 children,while controlling for age and education.RESULTS:Hypothesis 1:reinforcement of expression of GI problems is only related to GI symptoms,but not others(cold symptoms)in children.There was no significant correlation between parental reinforcement of symptoms and child expression of GI or other symptoms.Hypothesis 2:modeling of GI symptomsis related to GI but not non-GI symptom reporting in children.Children of parents with IBS reported more non-GI(8.97 vs 6.70,P<0.01)as well as more GI(3.24 vs 2.27,P<0.01)symptoms.Total health care visits made by the mother correlated with visits made by the child(rho=0.35,P<0.001 for cases,rho=0.26,P<0.001 for controls).Hypothesis 3:children learn to share the methods of coping with illness that their mothers exhibit.Methods used by children to cope with stomachaches differed from methods used by their mothers.Only 2/16 scales showed weak but significant correlations(stoicism rho=0.13,P<0.05;acceptance rho=0.13,P<0.05).Hypothesis 4:mothers and children share psychological traits such as anxiety,depression,and somatization.Child psychological distress correlated with mother’s psychological distress(rho=0.41,P<0.001 for cases,rho=0.38,P<0.001 for controls).Hypothesis 5:stress that affects the whole family might explain the similarities between mothers and their children.Family exposure to stress was not a significant predictor of children’s symptom reports.Hypothesis 6:the intergenerational transmission of GI illness behavior may be due to multiple mechanisms.Regression analysis identified multiple independent predictors of the child’s GI complaints,which were similar to the predictors of the child’s non-GI symptoms(mother’s IBS status,child psychological symptoms,child catastrophizing,and child age).CONCLUSION:Multiple factors influence the reporting of children’s gastrointestinal and non-gastrointestinal symptoms.The clustering of illness within families is best understood using a model that incorporates all these factors. | Miranda AL van Tilburg Rona L Levy Lynn S Walker Michael Von Korff Lauren D Feld Michelle Garner Andrew D Feld William E Whitehead | 2015 | World Journal of Gastroenterology2015，21，18： | 2 |
| 2 | Intralesional injection of herpes simplex virus 1716 in metastatic melanoma显示文摘 | Rona M MacKie Barry Stewart S Moira Brown | 2001 | The Lancet2001，，9255： | 1 |
| 3 | A special issue on sea-floor hydrothermal mineralization: New perspectives显示文摘 | Rona P A and Scott S D | 1935 | Economic Geology1935，88，： | 1 |
| 4 | Sixbey peripheral blood lymphocytes express recombination activating genes 1 and 2 during epstein-barr virusInduced infectious mononucleosis显示文摘 | Hans W Rona S Scott D | 2004 | J Infectious Diseases2004，190，5： | 1 |
| 5 | Chronic high - frequency deep brain stimulation of the STN/SNr for progressive myoclonic epilepsy 显示文摘 | Vesper J Steinhoff B Rona S | 2007 | Epilepsia2007，48，10： | 1 |
| 6 | A special issue on sea floor hydrothermal mineralization: new perspectives 显示文摘 | Rona P S D Scott | 1993 | Economic Geology1993，，： | 1 |
| 7 | EEG and MEG source analysis of single and averaged interictal spikes reveals intrinsic epileptogenicity in focal cortical dysplasia显示文摘 | Bast T Oezkan O Rona S | 2004 | Epilepsia2004，45，6： | 1 |
| 8 | Noncovalent liposome linkage and miniaturization of capsosomes for drug delivery 显示文摘 | LETICIA H R RONA C ELLI S | 2010 | Biomacromolecules2010，11，12： | 1 |
| 9 | Hypoxia predisposes neonatal rat ventricular myocytes to apoptosis induced by activation of the Fas (CD95/Apo-1) receptor: Fas activation and apoptosis in hypoxic myocytes 显示文摘 | Gal Y Mark S Rona L | 2002 | Cardiovascular Res2002，54，3： | 1 |
| 10 | Association between obesity and asthma in 4-11 year old children in the UK 显示文摘 | Figueroa-Munoz Jl Chinn S Rona RI | 2001 | Thorax2001，56，2： | 1 |
| 11 | Prevalence and trends in overweight and obesity in three cross-sectional studies of British children, 1974-1994显示文摘 | Chinn S Rona RJ | 2001 | BMJ2001，322，7277： | 1 |
| 12 | Serum CEACAM1 correlates with disease progression and survival in malignant melanoma patients显示文摘 | Sivan S Suzan F Rona O | 2012 | Clin Dev Immunol2012，35，2： | 1 |
| 13 | A special issue on sea-floor hydrothermal min- eralization : New perspectives 显示文摘 | Rona P A Scott S D | 1993 | Economic Geology1993，88，： | 1 |
| 14 | Cholesterol-mediated an- choring of enzyme-loaded liposomes within disulfide-stabilized poly- mer carrier capsules显示文摘 | RONA C BRIGITTE S ALMAR P | 2009 | Biomaterials2009，30，3： | 1 |
| 15 | National Study of Health and Growth:social and biological factors associated with weight-for-height and triceps skinfold of children from ethnic groups in England显示文摘 | Rona RJ Chinn S | 1987 | Ann Hum Biol1987，14，3： | 1 |
| 16 | Malignant cells can be sensitized to undergo growth inhibition and apoptosis by arsenic trioxide through modulation of the glutathione redox system显示文摘 | Rona S Weinberg | 1999 | Blood1999，93，26： | 1 |
| 17 | A Special lssue on Sea-floor Hyclrother real Mineralization:New Perspectives Preface显示文摘 | Rona P A Scott S D | 1993 | Economic Geology1993，88，8： | 1 |
| 18 | Preface to special issue on sea floor hydrothermal mineralization: new perspectives 显示文摘 | Rona P A Scott S D | 1993 | Economic Geology1993，88，： | 1 |
| 19 | A special issue on sea-floor hydrothermal mineralization: new perspectives; preface显示文摘 | Rona P A and Scott S D | 1993 | Economic Geology1993，88，8： | 1 |
| 20 | Inhibition of monoamine oxidase a by b-carboline derivatives显示文摘 | Hoon K Sergey O S Rona R R | 1996 | Archives of Biochemistry and Biophysics1996，337，1： | 1 |
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