TitleCognitive-behavioral therapy for children with functional abdominal pain and their parents decreases pain and other symptoms.
Publication TypeJournal Article
Year of Publication2010
AuthorsLevy RL, Langer SL, Walker LS, Romano JM, Christie DL, Youssef N, DuPen MM, Feld AD, Ballard SA, Welsh EM, Jeffery RW, Young M, Coffey MJ, Whitehead WE
JournalAm J Gastroenterol
Volume105
Issue4
Pagination946-56
Date Published2010 Apr
ISSN1572-0241
KeywordsAbdominal Pain, Adaptation, Psychological, Adolescent, Child, Cognitive Therapy, Disability Evaluation, Female, Humans, Linear Models, Male, Pain Measurement, Parent-Child Relations, Parents, Prospective Studies, Treatment Outcome
Abstract

OBJECTIVES: Unexplained abdominal pain in children has been shown to be related to parental responses to symptoms. This randomized controlled trial tested the efficacy of an intervention designed to improve outcomes in idiopathic childhood abdominal pain by altering parental responses to pain and children's ways of coping and thinking about their symptoms.

METHODS: Two hundred children with persistent functional abdominal pain and their parents were randomly assigned to one of two conditions-a three-session intervention of cognitive-behavioral treatment targeting parents' responses to their children's pain complaints and children's coping responses, or a three-session educational intervention that controlled for time and attention. Parents and children were assessed at pretreatment, and 1 week, 3 months, and 6 months post-treatment. Outcome measures were child and parent reports of child pain levels, function, and adjustment. Process measures included parental protective responses to children's symptom reports and child coping methods.

RESULTS: Children in the cognitive-behavioral condition showed greater baseline to follow-up decreases in pain and gastrointestinal symptom severity (as reported by parents) than children in the comparison condition (time x treatment interaction, P<0.01). Also, parents in the cognitive-behavioral condition reported greater decreases in solicitous responses to their child's symptoms compared with parents in the comparison condition (time x treatment interaction, P<0.0001).

CONCLUSIONS: An intervention aimed at reducing protective parental responses and increasing child coping skills is effective in reducing children's pain and symptom levels compared with an educational control condition.

DOI10.1038/ajg.2010.106
Alternate JournalAm. J. Gastroenterol.
PubMed ID20216531
PubMed Central IDPMC2887246
Grant List5R01HD036069 / HD / NICHD NIH HHS / United States
R01 HD036069 / HD / NICHD NIH HHS / United States
R01 HD036069-01A2 / HD / NICHD NIH HHS / United States
R01 HD036069-02 / HD / NICHD NIH HHS / United States
R01 HD036069-03 / HD / NICHD NIH HHS / United States
R01 HD036069-04 / HD / NICHD NIH HHS / United States
R01 HD036069-05 / HD / NICHD NIH HHS / United States
R01 HD036069-06 / HD / NICHD NIH HHS / United States
R01 HD036069-07 / HD / NICHD NIH HHS / United States
R01 HD036069-08 / HD / NICHD NIH HHS / United States