A randomized controlled trial of a cognitive-behavioral family intervention for pediatric recurrent abdominal pain
A randomized controlled trial of a cognitive-behavioral family intervention for pediatric recurrent abdominal pain
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DOI：
10.1093/jpepsy/jsi063
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发表时间：
2005-07-01
影响因子：
3.6
通讯作者：
Bishop, CT
中科院分区：
文献类型：
--
作者：
Robins, PM;Smith, SM;Bishop, CT
目的探讨标准医疗（SMC）联合短期认知行为家庭治疗（CBT）治疗复发性腹痛（RAP）的疗效。方法将经临床确诊的RAP患儿随机分为SMC组（n = 29）和SMC + CBT组（n = 40）。结果指标包括儿童和家长报告的儿童疼痛、躯体化和功能障碍、缺课和医生联系的多个方面。结果参与SMC + CBT联合干预的儿童和家长报告的儿童腹痛明显少于SMC干预后立即和进入研究后1年内的儿童，以及缺课明显减少。在功能障碍和躯体化方面没有显着差异。结论这些结果，结合以往的研究，增加了支持CBT干预的有效性，减少RAP的感觉方面。结果进行了讨论方面的成本效益的综合医疗和短期心理服务。
Objective To investigate whether the combination of standard medical care (SMC) and short-term cognitive-behavioral family treatment (CBT) in the treatment of recurrent abdominal pain (RAP) was more effective than SMC alone. Methods Children recently diagnosed with RAP via physician examination were randomized into SMC (n = 29) and SMC plus CBT (n = 40) groups. Outcome measures included multiple dimensions of child and parent reported child pain, somatization, and functional disability, and school absences and physician contacts. Results Children and parents participating in the combined SMC + CBT intervention reported significantly less child and parent reported child abdominal pain than children in the SMC intervention immediately following the intervention and up to 1 year following study entry, as well as significantly fewer school absences. Significant differences in functional disability and somatization were not revealed. Conclusions These results, in combination with previous studies, add support to the effectiveness of CBT intervention in reducing the sensory aspects of RAP. Results are discussed with respect to the cost-benefit of integrated medical and short-term psychological services.