A Randomized Controlled Trial of a Cognitive-Behavioral Family Intervention for Pediatric Recurrent Abdominal Pain
Abstract
OBJECTIVE: To investigate whether the combination of standard medical care (SMC) and short-term cognitive-behavioral family treatment (CBT) in the treatment of recurrent abdominal pain (RAP) was more effective than SMC alone. METHODS: Children recently diagnosed with RAP via physician examination were randomized into SMC (n = 29) and SMC plus CBT (n = 40) groups. Outcome measures included multiple dimensions of child and parent reported child pain, somatization, and functional disability, and school absences and physician contacts. RESULTS: Children and parents participating in the combined SMC + CBT intervention reported significantly less child and parent reported child abdominal pain than children in the SMC intervention immediately following the intervention and up to 1 year following study entry, as well as significantly fewer school absences. Significant differences in functional disability and somatization were not revealed. CONCLUSIONS: These results, in combination with previous studies, add support to the effectiveness of CBT intervention in reducing the sensory aspects of RAP. Results are discussed with respect to the cost-benefit of integrated medical and short-term psychological services.
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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
- Robins, P. M., Smith, S. M., Glutting, J. J., & Bishop, C. T.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Corresponding author
- Robins, Paul M.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-02-23
- Volume
- 30
- Issue
- 5
- Pages
- 397-408
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2145613385
- Cited by
- 254
- References
- 44
- Citations by year
- 2025: 5 · 2024: 7 · 2023: 5 · 2022: 9 · 2021: 10 · 2020: 10 · 2019: 6 · 2018: 13 · 2017: 11 · 2016: 9 · 2015: 14 · 2014: 15 · 2013: 16 · 2012: 20
- FWCI
- 13.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Delaware
- 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
- recurrent abdominal pain, cognitive behavioral therapy, family intervention, pediatric pain, somatization, functional disability, school absenteeism, parent-reported pain
- MeSH terms
- Adolescent, Child, Cost-Benefit Analysis, Demography, Female, Humans, Male, Pain Measurement, Recurrence, Severity of Illness Index, Somatoform Disorders, Abdominal Pain, Cognitive Behavioral Therapy
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