G Alfvén1, A Lindstrom. 1. Paediatric Department, Huddinge Hospital, Stockholm, Sweden. gosta.alfven@karolinska.se
Abstract
OBJECTIVE: To test the hypothesis that psychological treatment given in combination with somatic treatment can relieve recurrent abdominal pain (RAP) of psychosomatic origin in childhood. STUDY DESIGN: Stomach Pain Clinic Group A, comprising 25 children receiving a combination of psychological treatment and physiotherapy given by two different persons and Stomach Pain Clinic Group B, comprising 23 children receivingphysiotherapy only, were constituted in a randomized manner. Stomach Pain Clinic Group C, including 35 children receiving anintegrated combination of psychological treatment and somatic treatment given by the same person was also constituted, as well as a reference group. Treatment outcome was measured by calculating a pain score and tender points (TP) score at inclusion and after 1 year. RESULTS: The pain score after 1 year improved significantly in all four groups. Stomach Pain Clinic Groups A and B did not show any significant difference, but Stomach Pain Clinic C had a significantly better outcome than Stomach Pain Clinic Group B. Stomach Pain Clinic Groups A and C had a significant decrease in the TP score after 1 year. Pain scores and TP scores calculated for all Stomach Pain Clinic groups correlated significantly at follow-up after 1 year. CONCLUSION: For children with psychosomatic RAP, a special method for integrated psychological and somatic treatment is probably effective. The results have to be confirmed in a randomized controlled study. These children have a special pattern of TPs related to their disorder, which diminishes with improvement in the disorder.
RCT Entities:
OBJECTIVE: To test the hypothesis that psychological treatment given in combination with somatic treatment can relieve recurrent abdominal pain (RAP) of psychosomatic origin in childhood. STUDY DESIGN:Stomach Pain Clinic Group A, comprising 25 children receiving a combination of psychological treatment and physiotherapy given by two different persons and Stomach Pain Clinic Group B, comprising 23 children receiving physiotherapy only, were constituted in a randomized manner. Stomach Pain Clinic Group C, including 35 children receiving an integrated combination of psychological treatment and somatic treatment given by the same person was also constituted, as well as a reference group. Treatment outcome was measured by calculating a pain score and tender points (TP) score at inclusion and after 1 year. RESULTS: The pain score after 1 year improved significantly in all four groups. Stomach Pain Clinic Groups A and B did not show any significant difference, but Stomach Pain Clinic C had a significantly better outcome than Stomach Pain Clinic Group B. Stomach Pain Clinic Groups A and C had a significant decrease in the TP score after 1 year. Pain scores and TP scores calculated for all Stomach Pain Clinic groups correlated significantly at follow-up after 1 year. CONCLUSION: For children with psychosomatic RAP, a special method for integrated psychological and somatic treatment is probably effective. The results have to be confirmed in a randomized controlled study. These children have a special pattern of TPs related to their disorder, which diminishes with improvement in the disorder.
Authors: Christopher Eccleston; Tonya M Palermo; Amanda C de C Williams; Amy Lewandowski; Stephen Morley; Emma Fisher; Emily Law Journal: Cochrane Database Syst Rev Date: 2012-12-12
Authors: Emma Fisher; Lauren Heathcote; Tonya M Palermo; Amanda C de C Williams; Jennifer Lau; Christopher Eccleston Journal: J Pediatr Psychol Date: 2014-03-06
Authors: Christopher Eccleston; Tonya M Palermo; Amanda C de C Williams; Amy Lewandowski Holley; Stephen Morley; Emma Fisher; Emily Law Journal: Cochrane Database Syst Rev Date: 2014-05-05