Journal of Pediatric Psychology Advance Access originally published online on February 23, 2005
Journal of Pediatric Psychology 2005 30(5):397-408; doi:10.1093/jpepsy/jsi063
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A Randomized Controlled Trial of a Cognitive-Behavioral Family Intervention for Pediatric Recurrent Abdominal Pain
1 The Children’s Hospital of Philadelphia, 2 Alfred I. duPont Hospital for Children, 3 University of Delaware, and 4 LaSalle University
All correspondence should be addressed to Paul M Robins, The Children’s Hospital of Philadelphia, Department of Psychology, 3405 Civic Center Blvd., CSH 15, Philadelphia, PA 19104. E-mail: robinsp{at}email.chop.edu
Received November 21, 2004; revisions received February 26, 2004, June 7, 2004, and August 3, 2004; accepted August 16, 2004
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.
Key words: recurrent abdominal pain; cognitive-behavioral intervention; children; adolescents; clinical trial; cost-benefit.
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