Effects of psychological treatment on recurrent abdominal pain in children — A meta-analysis

Sprenger, Linda; Gerhards, Friedemann; Goldbeck, Lutz

doi:10.1016/j.cpr.2011.07.010

Cited by 47 publications

(28 citation statements)

References 43 publications

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“…Similarly, other psychological therapies, particularly cognitive-behavioural therapy and relaxation therapies, have been shown to be effective 12. Care should be taken when approaching the subject of psychotherapy with parents and children since they often do not appreciate the suggestion that a psychological pathology is responsible for the pain.…”

Section: Casementioning

confidence: 99%

Chronic abdominal pain in children: help in spotting the organic diagnosis

Wright

Hammond

Curry

2012

Arch Dis Child Educ Pract Ed

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Section: Casementioning

confidence: 99%

Chronic abdominal pain in children: help in spotting the organic diagnosis

Wright

Hammond

Curry

2012

Arch Dis Child Educ Pract Ed

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“…Systematic reviews and meta-analyses underscore the efficacy of psychological interventions, especially cognitive-behavioral therapy (CBT), for managing pain in childhood and adolescence [13–18]. But only a few treatment studies for pediatric chronic pain consider abdominal pain (3 out of 25; see [16]) and even fewer investigate the emotional functioning of the children [16, 18].…”

Section: Introductionmentioning

confidence: 99%

“…But only a few treatment studies for pediatric chronic pain consider abdominal pain (3 out of 25; see [16]) and even fewer investigate the emotional functioning of the children [16, 18]. A recent meta-analysis by Sprenger et al .…”

Section: Introductionmentioning

confidence: 99%

Stop the pain: study protocol for a randomized-controlled trial

Warschburger

Calvano

Becker

et al. 2014

Trials

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BackgroundFunctional abdominal pain (FAP) is not only a highly prevalent disease but also poses a considerable burden on children and their families. Untreated, FAP is highly persistent until adulthood, also leading to an increased risk of psychiatric disorders. Intervention studies underscore the efficacy of cognitive behavioral treatment approaches but are limited in terms of sample size, long-term follow-up data, controls and inclusion of psychosocial outcome data.Methods/DesignIn a multicenter randomized controlled trial, 112 children aged 7 to 12 years who fulfill the Rome III criteria for FAP will be allocated to an established cognitive behavioral training program for children with FAP (n = 56) or to an active control group (focusing on age-appropriate information delivery; n = 56). Randomization occurs centrally, blockwise and is stratified by center. This study is performed in five pediatric gastroenterology outpatient departments. Observer-blind assessments of outcome variables take place four times: pre-, post-, 3- and 12-months post-treatment. Primary outcome is the course of pain intensity and frequency. Secondary endpoints are health-related quality of life, pain-related coping and cognitions, as well as selfefficacy.DiscussionThis confirmatory randomized controlled clinical trial evaluates the efficacy of a cognitive behavioral intervention for children with FAP. By applying an active control group, time and attention processes can be controlled, and long-term follow-up data over the course of one year can be explored.Trial registrationDRKS00005038 (date: 25 July 2013); NCT02030392 (date: 7 January 2014)Electronic supplementary materialThe online version of this article (doi:10.1186/1745-6215-15-357) contains supplementary material, which is available to authorized users.

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“…Previous literature shows that psychosocial interventions are effective for children with recurrent and chronic pain, [15][16][17] and specifically for children with FAP. [18][19][20] However, they are difficult to access for different interrelated reasons. 21,22 First, there are very few multidisciplinary pain services for children with recurrent or chronic pain.…”

mentioning

confidence: 99%

“…This has been estimated taking into account that the completion rate for faceto-face psychosocial programs for children with FAP can be situated around 75% 19 ; and rates between 77% 39 and 93% 31 have been found in available online interventions where children with FAP have been included. We propose a lower range because our intervention does not include a coach or therapist.…”

mentioning

confidence: 99%