scholarly journals Engagement during a Mixed In-Person and Remotely Delivered Psychological Intervention for Youth with Functional Abdominal Pain Disorders and Anxiety

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 775
Author(s):  
Alaina K. Miller ◽  
Samantha L. Ely ◽  
Brittany N. Barber Garcia ◽  
Patricia Richardson ◽  
Natoshia R. Cunningham
Keyword(s):  
Abdominal Pain ◽  
Mental Health Problems ◽  
Pain Treatment ◽  
Psychological Intervention ◽  
Psychological Treatment ◽  
Behavioral Therapy ◽  
Functional Abdominal Pain ◽  
Participant Engagement ◽  
Psychological Therapies ◽  
Patterns Of Use

Functional abdominal pain disorders (FAPD) are common disabling pain conditions frequently associated with co-occurring mental health problems such as anxiety. Psychological therapies such as cognitive behavioral therapy (CBT) have been shown to be effective. Therefore, it is important to understand participant engagement (i.e., use of intervention tools) to such approaches, and if engagement impacts treatment response. The Aim to Decrease Anxiety and Pain Treatment (ADAPT) is an effective psychological treatment approach using a blend of in-person sessions and interventionist phone support with self-paced web modules to manage pain and anxiety. The current study used a mixed-methods approach to investigate micro-level and macro-level participant engagement during the ADAPT program. In-person/phone session attendance was high (>95%) although scheduling adjustments were common (25.5%). Varied levels of engagement with web tools were observed. Thematic analysis also revealed variability in patterns of use. Additionally, while participants indicated they generally understood how to use certain skills (e.g., problem solving, detective thinking), and these skills were effective in managing symptoms during treatment, these activities were generally underutilized. Further, participant engagement did not predict response to the ADAPT intervention. These findings are important as the demand for accessible psychotherapeutic tools to manage pain and anxiety is likely to remain high.

scholarly journals Cognitive-Behavioral Therapy for Children With Functional Abdominal Pain and Their Parents Decreases Pain and Other Symptoms

2010 ◽  
Vol 105 (4) ◽  
pp. 946-956 ◽  
Author(s):  
Rona L Levy ◽  
Shelby L Langer ◽  
Lynn S Walker ◽  
Joan M Romano ◽  
Dennis L Christie ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Functional Abdominal Pain

scholarly journals Using Implementation Intentions to Prevent Relapse after Psychological Treatment for Depression – the SMArT Intervention

2018 ◽  
Vol 46 (5) ◽  
pp. 626-632 ◽  
Author(s):  
Mike Lucock ◽  
Serena Bartys ◽  
Jade Cupac ◽  
Jaime Delgadillo ◽  
Charlotte Denton ◽  
...  
Keyword(s):  
Mental Health Problems ◽  
Psychological Treatment ◽  
Implementation Intentions ◽  
Significant Proportion ◽  
Complex Interventions ◽  
The Self ◽  
Self Management ◽  
Psychological Therapies ◽  
Management Interventions ◽  
Health Related

Background: It is recognized that a significant proportion of people with depression are prone to relapse, even after successful treatment, and that self-management interventions should be developed and provided. There is evidence that implementation intentions (IMPS) can be successfully applied to health-related behaviours but their application to self-management of mental health problems has been limited. Aims: This paper describes the design and initial evaluation of a Self-Management After Therapy (SMArT) intervention, which incorporated IMPS and followed psychological therapy for depression. We sought to assess the feasibility and acceptability of SMArT. Method: The SMArT intervention was designed with reference to the MRC guidance on developing and evaluating complex interventions and co-designed with and implemented in a UK Improving Access to Psychological Therapies (IAPT) service. Eleven patients who were in remission following treatment for depression received the SMArT intervention, provided by Psychological Wellbeing Practitioners (PWPs). The evaluation used routine IAPT outcome measures at each session, feedback from patients and PWPs, and analysis of the type of IMPS identified and their fidelity with the model. Six patients provided brief feedback about the intervention to an independent researcher. Results: Feedback from patients and PWPs suggested that the intervention was feasible, acceptable and could potentially help patients to stay well after therapy. Patients confirmed the value of setting their own goals in the form of IMPS, receiving support from PWPs and in some cases from partners, friends and family members. Conclusions: Implementation intentions are a promising approach to support the self-management of depression.

