Behavioral Sciences, The Children's Mercy Hospital, Kansas City, MO 64108, USA.
J Pediatr Psychol. 2010 Sep;35(8):837-47. doi: 10.1093/jpepsy/jsq010. Epub 2010 Feb 25.
To conduct a pilot study examining whether adding biofeedback-assisted relaxation training (BART) to medication treatment results in better clinical outcomes than medication treatment alone for children with functional dyspepsia (FD) associated with duodenal eosinophilia, a subgroup of children with recurrent abdominal pain.
Twenty children were randomly assigned to receive a standardized medication treatment or medication plus 10 sessions of BART. Children and parents completed psychosocial functioning and quality of life measures at baseline, posttreatment, and 6 months. Children rated pain daily via PDA. Physicians provided biweekly assessments of clinical improvement.
Children receiving medication plus BART demonstrated better outcomes on pain intensity, duration of pain episodes, and clinical improvement than children receiving medication alone.
BART is a promising adjunctive treatment for pediatric FD associated with duodenal eosinophilia. Electronic daily diaries appear to be a useful approach to assessing changes in self-reported pain ratings in this population.
开展一项试点研究，考察对于伴有十二指肠嗜酸性粒细胞增多的功能性消化不良（FD）的儿童（该群体常反复发作腹痛），在药物治疗的基础上增加生物反馈辅助放松训练（BART）是否比单纯药物治疗能获得更好的临床结果。
将 20 名儿童随机分为接受标准化药物治疗或药物加 10 次 BART 治疗的两组。儿童及其家长在基线、治疗后和 6 个月时完成心理社会功能和生活质量的评估。儿童通过 PDA 每日记录疼痛情况。医生每两周评估一次临床改善情况。
与接受单纯药物治疗的儿童相比，接受药物加 BART 治疗的儿童疼痛强度、疼痛发作持续时间和临床改善情况更好。
BART 是一种有前途的儿童伴有十二指肠嗜酸性粒细胞增多的 FD 的辅助治疗方法。电子每日日记似乎是评估该人群自我报告疼痛评分变化的一种有用方法。
