van Tilburg Miranda A L, Chitkara Denesh K, Palsson Olafur S, Turner Marsha, Blois-Martin Nanette, Ulshen Martin, Whitehead William E
Center for Functional Gastrointestinal and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Pediatrics. 2009 Nov;124(5):e890-7. doi: 10.1542/peds.2009-0028. Epub 2009 Oct 12.
This study was designed to develop and to test a home-based, guided imagery treatment protocol, using audio and video recordings, that is easy for health care professionals and patients to use, is inexpensive, and is applicable to a wide range of health care settings.
Thirty-four children, 6 to 15 years of age, with a physician diagnosis of functional abdominal pain were assigned randomly to receive 2 months of standard medical care with or without home-based, guided imagery treatment. Children who received only standard medical care initially received guided imagery treatment after 2 months. Children were monitored for 6 months after completion of guided imagery treatment.
All treatment materials were reported to be self-explanatory, enjoyable, and easy to understand and to use. The compliance rate was 98.5%. In an intention-to-treat analysis, 63.1% of children in the guided imagery treatment group were treatment responders, compared with 26.7% in the standard medical care-only group (P = .03; number needed to treat: 3). Per-protocol analysis showed similar results (73.3% vs 28.6% responders). When the children in the standard medical care group also received guided imagery treatment, 61.5% became treatment responders. Treatment effects were maintained for 6 months (62.5% responders).
Guided imagery treatment plus medical care was superior to standard medical care only for the treatment of abdominal pain, and treatment effects were sustained over a long period.
本研究旨在开发并测试一种基于家庭的、使用音频和视频记录的引导式意象治疗方案，该方案便于医护人员和患者使用，成本低廉，适用于广泛的医疗环境。
34名年龄在6至15岁之间、经医生诊断为功能性腹痛的儿童被随机分配接受为期2个月的标准医疗护理，部分儿童同时接受或不接受基于家庭的引导式意象治疗。最初仅接受标准医疗护理的儿童在2个月后接受引导式意象治疗。引导式意象治疗结束后，对儿童进行6个月的监测。
据报告，所有治疗材料都易于理解、有趣且易于使用。依从率为98.5%。在意向性分析中，引导式意象治疗组63.1%的儿童为治疗反应者，而仅接受标准医疗护理组的这一比例为26.7%（P = 0.03；治疗所需人数：3）。符合方案分析显示了相似的结果（反应者比例分别为73.3%和28.6%）。当标准医疗护理组的儿童也接受引导式意象治疗时，61.5%的儿童成为治疗反应者。治疗效果维持了6个月（反应者比例为62.5%）。
引导式意象治疗加医疗护理在治疗腹痛方面优于单纯的标准医疗护理，且治疗效果能长期维持。
