A new method for the treatment of recurrent abdominal pain of prolonged negative stress origin.
OBJECTIVE
To test the hypothesis that psychological treatment given in combination with somatic treatment can relieve recurrent abdominal pain (RAP) of psychosomatic origin in childhood.


METHODS
Stomach Pain Clinic Group A, comprising 25 children receiving a combination of psychological treatment and physiotherapy given by two different persons and Stomach Pain Clinic Group B, comprising 23 children receiving physiotherapy only, were constituted in a randomized manner. Stomach Pain Clinic Group C, including 35 children receiving an integrated combination of psychological treatment and somatic treatment given by the same person was also constituted, as well as a reference group. Treatment outcome was measured by calculating a pain score and tender points (TP) score at inclusion and after 1 year.


RESULTS
The pain score after 1 year improved significantly in all four groups. Stomach Pain Clinic Groups A and B did not show any significant difference, but Stomach Pain Clinic C had a significantly better outcome than Stomach Pain Clinic Group B. Stomach Pain Clinic Groups A and C had a significant decrease in the TP score after 1 year. Pain scores and TP scores calculated for all Stomach Pain Clinic groups correlated significantly at follow-up after 1 year.


CONCLUSIONS
For children with psychosomatic RAP, a special method for integrated psychological and somatic treatment is probably effective. The results have to be confirmed in a randomized controlled study. These children have a special pattern of TPs related to their disorder, which diminishes with improvement in the disorder.
Alfvén
G
G
Paediatric Department, Huddinge Hospital, Stockholm, Sweden. gosta.alfven@karolinska.se
Lindstrom
A
A
D015746:Abdominal Pain / Q000523:psychology* / Q000628:therapy*; D000293:Adolescent; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008960:Models, Psychological; D018710:Pain Clinics; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000628:therapy*; D011613:Psychotherapy; D012008:Recurrence; D013315:Stress, Psychological / Q000150:complications* / Q000628:therapy*; D016896:Treatment Outcome