Recurrent Abdominal Pain in Children

Page-Goertz, Sallie

doi:10.3109/01460868809038012

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…It is considered a benign (i.e., not associated with terminal illness) pain syndrome in 90% to 95% of these children (6,7). The recurring nature of this disorder can result in increased school absences, use of medical care resources, and family disruption (8).…”

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confidence: 99%

“…The recurring nature of this disorder can result in increased school absences, use of medical care resources, and family disruption (8). Although the cause of RAP remains unclear, it is important to note that the absence of a definitive cause does not mean that the pain is not real or “all in the child's head”(6). Both psychological (e.g., stress, operant conditioning, modeling, depression, family enmeshment, somatization disorder) and physiological (e.g., autonomic instability, lactose intolerance, constipation, gut motility) factors have been implicated (9).…”

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confidence: 99%

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Treatment of Recurrent Abdominal Pain: Components Analysis of Four Treatment Protocols

Humphreys,

Gevirtz

2000

J. pediatr. gastroenterol. nutr.

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Background:Recurrent abdominal pain (RAP) affects up to 34% of the world's population of children. Medical management has been limited, but behavioral strategies have been shown to be effective. In this study several components of published treatment protocols were adapted and/or improved and then compared using a pretest–posttest control group design.Methods:Sixty‐four children and teenagers (mean age, 9.75 ± 2.46 years) with diagnosed recurrent abdominal pain were randomly assigned to four groups: 1) fiber‐only comparison group; 2) fiber and biofeedback‐assisted cultivated low arousal; 3) fiber, biofeedback, and cognitive–behavioral interventions; and 4) fiber, biofeedback, cognitive–behavioral, and parental support. Participants were treated over 8 weeks in individual sessions. Biofeedback was supplied using small thermal devices.Results:All groups showed improvement in self‐reported pain, even the fiber‐only comparison group; however, the active treatment groups showed significantly more improvement before and after than the fiber‐only comparison group (fiber only comparison group pain reduction at 79%; fiber and biofeedback at 100%; fiber, biofeedback, and cognitive–behavioral at 94%; fiber, biofeedback, cognitive–behavioral, and parental support at 93%).Conclusions:This suggests that any of the active treatment protocols assessed in this investigation work better than established treatments that have been reported in the literature. Because the addition of cognitive and parental support components did not seem to increase treatment effectiveness, it is concluded that increased fiber with biofeedback‐assisted cultivated low arousal was effective and efficient as a treatment modality.

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confidence: 99%

mentioning

confidence: 99%

Treatment of Recurrent Abdominal Pain: Components Analysis of Four Treatment Protocols

Humphreys,

Gevirtz

2000

J. pediatr. gastroenterol. nutr.

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Irritable Bowel Syndrome

Blanchard

Keefer

2003

Handbook of Psychology

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Irritable bowel syndrome (IBS), a functional disorder of the lower gastrointestinal tract, affects between 19 and 34 million Americans. The primary symptoms of IBS include abdominal pain and/or tenderness and altered bowel function. Other commonly reported symptoms include gas, bloating, and nausea. While the etiology of IBS is relatively unknown, both medical and psychological literatures point to the role of psychosocial factors in the onset and maintenance of the syndrome. This chapter has three parts. First, it discusses the refining of the criteria necessary to diagnose the syndrome and describes the epidemiology of IBS. Further, it reviews the literature regarding the role of psychological distress, stress, life events, and early sexual abuse in the onset and maintenance of the disorder. In the second part of the chapter, we review psychosocial and treatment literature relevant to recurrent abdominal pain (RAP), a functional GI disorder diagnosed in childhood. Finally, in part three of the chapter, we offer empirical evidence supporting the role of psychological intervention in alleviating symptoms of IBS, and specifically discuss the treatment outcome studies we have conducted over the past decade. Lastly, we offer some conclusions and future directions for research and treatment of irritable bowel syndrome.

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Treatment of Recurrent Abdominal Pain: Components Analysis of Four Treatment Protocols

Humphreys

Gevirtz

2000

Journal of Pediatric Gastroenterology and Nutrition

157

100

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This suggests that any of the active treatment protocols assessed in this investigation work better than established treatments that have been reported in the literature. Because the addition of cognitive and parental support components did not seem to increase treatment effectiveness, it is concluded that increased fiber with biofeedback-assisted cultivated low arousal was effective and efficient as a treatment modality.

show abstract

Recurrent Abdominal Pain in Children

Cited by 3 publications

References 16 publications

Treatment of Recurrent Abdominal Pain: Components Analysis of Four Treatment Protocols

Treatment of Recurrent Abdominal Pain: Components Analysis of Four Treatment Protocols

Irritable Bowel Syndrome

Treatment of Recurrent Abdominal Pain: Components Analysis of Four Treatment Protocols

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