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Development of the Aim to Decrease Anxiety and Pain Treatment for Pediatric Functional Abdominal Pain Disorders.

Natoshia R Cunningham1,2, Sarah Nelson1, Anjana Jagpal1

  • 1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.

Journal of Pediatric Gastroenterology and Nutrition
|September 15, 2017
PubMed
Summary
This summary is machine-generated.

The Aim to Decrease Anxiety and Pain Treatment (ADAPT) is a feasible and acceptable intervention for youth with functional abdominal pain disorders (FAPDs). This brief behavioral program helped participants manage pain and anxiety, showing potential for improved outcomes.

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Area of Science:

  • Pediatric Gastroenterology
  • Behavioral Therapy
  • Clinical Psychology

Background:

  • Functional abdominal pain disorders (FAPDs) are common in youth.
  • Pain and anxiety often co-occur in FAPDs, complicating treatment.
  • Existing interventions may not fully address the interplay of pain and anxiety.

Purpose of the Study:

  • To assess the feasibility and acceptability of the Aim to Decrease Anxiety and Pain Treatment (ADAPT) intervention.
  • To evaluate the preliminary effectiveness of ADAPT for youth with FAPDs.
  • To explore patient and caregiver experiences with the ADAPT program.

Main Methods:

  • Recruitment from pediatric gastroenterology clinics.
  • Nine participants (ages 9-13) completed the brief, online and in-person ADAPT intervention.
  • Qualitative feedback via semistructured interviews and quantitative outcome measures.

Main Results:

  • The ADAPT intervention was found to be feasible and acceptable for youth with FAPDs.
  • Treatment completers reported using learned skills to manage pain and anxiety.
  • A majority of participants showed reduced anxiety, with several reporting decreased pain and functional disability.

Conclusions:

  • Targeting both pain and anxiety may improve outcomes in youth with FAPDs.
  • ADAPT offers a potentially cost-effective and practical application of cognitive behavioral therapy.
  • The ADAPT intervention is a promising, innovative approach for improving outcomes in pediatric FAPDs.