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：

---

小儿功能性胃肠道疾病的家庭功能：系统评价

目标 患有某些慢性健康状况的儿童会遇到家庭功能障碍。然而，对患有功能性胃肠道疾病 (FGID) 的青少年的家庭功能进行检查的研究产生了好坏参半的结果。因此，本综述批判性地综合了有关 FGID 青少年家庭功能的文献。方法 在 PubMed、PsycInfo 和 ProQuest 中使用儿科、家庭功能和 FGID 搜索词进行系统搜索。在最初确定的 586 篇文章中，有 17 篇研究符合纳入标准。如果研究以英语呈现原始研究，评估家庭功能，并且研究样本由诊断为 FGID 的儿童（0-18 岁）组成，则纳入研究。基于先前开发的科学价值 3 分评级系统，对每项纳入的研究进行质量评估评级。结果 大多数研究（n = 13）检查了 FGID 青少年与对照组之间的家庭功能。其余研究探讨了家庭功能和研究变量（例如儿童心理社会功能和社会人口因素）之间的关联，并检查了 FGIDs 儿童的家庭功能集群。一般来说，与健康儿童相比，患有 FGID 的儿童的家庭功能较差。研究结果还表明，儿童心理社会功能、疾病特征和社会人口因素与 FGID 青少年的家庭功能有关。研究的平均质量中等（M = 2.3）。结论 维持健康的家庭功能似乎对一些 FGIDs 儿童家庭具有挑战性。未来的研究应该探索家庭功能与儿童身体和心理社会结果之间关系的方向性，以促进对儿科 FGID 的理解和治疗。