Brief telephone-delivered cognitive behavioral therapy targeted to parents of children with functional abdominal pain

A randomized controlled trial

Rona L. Levy, Shelby Langer, Miranda A.L. Van Tilburg, Joan M. Romano, Tasha B. Murphy, Lynn S. Walker, Lloyd A. Mancl, Robyn L. Claar, Melissa M. DuPen, William E. Whitehead, Bisher Abdullah, Kimberly S. Swanson, Melissa D. Baker, Susan A. Stoner, Dennis L. Christie, Andrew D. Feld

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Pediatric functional abdominal pain disorders (FAPDs) are associated with increased health care utilization, school absences, and poor quality of life (QoL). Cost-effective and accessible interventions are needed. This multisite study tested the effects of a 3-session cognitive behavioral intervention delivered to parents, in-person or remotely, on the primary outcome of pain severity and secondary outcomes (process measures) of parental solicitousness, pain beliefs, catastrophizing, and child-reported coping. Additional outcomes hypothesized a priori and assessed included functional disability, QoL, pain behavior, school absences, health care utilization, and gastrointestinal symptoms. The study was prospective and longitudinal (baseline and 3 and 6 months' follow-up) with 3 randomized conditions: social learning and cognitive behavioral therapy in-person (SLCBT) or by phone (SLCBT-R) and education and support condition by phone (ES-R). Participants were children aged 7 to 12 years with FAPD and their parents (N = 316 dyads). Although no significant treatment effect for pain severity was found, the SLCBT groups showed significantly greater improvements compared with controls on process measures of parental solicitousness, pain beliefs, and catastrophizing, and additional outcomes of parent-reported functional disability, pain behaviors, child health care visits for abdominal pain, and (remote condition only) QoL and missed school days. No effects were found for parent and child-reported gastrointestinal symptoms, or child-reported QoL or coping. These findings suggest that for children with FAPD, a brief phone SLCBT for parents can be similarly effective as in-person SLCBT in changing parent responses and improving outcomes, if not reported pain and symptom report, compared with a control condition.

Original languageEnglish (US)
Pages (from-to)618-628
Number of pages11
JournalPain
Volume158
Issue number4
DOIs
StatePublished - Apr 1 2017

Fingerprint

Cognitive Therapy
Telephone
Abdominal Pain
Randomized Controlled Trials
Parents
Somatoform Disorders
Pain
Patient Acceptance of Health Care
Quality of Life
Catastrophization
Process Assessment (Health Care)
School Health Services
Child Care
Longitudinal Studies
Outcome Assessment (Health Care)
Social Learning
Prospective Studies
Pediatrics
Delivery of Health Care
Education

Keywords

  • Abdominal pain
  • Children
  • Chronic pain
  • Cognitive behavioral therapy
  • Function
  • Parents
  • Pediatric
  • Psychological treatment
  • Randomized controlled trial
  • Social learning

ASJC Scopus subject areas

  • Pharmacology
  • Neurology
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Brief telephone-delivered cognitive behavioral therapy targeted to parents of children with functional abdominal pain : A randomized controlled trial. / Levy, Rona L.; Langer, Shelby; Van Tilburg, Miranda A.L.; Romano, Joan M.; Murphy, Tasha B.; Walker, Lynn S.; Mancl, Lloyd A.; Claar, Robyn L.; DuPen, Melissa M.; Whitehead, William E.; Abdullah, Bisher; Swanson, Kimberly S.; Baker, Melissa D.; Stoner, Susan A.; Christie, Dennis L.; Feld, Andrew D.

In: Pain, Vol. 158, No. 4, 01.04.2017, p. 618-628.

