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The HEEADSSS acronym to screen for psychosocial problems in adolescents with chronic abdominal pain

The HEEADSSS acronym to screen for psychosocial problems in adolescents with chronic abdominal pain
H – Home
  • Family configuration and family members
  • Living arrangements
  • Relationships between the adolescent and family members
  • Relationships among other family members
E – Education/employment
  • Academic or vocational success
  • Future plans
  • Safety at school or in the workplace
E – Eating
  • Brief nutrition history
  • Risk factors for obesity
  • Concerns about weight or body image
  • Disordered eating behaviors
A – Activities
  • Friendships with peers of the same or opposite sex
  • Recreational activities
  • Dating activity and relationships
  • Sexual activity
D – Drugs
  • Personal use of tobacco, alcohol, illicit drugs, anabolic steroids
  • Peer substance use
  • Family substance use
  • Driving while intoxicated
S – Sexuality
  • Sexual orientation
  • Sexual activity
  • Sexual abuse
S – Suicide/mental health
  • Feelings of sadness, loneliness, depression
  • Pervasive boredom
  • Inappropriately high levels of anxiety (prior to onset of pain and during pain)
  • Suicidal thoughts
S – Safety
  • Risk of unintentional injury
  • Risk from violence
  • Fighting or weapon carrying
Adapted from: Jasik CB, Ozer EM. Preventive health care for adolescents and young adults. In: Neinstein's Adolescent Health Care: A Practical Guide, Neinstein LS, Katzman DK, Callahan TS, et al (Eds), 6th ed, Wolters Kluwer, Philadelphia 2016 p.50.
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