在社区儿童护理中适应儿童功能性腹痛的认知行为疗法:混合方法研究
Emma Ramsay Milford1,2, Sandra Buratti1, Natoshia R Cunningham3
1Department of Psychology, University of Gothenburg, Haraldsgatan 1, Gothenburg, 413 14, Sweden, 46 0708276061.
JMIR formative research
|August 20, 2025
概括
旨在减轻焦虑和疼痛治疗 (ADAPT) 计划显著降低了功能性腹痛障碍 (FAPD) 的儿童的功能障碍和疼痛强度. 参与者发现混合数字和实时形式有效,报告改善了日常运作和学校参与.
科学领域:
- 儿童胃肠病学
- 儿童心理学
- 数字卫生干预措施
背景情况:
- 在儿童中,功能性腹痛障碍和焦虑是常见的.
- 旨在减轻焦虑和疼痛治疗 (ADAPT) 是一种混合认知行为治疗方案.
- 一个文化适应的瑞典版本的ADAPT被开发为基于社区的儿科护理.
研究的目的:
- 评估瑞典FAPD早期干预的修改后的ADAPT计划.
- 评估治疗对疼痛和焦虑的影响.
- 探索参与者对干预的经验.
主要方法:
- 使用单臂前后测试和半结构面试的混合方法设计.
- 其中13名被诊断患有FAPD的儿童 (年龄为9-14岁).
- 与疼痛相关的功能障碍,疼痛强度和焦虑的定量分析;采访的定性主题分析.
主要成果:
- 与疼痛相关的功能障碍显著降低 (P=0.04,r=- 0.58) 和疼痛强度 (P=0.02,r=- 0.70).
- 46% 的患者在功能障碍方面取得了临床意义上的改善;33% 的患者在疼痛强度方面取得了改善.
- 质量分析显示混合形式的积极经验和改善日常运作,包括学校参与.
结论:
- 修改后的 ADAPT 计划显示了在瑞典社区儿科环境中作为早期干预的潜力.
- 积极的患者经验和定量结果表明可行性和益处.
- 需要对更大样本进行进一步的研究和长期跟踪,以确认有效性.
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