Research output: Contribution to journalArticle

Levy, RL, Langer, S, Van Tilburg, MAL, Romano, JM, Murphy, TB, Walker, LS, Mancl, LA, Claar, RL, DuPen, MM, Whitehead, WE, Abdullah, B, Swanson, KS, Baker, MD, Stoner, SA, Christie, DL & Feld, AD 2017, 'Brief telephone-delivered cognitive behavioral therapy targeted to parents of children with functional abdominal pain: A randomized controlled trial', Pain, vol. 158, no. 4, pp. 618-628. https://doi.org/10.1097/j.pain.0000000000000800
Levy, Rona L. ; Langer, Shelby ; Van Tilburg, Miranda A.L. ; Romano, Joan M. ; Murphy, Tasha B. ; Walker, Lynn S. ; Mancl, Lloyd A. ; Claar, Robyn L. ; DuPen, Melissa M. ; Whitehead, William E. ; Abdullah, Bisher ; Swanson, Kimberly S. ; Baker, Melissa D. ; Stoner, Susan A. ; Christie, Dennis L. ; Feld, Andrew D. / Brief telephone-delivered cognitive behavioral therapy targeted to parents of children with functional abdominal pain : A randomized controlled trial. In: Pain. 2017 ; Vol. 158, No. 4. pp. 618-628.
@article{f70dc337159b401badd683a9ce58dc63,
title = "Brief telephone-delivered cognitive behavioral therapy targeted to parents of children with functional abdominal pain: A randomized controlled trial",
abstract = "Pediatric functional abdominal pain disorders (FAPDs) are associated with increased health care utilization, school absences, and poor quality of life (QoL). Cost-effective and accessible interventions are needed. This multisite study tested the effects of a 3-session cognitive behavioral intervention delivered to parents, in-person or remotely, on the primary outcome of pain severity and secondary outcomes (process measures) of parental solicitousness, pain beliefs, catastrophizing, and child-reported coping. Additional outcomes hypothesized a priori and assessed included functional disability, QoL, pain behavior, school absences, health care utilization, and gastrointestinal symptoms. The study was prospective and longitudinal (baseline and 3 and 6 months' follow-up) with 3 randomized conditions: social learning and cognitive behavioral therapy in-person (SLCBT) or by phone (SLCBT-R) and education and support condition by phone (ES-R). Participants were children aged 7 to 12 years with FAPD and their parents (N = 316 dyads). Although no significant treatment effect for pain severity was found, the SLCBT groups showed significantly greater improvements compared with controls on process measures of parental solicitousness, pain beliefs, and catastrophizing, and additional outcomes of parent-reported functional disability, pain behaviors, child health care visits for abdominal pain, and (remote condition only) QoL and missed school days. No effects were found for parent and child-reported gastrointestinal symptoms, or child-reported QoL or coping. These findings suggest that for children with FAPD, a brief phone SLCBT for parents can be similarly effective as in-person SLCBT in changing parent responses and improving outcomes, if not reported pain and symptom report, compared with a control condition.",
keywords = "Abdominal pain, Children, Chronic pain, Cognitive behavioral therapy, Function, Parents, Pediatric, Psychological treatment, Randomized controlled trial, Social learning",
author = "Levy, {Rona L.} and Shelby Langer and {Van Tilburg}, {Miranda A.L.} and Romano, {Joan M.} and Murphy, {Tasha B.} and Walker, {Lynn S.} and Mancl, {Lloyd A.} and Claar, {Robyn L.} and DuPen, {Melissa M.} and Whitehead, {William E.} and Bisher Abdullah and Swanson, {Kimberly S.} and Baker, {Melissa D.} and Stoner, {Susan A.} and Christie, {Dennis L.} and Feld, {Andrew D.}",
year = "2017",
month = "4",
day = "1",
doi = "10.1097/j.pain.0000000000000800",
language = "English (US)",
volume = "158",
pages = "618--628",
journal = "Pain",
issn = "0304-3959",
publisher = "Elsevier",
number = "4",

}

TY - JOUR

T1 - Brief telephone-delivered cognitive behavioral therapy targeted to parents of children with functional abdominal pain

T2 - A randomized controlled trial

AU - Levy, Rona L.

AU - Langer, Shelby

AU - Van Tilburg, Miranda A.L.

AU - Romano, Joan M.

AU - Murphy, Tasha B.

AU - Walker, Lynn S.

AU - Mancl, Lloyd A.

