No Change in Rectal Sensitivity After Gut-Directed Hypnotherapy in Children With Functional Abdominal Pain or Irritable Bowel Syndrome

Vlieger, Arine M.; Berg, Maartje M. van den; Menko-Frankenhuis, C; Bongers, Marloes E.J.; Tromp, Ellen; Benninga, Marc A.

doi:10.1038/ajg.2009.613

Cited by 35 publications

(18 citation statements)

References 30 publications

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“…The effect of hypnotherapy on visceral hypersensitivity is not well defined. Two studies in adult IBS patients identified a reduction in visceral sensitivity after hypnotherapy,29 30 but one trial in children failed to find this effect 31…”

Section: Discussionmentioning

confidence: 99%

Gut-directed hypnotherapy for functional abdominal pain or irritable bowel syndrome in children: a systematic review

Rütten

Reitsma

Vlieger

et al. 2012

Archives of Disease in Childhood

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Objectives Gut directed hypnotherapy (HT) is shown to be effective in adult functional abdominal pain (FAP) and irritable bowel syndrome (IBS) patients. We performed a systematic review to assess efficacy of HT in paediatric FAP/IBS patients. Methods We searched Medline, Embase, PsychINFO, Cumulative Index to Nursing and Allied Health Literature databases and Cochrane Central Register of Controlled Trials for randomised controlled trials (RCT) in children with FAP or IBS, investigating efficacy of HT on the following outcomes: abdominal pain scores, quality of life, costs and school absenteeism.

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Section: Discussionmentioning

confidence: 99%

Gut-directed hypnotherapy for functional abdominal pain or irritable bowel syndrome in children: a systematic review

Rütten

Reitsma

Vlieger

et al. 2012

Archives of Disease in Childhood

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“…Till now, there is evidence (mainly from adults' studies) that HT reduces autonomic reactivity [34], influences gut motility [57], and normalizes visceral sensitivity [33]. In contrast, the only intervention study which examined a sample of children and adolescents with FAP or IBS by physiological measures concluded that the symptom reduction following HT could not be explained by relief of visceral (rectal) sensitivity [50].…”

Section: Discussionmentioning

confidence: 99%

Brief hypnotherapeutic–behavioral intervention for functional abdominal pain and irritable bowel syndrome in childhood: a randomized controlled trial

et al. 2013

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Functional abdominal pain and irritable bowel syndrome are two prevalent disorders in childhood which are associated with recurrent or chronic abdominal pain, disabilities in daily functioning, and reduced quality of life. This study aimed to evaluate a brief hypnotherapeuticbehavioral intervention program in a prospective randomized controlled design. Thirty-eight children, 6 to 12 years of age, and their parents were randomly assigned to a standardized hypnotherapeutic-behavioral treatment (n=20) or to a waiting list condition (n=18). Both groups were reassessed 3 months after beginning. Primary outcome variables were child-completed pain measures and pain-related disability. Secondary outcome variables were parent-completed measures of their children's pain and pain-related disability. Health-related quality of life from both perspectives also served as a secondary outcome. In the treatment group, 11 of 20 children (55.0 %) showed clinical remission (>80 % improvement), whereas only one child (5.6 %) in the waiting list condition was classified as responder. Children in the treatment group reported a significantly greater reduction of pain scores and pain-related disability than children of the waiting list condition. Parental ratings also showed a greater reduction of children's abdominal pain and pain-related disability. Health-related quality of life did not increase significantly. Conclusions: Hypnotherapeutic and behavioral interventions are effective in treating children with long-standing AP. Treatment success of this brief program should be further evaluated against active interventions with a longer follow-up.

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“…Reasons for limited evidence from randomized CAM trials for chronic pain include that they are difficult to conduct, due to barriers associated with recruitment and retention (e.g., 26, 27 ). Furthermore even for CAM treatments with established empirical efficacy, there is a lack of understanding about the mechanisms of treatment effects (e.g., 28 ). Consequently there is a clear need for large-scale and rigorous trials to better understand which CAM approaches work, for whom, and in what setting, as well as any iatrogenic or interactive effects CAM treatments may have with conventional approaches.…”

Section: Discussionmentioning

confidence: 99%

Complementary and Alternative Medicine Use by Children With Pain in the United States

Groenewald

Beals-Erickson²,

Ralston-Wilson

et al. 2017

Academic Pediatrics

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Objective Chronic pain is reported by 15–25% of children. Growing evidence from clinical samples suggests that complementary and alternative medicine (CAM) therapies are desired by families and may benefit some children with pain conditions. The objective of this study is to provide estimates of CAM use by children with pain in the United States. Methods We analyzed data from the 2012 National Health Interview Survey (NHIS) to estimate patterns, predictors, and perceived benefits of CAM use among children 4–17 years of age with and without painful conditions in the US. We used χ2 tests to compare the prevalence rates of CAM use among children with pain to CAM use among children without pain. Multivariable logistic regression was used to examine factors associated with CAM use within the group of children with pain conditions. Results Parents reported that 26.6% of children had pain conditions (e.g. headache, abdominal, musculoskeletal pain) in the past year; of these children, 21.3% used CAM. In contrast only 8.1% of children without pain conditions used CAM (χ2: p<.001). CAM use among children with pain was associated with female sex (adjusted odds ratio (aOR)=1.49, p=0.005), higher income (aOR=1.61, p=0.027), and presence of 4+ comorbidities (aOR=2.01, p=0.013). Among children with pain who used CAM the 2 most commonly used CAM modalities were biologically-based therapies (47.3%) (e.g., special diets and herbal supplements) and manipulative or body-based therapies (46.3%) (e.g., chiropractic and massage). Conclusions CAM is frequently used by children with pain in the USA and many parents report benefits for their child’s symptoms.

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No Change in Rectal Sensitivity After Gut-Directed Hypnotherapy in Children With Functional Abdominal Pain or Irritable Bowel Syndrome

Cited by 35 publications

References 30 publications

Gut-directed hypnotherapy for functional abdominal pain or irritable bowel syndrome in children: a systematic review

Gut-directed hypnotherapy for functional abdominal pain or irritable bowel syndrome in children: a systematic review

Brief hypnotherapeutic–behavioral intervention for functional abdominal pain and irritable bowel syndrome in childhood: a randomized controlled trial

Complementary and Alternative Medicine Use by Children With Pain in the United States

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