Related Experiment Video
Updated: Sep 12, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
Health Care Utilization Following Cognitive-Behavioral Therapy for Pediatric Abdominal Pain: A Randomized Clinical
Lauren M Fussner1, Samuel Vyortkin2, Steven J Pierce3
1Comprehensive Pediatric Psychology, LLC, Columbus, OH.
The Clinical Journal of Pain
|August 4, 2025
Summary
Cognitive behavioral therapy (CBT) may reduce healthcare use in pediatric Functional Abdominal Pain Disorder (FAPD). This study compared CBT (ADAPT) to treatment as usual (TAU), finding potential decreases in clinic and hospital visits for the CBT group.
Area of Science:
- Pediatric gastroenterology
- Child and adolescent psychiatry
- Behavioral health interventions
Background:
- Functional Abdominal Pain Disorder (FAPD) significantly impacts children's quality of life and incurs substantial healthcare utilization.
- Understanding the comparative effectiveness of different treatment modalities for FAPD is crucial for optimizing patient care and resource allocation.
Purpose of the Study:
- To assess and compare healthcare utilization (HCU) in pediatric patients with FAPD receiving cognitive behavioral therapy (CBT) versus treatment as usual (TAU).
- To evaluate the impact of the Aim to Decrease Anxiety and Pain Treatment (ADAPT), an evidence-based CBT intervention, on HCU metrics in youth with FAPD.
Main Methods:
- A randomized clinical trial assigned 78 pediatric patients (ages 9-14) with FAPD to either ADAPT (CBT) or TAU.
- Healthcare utilization was objectively measured via electronic medical records 12 months post-intervention, including outpatient GI and psychology/psychiatry visits, emergency department visits, and hospitalizations.
- Count regression models were employed to analyze the effect of ADAPT on HCU.
Main Results:
- Overall HCU for subspecialty and emergency services was low in the study sample.
- Participants receiving ADAPT (CBT) showed a potential trend towards fewer gastroenterology clinic visits (IRR=0.86), psychology/psychiatry visits (IRR=0.84), and hospitalizations (IRR=0.37) compared to the TAU group, although confidence intervals were wide.
Conclusions:
- Findings indicate potential variations in HCU between pediatric FAPD patients treated with CBT versus TAU.
- Further research is necessary to elucidate the impact of cognitive behavioral interventions on HCU in pediatric FAPD and related Disorders of Gut-Brain Interaction (DGBI).
Related Concept Videos
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
246
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
246
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
303
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
303
01:24Rational Emotive Behavior Therapy
111
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
111
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
162
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
162
01:25Cognitive Therapy
274
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
274
01:24Operant Conditioning Intervention
114
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
114