Chronische Bauchschmerzen: Psychosoziale Belastung und behandlungsinduzierte Veränderungen in der Krankheitsbewältigung

Groß, Martina; Warschburger, Petra

doi:10.1159/000351215

Cited by 8 publications

(12 citation statements)

References 41 publications

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“…The sessions will include information mainly about the gastrointestinal tract, nutrition and bodily activity. Adverse side effects of this program are not reported [20–22]. In order to measure the course of pain severity continuously, the CG will fill in the pain diary as weekly homework.…”

Section: Methodsmentioning

confidence: 99%

“…Pain symptoms will be assessed via self-report using the pain diary, which has already successfully been implemented in prior trials [20–22]. On 14 consecutive days, children should report intensity of pain on a 10-point visual analog scale.…”

Section: Methodsmentioning

confidence: 99%

“…The calculations rely on the high effect size of our primary outcome (d = 1.09 for the composite pain score; see [21, 22]) and correlation among repeated measures 0.8 (see [20–22]). Since our recent single-site study included a 3-month follow-up and a waiting list control group (instead of an active control group [21, 22]), power analysis for the primary outcome is based conservatively on a medium effect size (f = 0.25; d = 0.6).…”

Section: Methodsmentioning

confidence: 99%

“…For example, in an uncontrolled pilot study with 11 children, we were able to show that children attending a cognitive-behavioral program [20] not only experienced a reduction in pain frequency and intensity, but also an increase in health-related quality of life. A small RCT-study (n = 29; including a waiting list control group) was able to confirm these results with effect sizes ranging from medium to high for a 3-month follow-up period [21, 22]. …”

Section: Introductionmentioning

confidence: 95%

“…These interventions mainly comprised CBT, child-centered or family-based, and relaxation techniques. With respect to functional and emotional outcomes, CBT involving the children alone [19] or parents and children [11, 20–22] proved to be effective in terms of an increase in emotional functioning or in quality of life. Interpretation of studies is limited due to differing definitions of the condition, inadequate control group designs and a lack of assessment of long-term effects [16].…”

Section: Introductionmentioning

confidence: 99%

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Stop the pain: study protocol for a randomized-controlled trial

Warschburger

Calvano

Becker

et al. 2014

Trials

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BackgroundFunctional abdominal pain (FAP) is not only a highly prevalent disease but also poses a considerable burden on children and their families. Untreated, FAP is highly persistent until adulthood, also leading to an increased risk of psychiatric disorders. Intervention studies underscore the efficacy of cognitive behavioral treatment approaches but are limited in terms of sample size, long-term follow-up data, controls and inclusion of psychosocial outcome data.Methods/DesignIn a multicenter randomized controlled trial, 112 children aged 7 to 12 years who fulfill the Rome III criteria for FAP will be allocated to an established cognitive behavioral training program for children with FAP (n = 56) or to an active control group (focusing on age-appropriate information delivery; n = 56). Randomization occurs centrally, blockwise and is stratified by center. This study is performed in five pediatric gastroenterology outpatient departments. Observer-blind assessments of outcome variables take place four times: pre-, post-, 3- and 12-months post-treatment. Primary outcome is the course of pain intensity and frequency. Secondary endpoints are health-related quality of life, pain-related coping and cognitions, as well as selfefficacy.DiscussionThis confirmatory randomized controlled clinical trial evaluates the efficacy of a cognitive behavioral intervention for children with FAP. By applying an active control group, time and attention processes can be controlled, and long-term follow-up data over the course of one year can be explored.Trial registrationDRKS00005038 (date: 25 July 2013); NCT02030392 (date: 7 January 2014)Electronic supplementary materialThe online version of this article (doi:10.1186/1745-6215-15-357) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%