<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7450</journal-id>
<journal-title><![CDATA[Revista Colombiana de Psiquiatría]]></journal-title>
<abbrev-journal-title><![CDATA[rev.colomb.psiquiatr.]]></abbrev-journal-title>
<issn>0034-7450</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Psiquiatria.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74502024000400536</article-id>
<article-id pub-id-type="doi">10.1016/j.rcp.2022.09.005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características demográficas, clínicas y del uso de recursos hospitalarios de los pacientes pediátricos con trastorno de síntomas somáticos y trastornos relacionados, hospitalizados en un centro de referencia de Medellín]]></article-title>
<article-title xml:lang="en"><![CDATA[Demographic and Clinical Characteristics and Use of Hospital Resources of Pediatric inpatients With Somatic Symptoms and Related Disorders in a Reference Center in Medellín]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Beltrán]]></surname>
<given-names><![CDATA[Diana Judith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zapata-Ospina]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duque]]></surname>
<given-names><![CDATA[Paula Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia Departamento de Psiquiatría Facultad de Medicina]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Grupo Académico de Epidemiología Clínica  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario San Vicente Fundación  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>53</volume>
<numero>4</numero>
<fpage>536</fpage>
<lpage>545</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0034-74502024000400536&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0034-74502024000400536&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0034-74502024000400536&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Antecedentes: Los trastornos de síntomas somáticos y trastornos relacionados (TSSTR) son un reto clínico en psiquiatría pediátrica por las dificultades en su conceptualización, la complejidad de su presentación clínica que también depende del contexto cultural, las consultas repetidas a los servicios de salud y el predominio de estudios en adultos.  Objetivo: Describir las características de la población pediátrica con diagnóstico de TSSTR en un centro de referencia.  Diseño y métodos: Estudio transversal descriptivo de las variables demográficas, clínicas y el uso de los recursos institucionales, a partir de la revisión de historias clínicas de pacientes menores de 18 arios hospitalizados con diagnóstico de TSSTR evaluados por psiquiatría o psiquiatría pediátrica entre los años 2018 y 2021 en un hospital pediátrico de referencia de Medellín, Colombia.  Resultados: Se incluyeron las historias clínicas de 83 pacientes, de los cuales la mayoría fueron mujeres (72%), con una mediana de edad de 12 años, la ansiedad y la depresión fueron las comorbilidades más frecuentes (83 y 75%). Los antecedentes mentales maternos más frecuentes fueron también la ansiedad y la depresión (25 y 26%). La frecuencia de exposición a factores de estrés en el ámbito familiar alguna vez en la vida fue alta (83%) y se requirió la participación de múltiples especialidades médicas y apoyos terapéuticos, con uso de ayudas diagnósticas variadas.  Conclusiones: Los pacientes pediátricos hospitalizados con TSSTR generalmente son adolescentes mujeres con depresión o ansiedad, rodeadas de contextos familiares y sociales adversos que requieren atención interdisciplinaria desde un modelo biopsicosocial integral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: Somatic symptom and related disorders (SSRD) constitute a clinical challenge in pediatric psychiatry due to the difficulties in their conceptualization, the complexity of their clinical presentation, which also depends on the cultural context, repeated consultations to health services and the predominance of studies in adults.  Objective: To describe the characteristics of the pediatric inpatients with SSRD in a reference hospital.   Design and methods:  Descriptive cross-sectional study of demographic, clinical variables, and the use of institutional resources, based on the review of medical records of hospitalized patients under 18 years of age with a diagnosis of SSRD evaluated by psychiatry or pediatric psychiatry between 2018 and 2021 at reference pediatric hospital in Medellín, Colombia.  Results: The clinical records of 83 patients were included. Most patients were female (72%), with a median age of 12 years, anxiety and depression were the most frequent comorbidities (83% and 75%) and also the most frequent disorders in mothers (25% and 26%). The frequency of exposure to stressors in the family setting anytime in life, was high (83%) and required the involvement of multiple medical specialties and therapeutic supports, and the use of varied diagnostic aids.  Conclusions: Pediatric patients hospitalized with SSRD are generally female adolescents with depression or anxiety, surrounded by adverse family and social contexts that require interdisciplinary care from a comprehensive biopsychosocial model.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trastornos somatomorfos]]></kwd>
<kwd lng="es"><![CDATA[Trastornos de conversión]]></kwd>
<kwd lng="es"><![CDATA[Psiquiatría infantil]]></kwd>
<kwd lng="en"><![CDATA[Somatoform disorders]]></kwd>
<kwd lng="en"><![CDATA[Conversion disorder]]></kwd>
<kwd lng="en"><![CDATA[Child psychiatry]]></kwd>
</kwd-group>
</article-meta>
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