AU - Claar, Robyn L.

AU - DuPen, Melissa M.

AU - Whitehead, William E.

AU - Abdullah, Bisher

AU - Swanson, Kimberly S.

AU - Baker, Melissa D.

AU - Stoner, Susan A.

AU - Christie, Dennis L.

AU - Feld, Andrew D.

PY - 2017/4/1

Y1 - 2017/4/1

N2 - Pediatric functional abdominal pain disorders (FAPDs) are associated with increased health care utilization, school absences, and poor quality of life (QoL). Cost-effective and accessible interventions are needed. This multisite study tested the effects of a 3-session cognitive behavioral intervention delivered to parents, in-person or remotely, on the primary outcome of pain severity and secondary outcomes (process measures) of parental solicitousness, pain beliefs, catastrophizing, and child-reported coping. Additional outcomes hypothesized a priori and assessed included functional disability, QoL, pain behavior, school absences, health care utilization, and gastrointestinal symptoms. The study was prospective and longitudinal (baseline and 3 and 6 months' follow-up) with 3 randomized conditions: social learning and cognitive behavioral therapy in-person (SLCBT) or by phone (SLCBT-R) and education and support condition by phone (ES-R). Participants were children aged 7 to 12 years with FAPD and their parents (N = 316 dyads). Although no significant treatment effect for pain severity was found, the SLCBT groups showed significantly greater improvements compared with controls on process measures of parental solicitousness, pain beliefs, and catastrophizing, and additional outcomes of parent-reported functional disability, pain behaviors, child health care visits for abdominal pain, and (remote condition only) QoL and missed school days. No effects were found for parent and child-reported gastrointestinal symptoms, or child-reported QoL or coping. These findings suggest that for children with FAPD, a brief phone SLCBT for parents can be similarly effective as in-person SLCBT in changing parent responses and improving outcomes, if not reported pain and symptom report, compared with a control condition.

AB - Pediatric functional abdominal pain disorders (FAPDs) are associated with increased health care utilization, school absences, and poor quality of life (QoL). Cost-effective and accessible interventions are needed. This multisite study tested the effects of a 3-session cognitive behavioral intervention delivered to parents, in-person or remotely, on the primary outcome of pain severity and secondary outcomes (process measures) of parental solicitousness, pain beliefs, catastrophizing, and child-reported coping. Additional outcomes hypothesized a priori and assessed included functional disability, QoL, pain behavior, school absences, health care utilization, and gastrointestinal symptoms. The study was prospective and longitudinal (baseline and 3 and 6 months' follow-up) with 3 randomized conditions: social learning and cognitive behavioral therapy in-person (SLCBT) or by phone (SLCBT-R) and education and support condition by phone (ES-R). Participants were children aged 7 to 12 years with FAPD and their parents (N = 316 dyads). Although no significant treatment effect for pain severity was found, the SLCBT groups showed significantly greater improvements compared with controls on process measures of parental solicitousness, pain beliefs, and catastrophizing, and additional outcomes of parent-reported functional disability, pain behaviors, child health care visits for abdominal pain, and (remote condition only) QoL and missed school days. No effects were found for parent and child-reported gastrointestinal symptoms, or child-reported QoL or coping. These findings suggest that for children with FAPD, a brief phone SLCBT for parents can be similarly effective as in-person SLCBT in changing parent responses and improving outcomes, if not reported pain and symptom report, compared with a control condition.

KW - Abdominal pain

KW - Children

KW - Chronic pain

KW - Cognitive behavioral therapy

KW - Function

KW - Parents

KW - Pediatric

KW - Psychological treatment

KW - Randomized controlled trial

KW - Social learning

UR - http://www.scopus.com/inward/record.url?scp=85018178379&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85018178379&partnerID=8YFLogxK

U2 - 10.1097/j.pain.0000000000000800

DO - 10.1097/j.pain.0000000000000800

M3 - Article

VL - 158

SP - 618

EP - 628

JO - Pain

JF - Pain

SN - 0304-3959

IS - 4

ER -