Dataset Information

Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain.

ABSTRACT:

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.

SUBMITTER: Levy RL

PROVIDER: S-EPMC4167735 | biostudies-literature | 2013 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain.

Levy Rona L RL Langer Shelby L SL Walker Lynn S LS Romano Joan M JM Christie Dennis L DL Youssef Nader N DuPen Melissa M MM Ballard Sheri A SA Labus Jennifer J Welsh Ericka E Feld Lauren D LD Whitehead William E WE

JAMA pediatrics 20130201 2

<h4>Objective</h4>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.<h4>Design</h4>Prospective, randomized, longitudinal study.<h4>Setting</h4>Families were recruited during a 4-year period in Seattle, Washington, and Morristown, New Jersey.<h4>Participants</h4>Two hundred children with persistent functional abdominal pain and their parents.<h4>Interventions</h4>A 3- ...[more]

PMID: 23277304

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Dataset Information

Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain.

Objective

Design

Setting

Participants

Interventions

Main outcome measures

Results

Conclusions

Trial registration

Publications

Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain.

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