Mental health problems mistaken for physical illness in children

Many children are admitted to general acute wards with mental health problems mistaken for physical disease.

Somatic symptoms, such as , headaches, limb pain and tiredness, often mask underlying problems and result in the NHS spending money on investigations to eliminate wrongly diagnosed disease.

A literature review published in Nursing Children and Young People examines how children's nurses can recognise such complaints and help to address them.

It identified that somatic complaints are linked to children's upbringing and their home environments, including unstable home lives, a chaotic upbringing and parental over-protectiveness.

The authors suggest that nurses working on the wards are in an ideal position to identify cases of children and presenting with and provide holistic care.

They say that nurse training and practice need to be adapted to enable somatic complaints to be diagnosed quickly and ensure correct management from the start.

The article concludes that somatic disorders can, to some extent, be predicted when nurses take into consideration issues such as poor family situations and parental influences, psychosocial stress, and poor emotional functioning.     

Nurses should assess these factors together with physical symptoms to provide a full picture of a child's circumstances and healthcare needs.

More information: Children and Young People. 26, 1, 16-20. DOI: 10.7748/ncyp2014.02.26.1.16.e368

Provided by RCN Publishing Company

not rated yet
add to favorites email to friend print save as pdf

Related Stories

Recommended for you

How physicians are adapting to payment reform

1 hour ago

Private and public healthcare providers in the U.S. are increasingly turning to the "pay-for-performance" model, in which physicians and hospitals are paid if they meet healthcare quality and efficiency targets. ...

Patients at emergency departments regarded as 'symptoms'

2 hours ago

The healthcare work of providing care at Emergency departments is medicalized and result-driven. As a consequence of this, patients are regarded as "symptoms", and are shunted around the department as "production units". ...

India moves to raise age for tobacco purchases to 25

5 hours ago

Health campaigners Wednesday welcomed India's unprecedented plans to raise the age for tobacco purchases to 25 and ban unpackaged cigarette sales, calling them a major step towards stopping nearly one million tobacco-related ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.