A psychological intervention for pediatric chest pain: development and open trial.
A psychological intervention for pediatric chest pain: development and open trial.
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DOI：
10.1097/dbp.0b013e318206d5aa
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发表时间：
2011-02
期刊：
影响因子：
--
通讯作者：
Sherman B
中科院分区：
文献类型：
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作者：
Lipsitz JD;Gur M;Albano AM;Sherman B
非心源性胸痛（NCCP）是儿童和青少年常见且持续存在的问题;通常没有明确的医学原因。到目前为止，还没有心理干预研究胸痛的儿科样本。a）我们开发了一种针对NCCP儿童和青少年胸痛和相关担忧的简短心理治疗。该计划包括心理教育，呼吸再培训，认知应对策略，以及一次关于强化对疼痛和应对行为影响的家长教育和辅导。B）我们治疗了9名患有慢性NCCP的青少年，评估了疼痛、躯体化、残疾、焦虑和抑郁症状，以及治疗前、治疗后和治疗后6个月的应对方式。治疗后，胸痛和躯体化症状显著减少。在6个月随访时保持获益。相关的心理症状没有减少。对儿童NCCP进行简短的心理治疗是可行的，可能有助于缓解儿童NCCP的症状。需要进一步的随机试验研究。
Noncardiac chest pain (NCCP) is a common and persistent problem for children and adolescents; typically there is no clear medical cause. To date, no psychological intervention has been studied for chest pain in a pediatric sample. a) We developed a brief psychological treatment for chest pain and associated worry in children and adolescents with NCCP. This program includes psychoeducation, breathing retraining, cognitive coping strategies, and one session of parent education and coaching regarding the impact of reinforcement on pain and coping behaviors. b) We treated nine youngsters with chronic NCCP, assessing pain, somatization, disability, anxiety and depressive symptoms, and coping before, after, and six months following treatment. Following treatment there was a significant decrease in chest pain and somatization. Benefits were maintained at six-month follow-up. There was no decrease in associated psychological symptoms. A brief psychological treatment for pediatric NCCP is feasible to administer and may help alleviate symptoms of pediatric NCCP. Further study in a randomized trial is needed.