Cognitive-Behavioral Therapy for Children With Functional Abdominal Pain and Their Parents Decreases Pain and Other Symptoms
Open accessAbstract
OBJECTIVES: 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. METHODS: Two hundred children with persistent functional abdominal pain and their parents were randomly assigned to one of two conditions-a three-session intervention of cognitive-behavioral treatment targeting parents' responses to their children's pain complaints and children's coping responses, or a three-session educational intervention that controlled for time and attention. Parents and children were assessed at pretreatment, and 1 week, 3 months, and 6 months post-treatment. Outcome measures were child and parent reports of child pain levels, function, and adjustment. Process measures included parental protective responses to children's symptom reports and child coping methods. RESULTS: Children in the cognitive-behavioral condition showed greater baseline to follow-up decreases in pain and gastrointestinal symptom severity (as reported by parents) than children in the comparison condition (time x treatment interaction, P<0.01). Also, parents in the cognitive-behavioral condition reported greater decreases in solicitous responses to their child's symptoms compared with parents in the comparison condition (time x treatment interaction, P<0.0001). CONCLUSIONS: An intervention aimed at reducing protective parental responses and increasing child coping skills is effective in reducing children's pain and symptom levels compared with an educational control condition.
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Family-based CBT and internet-delivered CBT have proven effective in young patients with specific FSS.
“Family-based CBT and internet-delivered CBT have proven effective in young patients with specific FSS.31–36”
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- Authors
- Levy, R. L., Langer, S. L., Walker, L. S., Romano, J. M., Christie, D. L., Youssef, N., DuPen, M. M., Feld, A. D., Ballard, S. A., Welsh, E. M., Jeffery, R. W., Young, M., Coffey, M. J., & Whitehead, W. E.
- Affiliations
- University of Washington (US)
- Vanderbilt University (US)
- Seattle Children's Hospital (US)
- Group Health Cooperative (US)
- University of Minnesota (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Levy, Rona L
- Venue
- American Journal of Gastroenterology
- Published
- 2010-04
- Volume
- 105
- Issue
- 4
- Pages
- 946-956
- ISSN
- 0002-9270 (ISSN-L)
- PMC
- PMC2887246
- OpenAlex
- W2008673211
- Cited by
- 261
- References
- 45
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 16 · 2023: 10 · 2022: 9 · 2021: 20 · 2020: 16 · 2019: 17 · 2018: 17 · 2017: 22 · 2016: 23 · 2015: 15 · 2014: 22 · 2013: 10 · 2012: 15
- FWCI
- 15.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The American Journal of Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD036069)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- functional abdominal pain, cognitive behavioral therapy, children's coping, gastrointestinal symptoms, pediatric pain, parent-child intervention
- MeSH terms
- Adaptation, Psychological, Adolescent, Child, Disability Evaluation, Female, Humans, Male, Pain Measurement, Parent-Child Relations, Parents, Prospective Studies, Abdominal Pain, Cognitive Behavioral Therapy, Linear Models, Treatment Outcome
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