دورية أكاديمية
A systematic cognitive behavioral therapy approach for pediatric disorders of gut-brain interaction.
| العنوان: | A systematic cognitive behavioral therapy approach for pediatric disorders of gut-brain interaction. |
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| المؤلفون: | Chancey LP; Department of Outpatient Behavioral Health, Division and Mental Health and Well-Being, WakeMed Health and Hospitals, Raleigh, North Carolina, USA., Winnick JB; Department of Psychiatry and Behavioral Health, Geisinger Commonwealth School of Medicine, Danville, Pennsylvania, USA., Buzenski J; Department of Pediatrics, GI Division, Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia, USA., Winberry G; Department of Pediatric Gastroenterology, WakeMed Health and Hospitals, Raleigh, North Carolina, USA., Stiles A; Clinical Research Institute, WakeMed Health and Hospitals, Raleigh, North Carolina, USA., Zahka NE; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Williams SE; Department of Anesthesia, Stanford Medicine Children's Health, Menlo Park, California, USA. |
| المصدر: | Neurogastroenterology and motility [Neurogastroenterol Motil] 2024 Aug 04, pp. e14883. Date of Electronic Publication: 2024 Aug 04. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9432572 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2982 (Electronic) Linking ISSN: 13501925 NLM ISO Abbreviation: Neurogastroenterol Motil Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Osney Mead, Oxford, UK : Blackwell Scientific Publications, c1994- |
| مستخلص: | Objective: Cognitive Behavioral Therapy (CBT) for youth with Disorders of Gut-Brain Interaction (DGBIs) is effective; however, there are calls in the field to strengthen the evidence base and identify specific mechanisms of treatment that yield the most benefit for this patient population. A unique, systematic treatment approach of CBT with initial evidence for success for pediatric patients with DGBIs was evaluated to further demonstrate its clinical utility in this population. Methods: This was a retrospective study of 42 pediatric patients aged 11-17 years with DGBIs, who were diagnosed and referred for CBT by pediatric gastroenterology providers. Providers also completed a survey rating acceptability and effectiveness of CBT. The systematic CBT approach included 10 sessions delivered by a psychologist at an integrated Pediatric GI Clinic. Results: Review of 42 pediatric charts showed significant decreases in self-reported functional disability, abdominal pain, as well as depression and anxiety symptoms pre- to post-CBT completion. A moderation effect was observed where patients reporting higher levels of depressive symptoms and primary symptom of abdominal pain reported smaller reductions in functional impairment compared to those with lower levels of depression and primary symptom of nausea or vomiting. Pediatric Gastroenterology providers were satisfied with this psychological treatment approach. Conclusions: This study provides evidence for acceptability and effectiveness of implementation of a systematic CBT approach for pediatric DGBIs in an integrated GI clinic, as well as areas worthy of future research, including identifying the most important mechanisms of treatment and factors that influence treatment response. (© 2024 John Wiley & Sons Ltd.) |
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| فهرسة مساهمة: | Keywords: cognitive behavioral therapy; neurogastroenterology; pediatrics; disorders of gut‐brain interaction; somatic symptoms |
| تواريخ الأحداث: | Date Created: 20240805 Latest Revision: 20240805 |
| رمز التحديث: | 20240805 |
| DOI: | 10.1111/nmo.14883 |
| PMID: | 39099152 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1365-2982 |
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| DOI: | 10.1111/nmo.14883 |