The Microbiota-Gut-Brain Axis: A New Frontier in Child Psychiatry
Scientifically, we understand the bidirectional communication between the gut and the brain – the microbiota-gut-brain axis. Alterations in gut microbiota are evident in psychiatric disorders. Comprehensive studies (including 16 reviews and 59 case-control studies with 2643 patients) consistently report changes in patients with depression, anxiety disorders, bipolar disorder, and schizophrenia, marked by a decrease in anti-inflammatory bacteria and an increase in pro-inflammatory bacteria.
This discovery is pivotal in understanding why patients with anxiety or sadness frequently experience abdominal pain, a common concern addressed in child psychiatry.
Conclusion: A Dual-Focused Approach in Child Psychiatry
In conclusion, two critical points emerge:
1. Probiotics may offer substantial therapeutic benefits for psychiatric patients.
2. For children and adolescents presenting with recurrent abdominal pain, it is crucial to consider underlying emotional issues like anxiety and sadness before resorting to invasive procedures like endoscopy.