premise: Parents of 48 children ( 31 boys , 17 girls ) were interviewed . The main distressing symptoms were fatigue , pain , loss of appetite , and dyspnoea according to the parents . While parents perceived pain and constipation to have been treated successfully , loss of appetite and anxiety were not treated effectively . Why has it been difficult to improve and treat the symptoms of loss of appetite and anxiety ?
hypothesis: Parents felt that those issues were not as severe and did not focus on fixing them