title: Cognitive-behavioural treatment of recurrent abdominal pain in children: A primer for paediatricians.
abstract: 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.
authors.affiliation: Departments of Pediatrics and Psychology, Dalhousie University, Halifax, Nova Scotia.
authors.forename: Christine T
authors.initials: CT
authors.lastname: Chambers
authors.forename: Crystal
authors.initials: C
authors.lastname: Holly
authors.forename: Darby
authors.initials: D
authors.lastname: Eakins
references.citation: Arch Dis Child. 1958 Apr;33(168):165-70
references.pmid: 13534750
references.citation: J Pediatr. 1996 Aug;129(2):220-6
references.pmid: 8765619
references.citation: Pain. 2000 Jul;87(1):51-58
references.pmid: 10863045
references.citation: J Abnorm Psychol. 1993 May;102(2):248-58
references.pmid: 8315137
references.citation: J Pediatr Psychol. 1999 Apr;24(2):91-109
references.pmid: 10361386
references.citation: J Dev Behav Pediatr. 1999 Oct;20(5):307-13
references.pmid: 10533986
references.citation: Cochrane Database Syst Rev. 2002;(2):CD003019
references.pmid: 12076466
references.citation: J Pediatr Psychol. 1999 Apr;24(2):115-27
references.pmid: 10361390
references.citation: Cochrane Database Syst Rev. 2002;(1):CD003017
references.pmid: 11869650
references.citation: J Consult Clin Psychol. 1994 Apr;62(2):306-14
references.pmid: 8201068
references.citation: Pediatrics. 2003 Jan;111(1):e1-11
references.pmid: 12509588
references.citation: Gut. 1999 Sep;45 Suppl 2:II60-8
references.pmid: 10457047
references.citation: J Pediatr Gastroenterol Nutr. 2000 Jul;31(1):47-51
references.pmid: 10896070
references.citation: J Pediatr Gastroenterol Nutr. 2004 Aug;39(2):192-6
references.pmid: 15269627
references.citation: J Pediatr Psychol. 1994 Apr;19(2):241-53
references.pmid: 8051605
references.citation: J Consult Clin Psychol. 1989 Apr;57(2):294-300
references.pmid: 2708618
references.citation: Pain. 1991 Sep;46(3):247-264
references.pmid: 1758709
references.citation: Clin J Pain. 2000 Sep;16(3):229-35
references.pmid: 11014396
references.citation: J Pediatr Psychol. 1995 Apr;20(2):233-45
references.pmid: 7760222