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Cited by 261Gastrointestinal motility and disordersPediatric Pain Management TechniquesPsychosomatic Disorders and Their Treatments

The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.

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

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Levy, Rona L, Langer, Shelby L, Walker, Lynn S, Romano, Joan M, Christie, Dennis L, Youssef, Nader, DuPen, Melissa M, Feld, Andrew D, Ballard, Sheri A, Welsh, Ericka M, Jeffery, Robert W, Young, Melissa, Coffey, Melissa J, Whitehead, William E·2010·American Journal of Gastroenterology
DOI 10.1038/ajg.2010.106PMC PMC2887246
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Abstract

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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Metadata

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
ORCID
Venue
American Journal of Gastroenterology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2010-04
Volume
105
Issue
4
Pages
946-956
ISSN
0002-9270 (ISSN-L)
DOI
10.1038/ajg.2010.106
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
Licence
www.springer.com/tdm (unspecified)
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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