OBJECTIVE Children with some chronic health conditions experience family functioning difficulties. However, research examining family functioning in youth with functional gastrointestinal disorders (FGIDs) has produced mixed results. Therefore, the current review critically synthesized the literature on family functioning among youth with FGIDs. METHODS A systematic search using pediatric, family functioning, and FGID search terms was conducted in PubMed, PsycInfo, and ProQuest. Out of the 586 articles initially identified, 17 studies met inclusion criteria. Studies were included if they presented original research in English, assessed family functioning, and the study sample consisted of children (0-18 years) diagnosed with a FGID. Quality assessment ratings were conducted for each included study based on a previously developed scientific merit 3-point rating system. RESULTS The majority of studies (n = 13) examined family functioning between youth with FGIDs and comparison groups. The remaining studies explored associations between family functioning and study variables (e.g., child psychosocial functioning and sociodemographic factors) and examined family functioning clusters among children with FGIDs. In general, children with FGIDs demonstrated poorer family functioning compared to healthy counterparts. Findings also suggested that child psychosocial functioning, disease characteristics, and sociodemographic factors were related to family functioning among youth with FGIDs. The average quality of studies was moderate (M = 2.3). CONCLUSIONS Maintaining healthy family functioning appears to be challenging for some families of children with FGIDs. Future research should explore the directionality of the relationship between family functioning and child physical and psychosocial outcomes to advance the understanding and treatment of pediatric FGIDs.

中文翻译：

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小儿功能性胃肠道疾病中的家庭功能：系统评价。

目的患有某些慢性健康状况的儿童会遇到家庭功能障碍。但是，有关检查患有功能性胃肠疾病（FGID）的年轻人的家庭功能的研究却得出了不同的结果。因此，当前的评论批判性地综合了有关具有FGID的年轻人的家庭功能的文献。方法在PubMed，PsycInfo和ProQuest中进行了使用儿科，家庭功能和FGID搜索词的系统搜索。在最初确定的586篇文章中，有17项研究符合纳入标准。如果研究以英语发表原始研究，评估家庭功能，且研究样本由诊断为FGID的儿童（0-18岁）组成，则将其包括在内。基于先前开发的科学价值三分评级系统，对每个纳入的研究进行了质量评估评级。结果大多数研究（n = 13）检查了具有FGID的年轻人与对照组之间的家庭功能。其余研究探讨了家庭功能与研究变量（例如，儿童心理社会功能和社会人口统计学因素）之间的关联，并研究了患有FGID的儿童中的家庭功能集群。通常，与健康同伴相比，患有FGID的儿童表现出较差的家庭功能。研究结果还表明，患有FGID的年轻人中，儿童的社会心理功能，疾病特征和社会人口统计学因素与家庭功能有关。平均研究质量中等（M = 2.3）。结论对于一些患有FGID的儿童家庭来说，维持健康的家庭功能似乎是一项挑战。未来的研究应探索家庭功能与儿童身体和社会心理结果之间关系的方向性，以促进对小儿FGIDs的理解和治疗。