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Treatment of nonorganic recurrent abdominal pain: cognitive-behavioral family intervention

Marco Antônio Duarte1, Francisco José Penna, Eugênio Marcos Goulart Andrade

  • 1Department of Pediatrics, Faculty of Medicine, Federal University of Minas Gerais, Brazil. duartemm@terra.com.br

Journal of Pediatric Gastroenterology and Nutrition
|July 5, 2006
PubMed

Insights

Cognitive-behavioral family intervention significantly reduced the frequency of pain crises in children with nonorganic recurrent abdominal pain (RAP). General pediatricians successfully implemented this intervention, showing its practical applicability in managing childhood pain.

Area of Science:

  • Pediatric Gastroenterology
  • Behavioral Medicine
  • Clinical Psychology

Background:

  • Nonorganic recurrent abdominal pain (RAP) is a common condition in children, often causing significant distress.
  • Effective interventions for managing RAP crises are crucial for improving children's quality of life.
  • Cognitive-behavioral family intervention (CBFI) shows promise in addressing psychosomatic conditions.

Purpose of the Study:

  • To evaluate the efficacy of CBFI in treating pain crises in children with nonorganic RAP.
  • To assess the impact of CBFI on pain thresholds in affected children.
  • To determine if general pediatricians can effectively deliver CBFI.

Main Methods:

  • A randomized clinical trial involving 32 children (ages 5.1-13.9) with nonorganic RAP.
  • Intervention group (15 children) received standard pediatric care plus CBFI over 4 monthly sessions.
  • Control group (17 children) received only standard pediatric care. Pain frequency, intensity, and thresholds were measured.

Main Results:

  • The CBFI group showed a statistically significant reduction in the frequency of pain crises compared to the control group after the second, third, and fourth visits.
  • No significant differences were observed in pain intensity or pain thresholds between the groups.
  • The intervention was successfully delivered by general pediatricians.

Conclusions:

  • Cognitive-behavioral family intervention is effective in reducing the frequency of pain crises in children with nonorganic RAP.
  • General pediatricians can successfully implement CBFI, making it a viable treatment option.
  • Further research may explore its impact on pain intensity and thresholds.
Abstract

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