Document Detail


Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain.
MedLine Citation:
PMID:  23277304     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to their child's pain resulted in improved coping 12 months later.
DESIGN: Prospective, randomized, longitudinal study.
SETTING: Families were recruited during a 4-year period in Seattle, Washington, and Morristown, New Jersey.
PARTICIPANTS: Two hundred children with persistent functional abdominal pain and their parents.
INTERVENTIONS: A 3-session social learning and cognitive behavioral therapy intervention or an education and support intervention.
MAIN OUTCOME MEASURES: Child symptoms and pain-coping responses were monitored using standard instruments, as was parental response to child pain behavior. Data were collected at baseline and after treatment (1 week and 3, 6, and 12 months after treatment). This article reports the 12-month data.
RESULTS: Relative to children in the education and support group, children in the social learning and cognitive behavioral therapy group reported greater baseline to 12-month follow-up decreases in gastrointestinal symptom severity (estimated mean difference, -0.36; 95% CI, -0.63 to -0.01) and greater improvements in pain-coping responses (estimated mean difference, 0.61; 95% CI, 0.26 to 1.02). Relative to parents in the education and support group, parents in the social learning and cognitive behavioral therapy group reported greater baseline to 12-month decreases in solicitous responses to their child's symptoms (estimated mean difference, -0.22; 95% CI, -0.42 to -0.03) and greater decreases in maladaptive beliefs regarding their child's pain (estimated mean difference, -0.36; 95% CI, -0.59 to -0.13).
CONCLUSIONS: Results suggest long-term efficacy of a brief intervention to reduce parental solicitousness and increase coping skills. This strategy may be a viable alternative for children with functional abdominal pain.
TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00494260.
Authors:
Rona L Levy; Shelby L Langer; Lynn S Walker; Joan M Romano; Dennis L Christie; Nader Youssef; Melissa M DuPen; Sheri A Ballard; Jennifer Labus; Ericka Welsh; Lauren D Feld; William E Whitehead
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  JAMA pediatrics     Volume:  167     ISSN:  2168-6211     ISO Abbreviation:  JAMA Pediatr     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-20     Completed Date:  2013-03-25     Revised Date:  2014-10-02    
Medline Journal Info:
Nlm Unique ID:  101589544     Medline TA:  JAMA Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  178-84     Citation Subset:  AIM; IM    
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00494260
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology,  psychology,  therapy*
Adaptation, Psychological
Adolescent
Adult
Child
Cognitive Therapy*
Female
Follow-Up Studies
Gastrointestinal Diseases / complications*,  psychology
Humans
Illness Behavior
Linear Models
Male
Middle Aged
Pain Measurement
Parent-Child Relations
Prospective Studies
Treatment Outcome
Grant Support
ID/Acronym/Agency:
R01 HD036069/HD/NICHD NIH HHS; UL1 TR000423/TR/NCATS NIH HHS
Comments/Corrections
Summary for patients in:
JAMA Pediatr. 2013 Feb;167(2):204   [PMID:  23381459 ]

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


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