scholarly journals The Impact of Posttraumatic Stress Disorder on Clinical Presentation and Psychosocial Treatment Response in Youth with Functional Abdominal Pain Disorders: An Exploratory Study

Children ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. 56
Author(s):  
Sarah Nelson ◽  
Natoshia Cunningham
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Abdominal Pain ◽  
Posttraumatic Stress ◽  
Treatment Response ◽  
Psychosocial Functioning ◽  
Stress Disorder ◽  
Pain Treatment ◽  
Psychosocial Treatment ◽  
Functional Abdominal Pain ◽  
The Impact

Youth with functional abdominal pain disorders (FAPDs) may report high rates of trauma and/or posttraumatic stress disorder (PTSD), which could impact both physical and psychosocial functioning, in addition to psychosocial treatment response. The current study aimed to examine the rates of PTSD in a sample of 89 youth with FAPDs and examine the association between PTSD with physical and psychosocial functioning. The impact of PTSD on psychosocial treatment response in a subsample of youth with FAPDs was also explored. Participants were youth with FAPDs (ages 9–14) enrolled in a larger study examining the effect of a short-term pain and anxiety focused cognitive behavioral therapy (CBT) treatment (Aim to Decrease Anxiety and Pain Treatment (ADAPT)) for youth with FAPDs. Youth were administered a semi-structured diagnostic interview by a trained clinician to confirm the presence of psychological diagnoses, including PTSD. Measures of physical and psychosocial functioning were also completed. Results revealed a high rate of PTSD in youth with FAPDs with 12.4% meeting diagnostic criteria for the disorder. PTSD was associated with several indicators of increased psychosocial impairment and one indicator of physical impairment. Exploratory analyses revealed comorbid PTSD may impact response to a brief CBT intervention targeting pain and anxiety, but more rigorous controlled studies are needed.

scholarly journals Psychological Distress and Stressful Life Events in Pediatric Complex Regional Pain Syndrome

2015 ◽  
Vol 20 (4) ◽  
pp. 189-194 ◽  
Author(s):  
Julia Wager ◽  
Hannah Brehmer ◽  
Gerrit Hirschfeld ◽  
Boris Zernikow
Keyword(s):  
Abdominal Pain ◽  
Life Events ◽  
Stressful Life Events ◽  
Pain Treatment ◽  
Pain Syndrome ◽  
Stressful Life ◽  
Primary Headaches ◽  
Depression And Anxiety ◽  
Functional Abdominal Pain ◽  
Symptoms Of Depression

BACKGROUND: There is little knowledge regarding the association between psychological factors and complex regional pain syndrome (CRPS) in children. Specifically, it is not known which factors precipitate CRPS and which result from the ongoing painful disease.OBJECTIVES: To examine symptoms of depression and anxiety as well as the experience of stressful life events in children with CRPS compared with children with chronic primary headaches and functional abdominal pain.METHODS: A retrospective chart study examined children with CRPS (n=37) who received intensive inpatient pain treatment between 2004 and 2010. They were compared with two control groups (chronic primary headaches and functional abdominal pain; each n=37), who also received intensive inpatient pain treatment. Control groups were matched with the CRPS group with regard to admission date, age and sex. Groups were compared on symptoms of depression and anxiety as well as stressful life events.RESULTS: Children with CRPS reported lower anxiety and depression scores compared with children with abdominal pain. A higher number of stressful life events before and after the onset of the pain condition was observed for children with CRPS.CONCLUSIONS: Children with CRPS are not particularly prone to symptoms of anxiety or depression. Importantly, children with CRPS experienced more stressful life events than children with chronic headaches or abdominal pain. Prospective long-term studies are needed to further explore the potential role of stressful life events in the etiology of CRPS.

scholarly journals Development of the Aim to Decrease Anxiety and Pain Treatment for Pediatric Functional Abdominal Pain Disorders

2018 ◽  
Vol 66 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Natoshia R. Cunningham ◽  
Sarah Nelson ◽  
Anjana Jagpal ◽  
Erin Moorman ◽  
Michael Farrell ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Pain Treatment ◽  
Functional Abdominal Pain
Sign in / Sign up

Export Citation Format

Share Document