在互联网认知行为疗法期间儿科功能性腹部疼痛障碍的变化轨迹:单一案例实验研究
Eva Skovslund Nielsen1, Karen Kallesøe1, Maria Lalouni2
1Department of Child and Adolescent Psychiatry, Aarhus University Hospital Psychiatry, Palle Juul-Jensens Boulevard 175, 8200 Aarhus N, Denmark; Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 82, 8200 Aarhus N, Denmark.
The journal of pain
|April 27, 2025
概括
通过互联网提供的认知行为疗法 (ICBT) 有效地治疗年轻人的功能性腹痛障碍. 治疗效果因个体和年龄组而异,儿童和青少年表现出不同的症状变化时间表.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 行为治疗是一种行为疗法.
背景情况:
- 功能性腹痛障碍 (FAPD) 在年轻人中很常见,对日常生活产生重大影响.
- 互联网交付的认知行为疗法 (ICBT) 对FAPD有希望,但详细的治疗效果轨迹尚未得到充分理解.
研究的目的:
- 分析基于暴露的ICBT对儿童和青少年的FAPD治疗效果的轨迹和时间.
- 检查腹部症状和心理因素的变化,包括灾难化,避免和疼痛接受.
主要方法:
- 一个随机的多个基线单个病例实验设计被用于12名参与者 (6名儿童,6名青少年) 患有FAPD.
- 在基线,10周的ICBT (主要成分和重复暴露) 和3个月的随访期间进行了每日结果评估.
- 使用视觉分析,Tau-U效应大小和多层次建模来评估个人和团体层面的影响.
主要成果:
- 单独来看,ICBT通过随访减少了50%的参与者的腹部症状,随着不同的心理结果变化模式.
- 在群体层面,儿童和青少年在大多数结果中都观察到显著的改善,只有青少年接受疼痛的一个例外.
- 儿童在重复暴露阶段 (B2) 显示出显著的每日症状变化,而青少年则在主要治疗期间 (B1) 显示出更早的变化.
结论:
- 治疗师支持的ICBT对青少年的FAPD有效,表现出不同的个体和年龄相关的症状和心理改善轨迹.
- 了解这些不同的轨迹和变化的时间可以为临床实践提供信息,并完善儿科FAPD的ICBT协议.
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