{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:03:15Z","timestamp":1780549395420,"version":"3.54.1"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01MH108641"],"award-info":[{"award-number":["R01MH108641"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["T32HD101392"],"award-info":[{"award-number":["T32HD101392"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Traumatic stress can disrupt the adolescent gut\u2010brain axis, and unintentional social reinforcement can lead to highly impairing disorders of gut\u2010brain interaction (DGBI). However, social support is critical during the peritraumatic period, highlighting a unique challenge for caregivers and practitioners. The current study examined the ways in which post\u2010trauma gastrointestinal concerns were discussed via online social messaging (e.g., texting, social media) among a sample of trauma\u2010exposed adolescent patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred ninety\u2010one\u00a0trauma\u2010exposed adolescents were recruited from a US children's hospital emergency department. Topic modeling and key\u2010word identification were used to examine naturalistic online communication (e.g., text messages), yielding a subsample of youth who used online social messaging to communicate about their gastrointestinal symptoms. Inductive content analysis was used to characterize communication about GI symptoms during the nine\u2010month period immediately following presentation for a potentially traumatic event.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>Youth were most likely to share about symptoms with peers (i.e., friends, romantic partners) rather than adults. Responses were usually caring\/affirming or offered practical support; dismissive responses were rare. GI symptoms and life stressors were often mentioned in the same conversation. Themes of avoidance and impairment were also identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Inferences<\/jats:title>\n                    <jats:p>Findings demonstrate the role of digital social attention in illness reinforcement, which complicates social support during the peritraumatic period. This avenue for peer reinforcement should be considered in treatment planning and discussions of\u00a0family guidelines for managing symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nmo.70326","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T08:19:47Z","timestamp":1777969187000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Mixed\u2010Methods Analysis of Trauma\u2010Exposed Adolescents' Gastrointestinal Symptoms as Captured in Online Social Communication"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2041-8802","authenticated-orcid":false,"given":"Katherine M.","family":"Ingram","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Bradley\u2010Hasbro Children\u2019s Research Center, Rhode Island 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Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6015-3400","authenticated-orcid":false,"given":"Stephanie","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Bradley\u2010Hasbro Children\u2019s Research Center, Rhode Island Hospital Brown University Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2490-164X","authenticated-orcid":false,"given":"Irina","family":"Gorbounova","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Nutrition and Liver Diseases Hasbro Children's Hospital of Rhode Island Hospital  Providence Rhode Island USA"},{"name":"Department of Pediatrics Warren Alpert Medical School of Brown University  Providence Rhode Island 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