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Effect of cognitive-behavior therapy for children with functional abdominal pain: a meta-analysis

Xiaolan Huang1, Nan Jia1, Yan Zhang2

  • 1Experiment center, Capital Institute of Pediatrics, Beijing, China.

BMC Gastroenterology
|February 3, 2024
PubMed

Insights

Cognitive-Behavior Therapy (CBT) significantly reduces functional disability and pain intensity in children with functional abdominal pain (FAP). This therapy also improves quality of life, offering a valuable non-pharmacological treatment option.

Area of Science:

  • Pediatric gastroenterology
  • Clinical psychology
  • Evidence-based medicine

Background:

  • Functional abdominal pain (FAP) is a common condition in children.
  • Cognitive-Behavior Therapy (CBT) is a validated non-pharmacological treatment for chronic pain.
  • Previous studies suggested CBT's comparable efficacy to usual care for pediatric FAP.

Approach:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs) up to October 2022.
  • Included various CBT delivery methods (in-person, web-based, phone-based).
  • Synthesized results using weighted and standardized mean differences with 95% confidence intervals.

Key Points:

  • CBT significantly reduced functional disability (SMD=-2.282) and pain intensity (SMD=-0.594) in children with FAP.
  • CBT led to significant improvements in quality of life (SMD=14.097).
  • No significant differences were found in depression, anxiety, or gastrointestinal symptoms compared to usual care.

Conclusions:

  • CBT demonstrates significant benefits in reducing functional disability and pain intensity in pediatric FAP.
  • The findings support CBT as a promising therapeutic approach for children with FAP.
  • Further research is warranted to explore CBT's full potential in managing pediatric functional abdominal pain.
Abstract

Keywords:
ChildrenCognitive-behavior therapyFunctional abdominal painMeta-analysis

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