Engagement during a Mixed In-Person and Remotely Delivered Psychological Intervention for Youth with Functional Abdominal Pain Disorders and Anxiety.
Engagement during a Mixed In-Person and Remotely Delivered Psychological Intervention for Youth with Functional Abdominal Pain Disorders and Anxiety.
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与功能性腹部疼痛和焦虑的年轻人进行混合的人间和遥不可及的心理干预。
DOI：
10.3390/children8090775
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发表时间：
2021-09-02
期刊：
影响因子：
--
通讯作者：
Cunningham NR
中科院分区：
文献类型：
--
作者：
Miller AK;Ely SL;Barber Garcia BN;Richardson P;Cunningham NR
功能性腹痛障碍（FAPD）是一种常见的致残性疼痛，通常与焦虑等心理健康问题相关。认知行为疗法（CBT）等心理疗法已被证明是有效的。因此，了解参与者对这些方法的参与（即干预工具的使用）以及参与是否会影响治疗反应是很重要的。旨在减少焦虑和疼痛治疗（ADAPT）是一种有效的心理治疗方法，使用面对面会议和干预电话支持以及自定进度的网络模块来管理疼痛和焦虑。目前的研究采用混合方法来调查ADAPT项目期间微观层面和宏观层面的参与者参与情况。尽管日程调整很常见（25.5%），但面对面/电话会议的出勤率很高（95%）。我们观察到不同程度的网络工具参与。专题分析还揭示了使用方式的差异。此外，虽然参与者表示他们一般了解如何使用某些技能（例如解决问题、侦探思维），并且这些技能在治疗期间有效地管理症状，但这些活动通常未得到充分利用。此外，参与者参与并不能预测对ADAPT干预的反应。这些发现很重要，因为对易于获得的心理治疗工具来管理疼痛和焦虑的需求可能仍然很高。
Functional abdominal pain disorders (FAPD) are common disabling pain conditions frequently associated with co-occurring mental health problems such as anxiety. Psychological therapies such as cognitive behavioral therapy (CBT) have been shown to be effective. Therefore, it is important to understand participant engagement (i.e., use of intervention tools) to such approaches, and if engagement impacts treatment response. The Aim to Decrease Anxiety and Pain Treatment (ADAPT) is an effective psychological treatment approach using a blend of in-person sessions and interventionist phone support with self-paced web modules to manage pain and anxiety. The current study used a mixed-methods approach to investigate micro-level and macro-level participant engagement during the ADAPT program. In-person/phone session attendance was high (>95%) although scheduling adjustments were common (25.5%). Varied levels of engagement with web tools were observed. Thematic analysis also revealed variability in patterns of use. Additionally, while participants indicated they generally understood how to use certain skills (e.g., problem solving, detective thinking), and these skills were effective in managing symptoms during treatment, these activities were generally underutilized. Further, participant engagement did not predict response to the ADAPT intervention. These findings are important as the demand for accessible psychotherapeutic tools to manage pain and anxiety is likely to remain high.
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影响因子：
3.6
作者：
Dufton, Lynette M.;Dunn, Madeleine J.;Compas, Bruce E.
通讯作者：
Compas, Bruce E.
DOI：
10.1016/j.jpeds.2020.10.060
发表时间：
2021-03
期刊：
The Journal of pediatrics
影响因子：
--
作者：
Cunningham NR;Kalomiris A;Peugh J;Farrell M;Pentiuk S;Mallon D;Le C;Moorman E;Fussner L;Dutta RA;Kashikar-Zuck S
通讯作者：
Kashikar-Zuck S
DOI：
10.1097/00004583-199704000-00018
发表时间：
1997-04-01
影响因子：
13.3
作者：
Birmaher, B;Khetarpal, S;Neer, SM
通讯作者：
Neer, SM
DOI：
10.1097/mpg.0000000000000625
发表时间：
2015-03-01
影响因子：
2.9
作者：
Cunningham, Natoshia R.;Cohen, Mitchell B.;Kashikar-Zuck, Susmita
通讯作者：
Kashikar-Zuck, Susmita
影响因子：
8.8
作者：
Bradley, Lauren E.;Smith-Mason, Christine E.;Hood, Megan M.
通讯作者：
Hood, Megan M.