Document Detail

Treatment of nonorganic recurrent abdominal pain: cognitive-behavioral family intervention.
MedLine Citation:
PMID:  16819378     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We evaluated the efficacy of cognitive-behavioral family intervention in the treatment of crises of pain in children with nonorganic recurrent abdominal pain (RAP) and the thresholds of pain for 17 body surface areas in these children. METHODS: A randomized clinical trial was undertaken with 32 children between the ages of 5.1 and 13.9 years with nonorganic RAP. A group of 15 patients, aged 9.9 +/- 2.2 years (11 girls), received standard pediatric care and cognitive-behavioral family intervention for treatment of pain crises. The control group of 17 children, aged 8.4 +/- 2.0 years (11 girls), received only standard pediatric care. These procedures were undertaken by general pediatricians over 4 monthly sessions. An analog visual scale was used to measure the frequency and intensity of the pain crises per month and a mechanical pressure algometer for the measurement of pain threshold. RESULTS: The median frequency of pain crises per month reported by patients at the 3 monthly cognitive-behavioral family intervention sessions was 15, 5, 2 and 2, respectively. In contrast, the median frequency for pain crises per month reported by the control group was 12, 8, 10 and 8, respectively. The difference between the intervention group and the controls was statistically significant for frequency of pain at the second, third and fourth visits. There was no statistical difference for intensity of pain or for measured pain thresholds between the control and the intervention group. CONCLUSIONS: The cognitive-behavioral family intervention reduced the frequency of pain crises of children with nonorganic RAP. This successful intervention was carried out by the intervention of general pediatricians.
Marco Antônio Duarte; Francisco José Penna; Eugênio Marcos Goulart Andrade; Camila Silva Peres Cancela; Joaquim Caetano Aguirre Neto; Terezinha Facury Barbosa
Related Documents :
9105328 - A middle-range theory of chronotherapeutic intervention for postsurgical pain.
15781178 - Patient-related barriers to pain management: the icelandic barriers questionnaire ii.
16703818 - Use of the faces pain scale to evaluate pain of a pediatric patient with pauciarticular...
12808528 - Pain characteristics in patients admitted to hospital with complications after spinal c...
21777448 - Acute chest pain - a prospective population based study of contacts to norwegian emerge...
3515598 - Epidural catheter analgesia for the management of postoperative pain.
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  43     ISSN:  0277-2116     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-04     Completed Date:  2007-03-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  59-64     Citation Subset:  IM    
Department of Pediatrics, Faculty of Medicine, Federal University of Minas Gerais, Brazil.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Abdominal Pain / epidemiology,  prevention & control,  therapy*
Behavior Therapy*
Child, Preschool
Cognitive Therapy*
Family Therapy*
Office Visits
Pain Measurement
Pain Threshold
Parent-Child Relations
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Characteristics of persistent diarrhea in a community-based cohort of young US children.
Next Document:  Treatment of faecal impaction with polyethelene glycol plus electrolytes (PGE + E) followed by a dou...