Cognitive-behavioral treatment of persistent functional somatic complaints and pediatric anxiety: an initial controlled trial.
Cognitive-behavioral treatment of persistent functional somatic complaints and pediatric anxiety: an initial controlled trial.
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DOI：
10.1002/da.20821
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发表时间：
2011-07
影响因子：
7.4
通讯作者：
Benkov, Keith
中科院分区：
文献类型：
--
作者：
Warner, Carrie Masia;Colognori, Daniela;Kim, Rachel E.;Reigada, Laura C.;Klein, Rachel G.;Browner-Elhanan, Karen J.;Saborsky, Amy;Petkova, Eva;Reiss, Philip;Chhabra, Manoj;McFarlane-Ferreira, Yvonne B.;Phoon, Colin K.;Pittman, Nanci;Benkov, Keith
因持续性身体不适而寻求治疗的儿童和青少年往往患有并发的焦虑症。这种受损人群的治疗选择有限。本研究测试的可行性和潜在的有效性，认知行为干预针对疼痛和焦虑的青少年功能障碍的身体症状和焦虑症的儿科医生的医疗保健。儿童和青少年（8-16岁）有躯体不适，但没有解释性医学疾病（即，从初级保健和专业（胃肠病学家和心脏病学家）儿科医生中招募。40名儿童，主要有胃肠道症状，符合共发焦虑障碍的标准，被随机分配到一个认知行为治疗解决疼痛和焦虑，治疗焦虑和身体症状（TAPS），或等待列表控制。TAPS被认为是一种可接受的治疗，这一人群，上级等待名单的条件。TAPS组中80%的儿童被独立评估者评定为治疗反应者，而对照组中没有一个儿童被评定为治疗反应者。总体而言，自我和父母的评级表明干预后儿童的身体不适和焦虑减少。TAPS参与者在治疗后三个月保持临床收益。这项研究支持的可行性和初步疗效的认知行为干预，针对共同发生的身体痛苦和焦虑的青年提出的医疗。这种方法有可能对儿童的功能障碍产生广泛的影响，并最大限度地减少对侵入性，无效和昂贵的医疗程序和治疗的接触。
Children and adolescents who seek medical treatment for persistent physical distress often suffer from co-occurring anxiety disorders. Treatment options for this impaired population are limited. This study tests the feasibility and potential efficacy of a cognitive-behavioral intervention targeting pain and anxiety for youth with impairing functional physical symptoms and anxiety disorders presenting to pediatricians for medical care. Children and adolescents (aged 8–16) experiencing somatic complaints, without an explanatory medical disorder (i.e., functional), were recruited from primary care and specialty (gastroenterologists and cardiologists) pediatricians. Forty children, primarily with gastrointestinal symptoms, who met criteria for a co-occurring anxiety disorder, were randomly assigned to a cognitive-behavioral treatment addressing pain and anxiety, Treatment of Anxiety and Physical Symptoms (TAPS), or to a waiting-list control. TAPS was found to be an acceptable treatment for this population and was superior to the waiting-list condition. Eighty percent of children in TAPS were rated as treatment responders by independent evaluators compared with none of the controls. Overall, self- and parent ratings indicated reductions in children’s somatic discomfort and anxiety following intervention. TAPS participants maintained clinical gains three months following treatment. The study supports the feasibility and preliminary efficacy of a cognitive-behavioral intervention targeting co-occurring physical distress and anxiety in youth presenting for medical treatment. Such an approach has the potential to exert broad impact on children’s dysfunction and to minimize exposure to invasive, ineffective, and costly medical procedures and treatments.
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影响因子：
7.4
作者：
Chavira, DA;Stein, MB;Stein, MT
通讯作者：
Stein, MT
影响因子：
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作者：
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