Cognitive-behavioural treatment of recurrent abdominal pain in children: A primer for paediatricians.
Recurrent abdominal pain (RAP) is a common childhood complaint for which pharmacological and dietary interventions have yielded mixed results. There is good evidence in support of psychological interventions, primarily cognitive-behavioural therapy (CBT), in treating RAP in children. The purpose of CBT is to facilitate effective coping in children and their parents and to alter environmental factors that may serve to reinforce pain behaviour in children. Unfortunately, many paediatricians are unaware of the value and role of cognitive-behavioural approaches in assisting children with RAP. This current review summarizes the data in support of CBT for RAP, describes common elements of a CBT program for RAP, and provides practical recommendations for paediatricians in their management of these patients.
Chambers
Christine T
CT
Departments of Pediatrics and Psychology, Dalhousie University, Halifax, Nova Scotia.
Holly
Crystal
C
Eakins
Darby
D
Arch Dis Child. 1958 Apr;33(168):165-70
13534750
J Pediatr. 1996 Aug;129(2):220-6
8765619
Pain. 2000 Jul;87(1):51-58
10863045
J Abnorm Psychol. 1993 May;102(2):248-58
8315137
J Pediatr Psychol. 1999 Apr;24(2):91-109
10361386
J Dev Behav Pediatr. 1999 Oct;20(5):307-13
10533986
Cochrane Database Syst Rev. 2002;(2):CD003019
12076466
J Pediatr Psychol. 1999 Apr;24(2):115-27
10361390
Cochrane Database Syst Rev. 2002;(1):CD003017
11869650
J Consult Clin Psychol. 1994 Apr;62(2):306-14
8201068
Pediatrics. 2003 Jan;111(1):e1-11
12509588
Gut. 1999 Sep;45 Suppl 2:II60-8
10457047
J Pediatr Gastroenterol Nutr. 2000 Jul;31(1):47-51
10896070
J Pediatr Gastroenterol Nutr. 2004 Aug;39(2):192-6
15269627
J Pediatr Psychol. 1994 Apr;19(2):241-53
8051605
J Consult Clin Psychol. 1989 Apr;57(2):294-300
2708618
Pain. 1991 Sep;46(3):247-264
1758709
Clin J Pain. 2000 Sep;16(3):229-35
11014396
J Pediatr Psychol. 1995 Apr;20(2):233-45
7760222