Brief CBT for Pediatric Abdominal Pain and Anxiety

针对小儿腹痛和焦虑的简短 CBT

基本信息

批准号：
7487433
负责人：
John Vincent Campo
金额：
$ 18.95万
依托单位：
RESEARCH INST NATIONWIDE CHILDREN'S HOSP
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-21 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7487433
关键词：
Abdominal Pain Adherence Adolescent Affect Age Anxiety Anxiety Disorders Arts Behavior Therapy Behavioral Caring Child Childhood Clinical Clinical Trials Cognitive Comorbidity Condition Consensus Consumer Satisfaction Coping Behavior Diagnostic Disease Effectiveness Emotional Frequencies Future Gender Goals Health High Prevalence Impairment Intervention Investigation Link Manuals Measures Mediator of activation protein Medical Mental Depression Mental Health Mental disorders Nurses Outcome Pain Pain management Participant Phase Physicians Practice based research Primary Care Physician Primary Health Care Protocols documentation Psychotherapy Randomized Range Rate Recruitment Activity Recurrence Relative (related person)Research Research Support Score Site Somatoform Disorders Staging Symptoms Syndrome Telephone Testing Week Youth base biopsychosocial blind clinically significant coping depressive symptoms design dissemination trial follow-up functional disability impression indexing psychologic psychosocial response size success therapy development

项目摘要

DESCRIPTION (provided by applicant): The proposed study will develop and test brief cognitive behavioral psychotherapy (BCBT) for youth presenting with functional recurrent abdominal pain (RAP) and clinically significant anxiety symptoms in traditional medical settings. RAP is common and impairing, and is considered functional in the absence of explanatory physical disease. As such, RAP has been theorized to be due to emotional causes. Nearly 80% of children with functional RAP meet full diagnostic criteria for at least 1 anxiety disorder, with the remainder suffering depression or somatoform disorder. The proposed study focuses on the most prototypic presentation-RAP comorbid with anxiety. There is no consensus on best-practice interventions for RAP. CBT has shown promise for the pain associated with RAP, and there is evidence that CBT benefits pediatric anxiety. The proposed treatment development study will test BCBT adapted for success in medical settings by virtue of brevity, relative simplicity, a rationale linking physical complaints to behavioral interventions, and applicability to psychiatric comorbidity, with the goal of setting the stage for future effectiveness and dissemination trials. Over a 3 year period, 60 children and adolescents with functional RAP and anxiety between the ages of 7 and 16 years, inclusive, to 6 sessions of BCBT with 2 optional telephone "boosters" delivered over the 8 week treatment phase by a health coach or to usual care (UC) by the referring physician consisting of diagnostic explanation, reassurance and encouragement to return to usual activities. Outcomes will be assessed by an independent evaluator blind to participant status at 8 and 20 weeks following initial assessment. Primary outcomes will be global clinical improvement, abdominal pain, and anxiety. Depression, other somatic symptoms, and functional impairment will be assessed, and potential mediators and moderators of global treatment response will be secondarily examined, along with the acceptability and durability of BCBT.

描述（由申请人提供）：拟议的研究将开发和测试简短的认知行为心理治疗（BCBT），用于在传统医疗环境中表现出功能性复发性腹痛（RAP）和临床上显着的焦虑症状。 RAP是常见和损害的，并且在没有解释性物理疾病的情况下被认为是功能性的。因此，RAP被理论上是由于情感原因。功能性RAP的儿童中，近80％符合至少1种焦虑症的完整诊断标准，其余的患有抑郁症或躯体形式障碍。拟议的研究集中于最原型的表现说唱，并焦虑。关于说唱的最佳实践干预措施尚无共识。 CBT对与RAP相关的疼痛表现出了希望，并且有证据表明CBT会使小儿焦虑受益。拟议的治疗开发研究将测试BCBT，该BCBT因简洁，相对简单性，将身体投诉与行为干预措施联系起来的基本原理以及对精神病合并症的适用性，以确定未来有效性和传播试验的舞台。在3年的时间内，有60岁至16岁的功能性说唱和焦虑的60名儿童和青少年（包括在内的6年）中，举行了6次BCBT，由健康教练或8周的治疗阶段提供了2个可选的电话“助推器”。参考的常规护理（UC）包括诊断解释，放心和鼓励重返常规活动的医师。初步评估后的8和20周，将在第8和20周内对参与者身份的独立评估者评估结果。主要结果将是全球临床改善，腹痛和焦虑。将评估抑郁症，其他体细胞症状和功能障碍，并将检查全球治疗反应的潜在介体和主持人以及BCBT的可接受性和耐用性。