MANAGING RECURRENT ABDOMINAL PAIN

该子项目是利用NIH/NCRR资助的中心赠款提供的资源的许多研究子项目之一。子项目和研究者（PI）可能从另一个NIH来源获得了主要资金，因此可以在其他CRISP条目中表示。所列机构为中心机构，不一定为研究者机构。复发性腹痛（RAP）是一种儿童疾病，没有可识别的有机原因，但具有显著的社会和个人成本。我们小组以前进行的研究表明，疾病行为在一定程度上是在童年时期习得的，当时父母以鼓励或加强疾病角色行为的方式模仿疾病角色行为或对孩子的躯体抱怨做出反应。这些结果表明，干预措施，教导父母减少建模和疾病行为的强化将是有益的RAP儿童。本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，来自我们以前的研究，为儿童复发性腹痛。患有RAP的儿童（n = 200）将被随机分配到社会学习和认知行为治疗干预组或教育和支持比较组（控制治疗师的注意力和接触）。将在基线、治疗结束以及治疗后3个月、6个月和12个月从父母和儿童收集有关儿童症状和疾病行为、功能残疾、医疗保健利用、父母对儿童疾病行为的反应、关于疼痛的态度和信念以及生活压力源的信息。

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.