title: A pilot study to assess the efficacy of biofeedback-assisted relaxation training as an adjunct treatment for pediatric functional dyspepsia associated with duodenal eosinophilia.
abstract: OBJECTIVE
  To conduct a pilot study examining whether adding biofeedback-assisted relaxation training (BART) to medication treatment results in better clinical outcomes than medication treatment alone for children with functional dyspepsia (FD) associated with duodenal eosinophilia, a subgroup of children with recurrent abdominal pain.
  
  
  METHODS
  Twenty children were randomly assigned to receive a standardized medication treatment or medication plus 10 sessions of BART. Children and parents completed psychosocial functioning and quality of life measures at baseline, posttreatment, and 6 months. Children rated pain daily via PDA. Physicians provided biweekly assessments of clinical improvement.
  
  
  RESULTS
  Children receiving medication plus BART demonstrated better outcomes on pain intensity, duration of pain episodes, and clinical improvement than children receiving medication alone.
  
  
  CONCLUSIONS
  BART is a promising adjunctive treatment for pediatric FD associated with duodenal eosinophilia. Electronic daily diaries appear to be a useful approach to assessing changes in self-reported pain ratings in this population.
authors.affiliation: Behavioral Sciences, The Children's Mercy Hospital, Kansas City, MO 64108, USA. jschurman@cmh.edu
authors.forename: Jennifer V
authors.initials: JV
authors.lastname: Schurman
authors.forename: Yelena P
authors.initials: YP
authors.lastname: Wu
authors.forename: Paula
authors.initials: P
authors.lastname: Grayson
authors.forename: Craig A
authors.initials: CA
authors.lastname: Friesen
mesh_terms: D015746:Abdominal Pain / Q000628:therapy; D000293:Adolescent; D000704:Analysis of Variance; D001676:Biofeedback, Psychology / Q000379:methods*; D002648:Child; D003131:Combined Modality Therapy; D004378:Duodenal Diseases / Q000150:complications / Q000628:therapy*; D004415:Dyspepsia / Q000150:complications / Q000628:therapy*; D004802:Eosinophilia / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement; D010865:Pilot Projects; D011788:Quality of Life; D012064:Relaxation Therapy / Q000379:methods*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome