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A psychological intervention for pediatric chest pain: development and open trial
Joshua D Lipsitz1, Merav Gur, Anne Marie Albano
1Department of Psychology, Ben Gurion University of the Negev, Marcus Campus, Ohayon Behavioral Sciences Complex, Beer Sheva, Israel. joshual@bgu.ac.il
Objective:
Noncardiac chest pain (NCCP) is a common and persistent problem for children and adolescents; typically there is no clear medical cause. To date, no psychological intervention has been studied for chest pain in a pediatric sample.
Methods:
(a) We developed a brief psychological treatment for chest pain and associated worry in children and adolescents with NCCP. This program includes psychoeducation, breathing retraining, cognitive coping strategies, and 1 session of parent education and coaching regarding the impact of reinforcement on pain and coping behaviors. (b) We treated 9 youngsters with chronic NCCP, assessing pain, somatization, disability, anxiety and depressive symptoms, and coping. Assessments were conducted before, after, and 6 months following treatment.
Results:
After treatment, there was a significant decrease in chest pain and somatization. Benefits were maintained at 6-month follow-up. There was no decrease in associated psychological symptoms.
Conclusions:
A brief psychological treatment for pediatric NCCP is feasible to administer and may help alleviate symptoms of pediatric NCCP. Further study in a randomized trial is needed.
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