Pediatric hospitalists’ experiences caring for patients admitted with somatic symptom and related disorders: A qualitative study

BACKGROUND: Pediatric somatic symptom and related disorders (SSRDs) present challenges for pediatric hospitalists, yet little is known about their experiences caring for these patients. Understanding hospitalists' perspectives is crucial to improve quality of care and treatment experience for patients with SSRDs. OBJECTIVES: We aimed to explore and characterize the experiences of pediatric hospitalists, including barriers and facilitators they face, when caring for patients admitted for SSRDs. METHODS: Using a phenomenological approach, we conducted semistructured interviews with 20 pediatric hospitalists across the United States recruited through a national listserv. Interviews were completed until thematic saturation was reached, and transcripts were analyzed using thematic analysis to identify recurring insights and themes. RESULTS: Five key themes emerged: 1. When making an SSRD diagnosis, pediatric hospitalists struggle to eliminate lingering doubts about missed etiologies. 2. Caregiver buy-in to an SSRD diagnosis is crucial. 3. It is challenging to establish a shared understanding of the diagnosis and treatment plan between multidisciplinary partners, the patient, and caregivers. 4. There is no unified approach to providing care for patients with SSRDs. 5. Providers experience negative emotions and distress when caring for patients with SSRDs. CONCLUSIONS: Qualitative interviews revealed critical gaps in current approaches to care for patients admitted for pediatric SSRDs. Emerging themes highlight opportunities for intervention, including provider education, structured communication strategies, and a standardized interdisciplinary approach. Exploring patient and caregiver perspectives will be essential to shape future SSRD treatment and management interventions.