Evaluation of a Cognitive-Behavioral Pain Management Program for Children with Chronic Abdominal Pain: A Randomized Controlled Study
Evaluation of a Cognitive-Behavioral Pain Management Program for Children with Chronic Abdominal Pain: A Randomized Controlled Study
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DOI：
10.1007/s12529-012-9228-3
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发表时间：
2013-09-01
影响因子：
2.7
通讯作者：
Warschburger, Petra
中科院分区：
文献类型：
--
作者：
Gross, Martina;Warschburger, Petra
儿童慢性腹痛（CAP）普遍存在，对心理健康和生活质量有不良影响。早期的研究强调心理干预对疼痛症状的积极作用。本研究描述了一项针对CAP儿童的认知-行为疼痛管理计划的结果。新开发的认知-行为小组计划，“用快乐- pingu停止疼痛”，包括六个儿童会议和一个家长会议。我们假设，与等候名单对照相比，训练可以显著减少疼痛症状（频率、持续时间、强度和疼痛相关损伤），并提高与健康相关的生活质量，在治疗结束和3个月的随访中都可以看到改善。方法29例患儿随机分为干预组（IG） 15例，等待名单对照组（WLC） 14例。使用重复测量的两因子多变量方差分析进行意向治疗分析。结果与WLC组相比，IG组的儿童疼痛减轻（主要结局），健康相关生活质量改善（次要结局）。效应大小从中等到高不等。结论认知行为方法是治疗小儿CAP的有效方法。
Background Chronic abdominal pain (CAP) in childhood is widely prevalent and has adverse effects on mental health and quality of life. Earlier research emphasized the positive effects of psychological intervention on pain symptoms. This study describes the results of a cognitive-behavioral pain management program for children with CAP. The newly developed cognitive-behavioral group program, "Stop the pain with Happy-Pingu," includes six sessions for the children and one meeting for the parents.Purpose We hypothesized that the training would significantly reduce pain symptoms (frequency, duration, intensity, and pain-related impairment) and increase health-related quality of life compared to wait-list controls, with improvement seen both at the end of treatment and at a 3-month follow-up.Method In all, 29 children were randomized into two groups: 15 in the intervention group (IG) and 14 as the wait-list controls (WLC). An intent-to-treat analysis was performed using two-factorial multivariate analyses of variance with repeated measures.Results Children in the IG experienced both a reduction in pain (primary outcome) and an improvement in health-related quality of life (secondary outcome) as compared to the WLC. The effect sizes ranged from medium to high.Conclusion Cognitive-behavioral methods seem to be appropriate for treating children with CAP.