Table 1.
Patient (n = 17) | Age (Years) | Sex | Medically-Unexplained Symptoms | Other Medical Problems | Duration of Medical Symptoms | Total ACE Score | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Executive Dysfunction | Sleep Problems | Autonomic Symptoms | Emotional Dysregulation | Digestive/Urinary Problems | Somatization | ||||||
1 | 14 | F | Attention problems | Insomnia | None | Anxiety, panic attacks | Constipation, frequent urination | Tremor, weakness | Asthma, chronic fatigue | 6 years | 3 |
2 | 8 | F | Poor memory and attention | Nightmares | Dizziness | Cries easily, temper tantrums | None | Headache, blurred vision | 4-months | 3 | |
3 | 14 | M | Poor attention | Insomnia | Dizziness, syncope | Anxiety, depression, self-harm, suicidality | Diarrhea | Headache weakness, paresthesias | Sinus bradycardia, chronic fatigue | 8-months | 2 |
4 | 15 | F | Poor memory and attention | Insomnia, frequent night wakings | Dizziness, syncope, | Anxiety, depression, panic attacks | Constipation | Headache, weakness, paresthesias, abdominal pain | Asthma, cardiac rhythm disturbance, chronic fatigue | 4-months | 2 |
5 | 15 | F | Poor concentration | Insomnia | Dizziness | Anxiety, OCD, depression, panic attacks | Reflux, diarrhea | Headache, paresthesias, abdominal pain | Asthma | 18-months | 1 |
6 | 7 | M | Poor attention | Insomnia, frequent night wakings | Dizziness | Anxiety, fearfulness | Constipation, nocturnal enuresis | Headaches, blurred vision, paresthesias, weakness | Chronic fatigue | 3-years | 4 |
7 | 13 | F | Poor memory and attention | Insomnia, frequent night wakings | Dizziness | Anxiety, depression, panic attacks, self-harm, suicidality | None | Headaches, blurred vision, PNES | Eating disorder, chronic fatigue | 4-years | 5 |
8 | 13 | F | Poor attention | Insomnia, nightmares | Migraine | Anxiety, depression, rage and panic attacks | Constipation, vomiting, frequent urination | Abdominal pain | Asthma, tics | 8-years | 0* |
9 | 5 | M | Poor attention | Frequent night wakings, nightmares | None | Anxiety, fear, temper tantrums | Diarrhea, nocturnal enuresis | Headaches, abdominal pain | Asthma, chronic fatigue | 2-years | 6 |
10 | 17 | F | Poor memory and attention | Insomnia, night sweats | Dizziness, syncope | Anxiety, depression, anorexia, self-harm | Diarrhea, constipation | Headaches, weakness, PNES | Eating disorder, POTS, sleep apnea, chronic fatigue | 3-years | 3 |
11 | 5 | M | Poor memory and attention | Insomnia, frequent night wakings | None | Anxiety, fear, OCD, separation anxiety | None | Headaches | Sleep apnea, tics | 3-years | 4 |
12 | 17 | F | Poor memory, slow processing | Insomnia | Dizziness | Anxiety, depression, panic attacks | None | Headaches, blurred vision, unsteady gait, chest pain, tinnitus | Frequent ear infections, chronic fatigue | 2-years | 2 |
13 | 15 | F | Poor memory, slow processing | Insomnia | Dizziness | Anxiety, depression, panic attacks | Diarrhea, constipation | Headaches, numbness, pelvic pain | Asthma, chronic fatigue | 1-year | 0* |
14 | 15 | F | Poor memory | Insomnia, frequent night wakings | Dizziness, syncope | Anxiety, depression | Nausea | Headaches, numbness, neck pain, unsteady gait | POTS, chronic fatigue | 18-months | 2 |
15 | 13 | M | Poor attention | Insomnia | Dizziness | Panic attacks, rage attacks | Nausea, reflux | Headaches, blurred vision, paresthesias | Derealization, depersonalization, | 10-months | 4 |
16 | 16 | F | None | Insomnia, nightmares | Dizziness, migraine | Anxiety, depression, panic and rage attacks, suicidality | Diarrhea, dysuria | Neck pain, back pain | Asthma, eating disorder, heart palpitations, chronic fatigue | 5-years | 5 |
17 | 10 | F | Poor attention | Insomnia, nightmares | None | Rage attacks, panic attacks | None | Headaches, abdominal pain, blurred vision | Heart palpitations, shortness of breath, tics | 5-years | 5 |
Abbreviations: F = Female, M = Male, PNES—psychogenic non-epileptic events, POTS—Postural orthostatic tachycardia syndrome, OCD—obsessive compulsive disorder. * Other adverse childhood experience, not included the ACE score (homeless, foster care, near-drowning accident).