Twelve-Month Follow-up of Cognitive Behavioral Therapy for Children With Functional Abdominal Pain

To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to their child's pain resulted in improved coping 12 months later

Cognitive-Behavioral Therapy for Children With Functional Abdominal Pain and Their Parents Decreases Pain and Other Symptoms

Unexplained abdominal pain in children has been shown to be related to parental responses to symptoms. This randomized controlled trial tested the efficacy of an intervention designed to improve outcomes in idiopathic childhood abdominal pain by altering parental responses to pain and children's ways of coping and thinking about their symptoms

Twelve-Month Follow-up of Cognitive Behavioral Therapy for Children With Functional Abdominal Pain

OBJECTIVE: To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to their child's pain resulted in improved coping 12 months later. DESIGN: Prospective, randomized, longitudinal study. SETTING: Families were recruited during a 4-year period in Seattle, WA and Morristown, NJ. PARTICIPANTS: 200 children with persistent functional abdominal pain and their parents. INTERVENTIONS: A 3-session social learning and cognitive behavioral therapy intervention or an education and support intervention. MAIN OUTCOME MEASURES: Child symptoms and pain coping responses were monitored using standard instruments, as was parental response to child pain behavior. Data were collected at baseline and after treatment (1 week and 3, 6, and 12 months after treatment). This article reports the 12-month data. RESULTS: Relative to children in the education and support group, children in the social learning and cognitive behavioral therapy group reported greater baseline to 12-month follow-up decreases in gastrointestinal symptom severity (estimated mean difference = -0.36, CI = -0.63, -0.01) and greater improvements in pain coping responses (estimated mean difference = 0.61, CI = 0.26, 1.02). Relative to parents in the education and support group, parents in the social learning and cognitive behavioral therapy group reported greater baseline to 12-month decreases in solicitous responses to their child's symptoms (estimated mean difference = -0.22, CI = -0.42, -0.03) and greater decreases in maladaptive beliefs regarding their child's pain (estimated mean difference = -0.36, CI = -0.59, -0.13). CONCLUSIONS: Results suggest long-term efficacy of a brief intervention to reduce parental solicitousness and increasing coping skills. This strategy may be a viable alternative for children with functional abdominal pain. TRIAL REGISTRATION: ClinicalTrials.gov Identifier #NCT0049426