MANAGING RECURRENT ABDOMINAL PAIN

这个子项目是利用由NIH/NCRR资助的中心拨款提供的资源的许多研究子项目之一。子项目和调查员(PI)可能从另一个NIH来源获得了主要资金，因此可能会出现在其他CRISE条目中。列出的机构是针对中心的，而不一定是针对调查员的机构。复发性腹痛(RAP)是一种儿童疾病，目前尚无明确的器质性病因，但会造成巨大的社会和个人成本。我们小组之前进行的研究表明，患病行为在一定程度上是在童年时期学会的，当时父母以病态角色行为为榜样，或者以鼓励或强化病态角色行为的方式回应孩子的躯体抱怨。这些结果表明，教育父母减少建模和加强疾病行为的干预措施对患有RAP的儿童是有益的。这项研究的目的是评估一种综合的社会学习和认知行为治疗方法，该方法源于我们之前的研究，用于治疗反复腹痛的儿童。患有RAP的儿童(n=200)将随机接受社会学习和认知行为治疗干预，或接受教育和支持比较条件(控制治疗师的关注和接触)。有关儿童的症状和患病行为、功能残疾、卫生保健利用、父母对儿童患病行为的反应、关于疼痛的态度和信念以及生活应激源的信息将在基线、治疗结束以及治疗后3、6和12个月从父母和儿童那里收集。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Recurrent abdominal pain (RAP) is a disorder in children for which there is no identifiable organic cause, yet which has significant societal and personal costs. Previous studies conducted by our group suggest that illness behavior is in part learned during childhood when parents model sick role behavior or respond to their children's somatic complaints in a way that encourages or reinforces sick role behaviors. These results suggest that interventions to teach parents to reduce modeling and reinforcement of illness behavior would be beneficial for children with RAP. The aim of this study is to evaluate a comprehensive social learning and cognitive behavior therapy approach, derived from our previous research, for children with recurrent abdominal pain. Children with RAP (n = 200) will be randomized to either a social learning and cognitive behavior therapy intervention, or an education and support comparison condition (controlling for therapist attention and contact). Information about children's symptoms and illness behaviors, functional disability, health care utilization, parental responses to children's illness behavior, attitudes and beliefs regarding pain, and life stressors will be collected at baseline, end of treatment, and three, six and 12 months post-treatment from both parents and children.