Pediatric functional gastrointestinal disorders (FGIDs) are often unpredictable and burdensome for youth and families and treatment primarily aims to improve quality of life and functional impairment by adapting behaviors and modifiable factors (Drossman, 2016; Van Oudenhove et al., 2016; Varni et al., 2006). Family functioning is one modifiable factor that has long been recognized as an important influence on adjustment and quality of life across many pediatric illness populations (Drotar, 1997; Lewandowski et al., 2010; McClellan & Cohen, 2007; Thompson et al., 1999; Van Schoors et al., 2017) but has received little attention in the pediatric FGID literature. Notably, Garr et al. (2021) completed the first systematic review of family functioning studies in pediatric FGIDs and found only 17 studies across the several illnesses within FGIDs. This review demonstrated that youth with FGIDs experience worse family functioning than peers without chronic illnesses, but not peers with other chronic illnesses. Garr et al. also indicated that worse family functioning is related to increased difficulties with psychosocial adjustment and disease flares. The authors suggest that certain domains of family functioning, such as family roles and expressiveness, may be more pertinent to FGIDs because of the uncertainty of gastrointestinal symptoms and the need for flexibility in everyday life. Illnesses, like FGIDs, that are episodic and remitting may require families to implement consistent regimens to prevent potential symptoms (e.g., diet requirements, daily relaxation exercises) but also flexibility to respond when symptoms do occur. Importantly, the Garr et al. review also highlighted the paucity of literature examining family functioning in this population and the need for a greater understanding of family functioning in FGIDs.

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JPP 学生期刊俱乐部评论：家庭功能在小儿功能性胃肠道疾病中的作用

小儿功能性胃肠道疾病 (FGID) 通常对青少年和家庭来说是不可预测的和负担沉重的，治疗的主要目的是通过适应行为和可改变的因素来改善生活质量和功能障碍（Drossman，2016 年；Van Oudenhove 等人，2016 年；Varni 等人） ., 2006)。家庭功能是一种可改变的因素，长期以来被认为对许多儿科疾病人群的适应和生活质量有重要影响（Drotar，1997；Lewandowski 等，2010；McClellan & Cohen，2007；Thompson 等，1999 ; Van Schoors 等人，2017）但在儿科 FGID 文献中很少受到关注。值得注意的是，Garr 等人。（2021 年）完成了对儿童 FGID 中家庭功能研究的第一次系统评价，发现只有 17 项研究涉及 FGID 中的几种疾病。这项审查表明，与没有慢性病的同龄人相比，患有 FGID 的青少年的家庭功能更差，但与患有其他慢性病的同龄人相比则不然。加尔等人。还指出，家庭功能恶化与心理社会适应和疾病爆发的困难增加有关。作者认为，由于胃肠道症状的不确定性和日常生活需要灵活性，家庭功能的某些领域，例如家庭角色和表达能力，可能与 FGID 更相关。疾病，如 FGID，是偶发性和缓解性的，可能需要家庭实施一致的方案来预防潜在的症状（例如，饮食要求、日常放松练习），但也需要在症状确实出现时灵活应对。重要的是，Garr 等人。