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In this together: Parental experiences with internet-based cognitive behavioral therapy for childhood functional

Laura Amalie Poulsen Dam1,2, Stina Lou2,3, Eva Skovslund Nielsen1,2

  • 1Aarhus University Hospital Psychiatry, Denmark.

Journal of Health Psychology
|October 4, 2025
PubMed

Insights

Parents found internet-based cognitive behavioral therapy (ICBT) meaningful for their children's functional abdominal pain disorders. Despite challenges, parents navigated new roles and achieved a more balanced family life.

Area of Science:

  • Pediatric Psychology
  • Digital Health Interventions
  • Family Therapy

Background:

  • Internet-based cognitive behavioral therapy (ICBT) is increasingly utilized for pediatric functional abdominal pain disorders (FAPDs).
  • Limited research exists on parental experiences with ICBT for FAPDs.
  • Understanding parental perspectives is crucial for optimizing treatment delivery.

Purpose of the Study:

  • To explore parents' lived experiences receiving ICBT for their children's FAPDs.
  • To identify key themes related to parental understanding and role adjustment during ICBT.

Main Methods:

  • Qualitative study employing reflexive thematic analysis.
  • Semi-structured interviews conducted with 14 parents (from nine families).
  • Exploration of parental experiences with ICBT delivered alongside their children.

Main Results:

  • Parents' pre-existing beliefs about psychological factors influenced their acceptance of ICBT.
  • Two major themes emerged: 'Parental illness understanding' and 'Redefining various parental roles'.
  • Parents reported significant emotional challenges and role shifts, ultimately moving towards a more balanced family dynamic.

Conclusions:

  • Parental understanding of FAPDs impacts engagement with ICBT.
  • Navigating parental roles during ICBT can be demanding but leads to positive adaptation.
  • Integrating relatable narratives in parent programs can validate parental experiences and emotions.

Keywords:
cognitive behavioral therapyfunctional abdominal pain disorderinternet-based treatmentparental experiencesqualitative study

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