儿科胸痛的心理干预：制定与开放试验。
A psychological intervention for pediatric chest pain: development and open trial.
机构信息
Department of Psychology, Ben Gurion University of the Negev, Marcus Campus, Ohayon Behavioral Sciences Complex, Beer Sheva, Israel.
出版信息
J Dev Behav Pediatr. 2011 Feb-Mar;32(2):153-7. doi: 10.1097/DBP.0b013e318206d5aa.
OBJECTIVE
Noncardiac chest pain (NCCP) is a common and persistent problem for children and adolescents; typically there is no clear medical cause. To date, no psychological intervention has been studied for chest pain in a pediatric sample.
METHODS
(a) We developed a brief psychological treatment for chest pain and associated worry in children and adolescents with NCCP. This program includes psychoeducation, breathing retraining, cognitive coping strategies, and 1 session of parent education and coaching regarding the impact of reinforcement on pain and coping behaviors. (b) We treated 9 youngsters with chronic NCCP, assessing pain, somatization, disability, anxiety and depressive symptoms, and coping. Assessments were conducted before, after, and 6 months following treatment.
RESULTS
After treatment, there was a significant decrease in chest pain and somatization. Benefits were maintained at 6-month follow-up. There was no decrease in associated psychological symptoms.
CONCLUSIONS
A brief psychological treatment for pediatric NCCP is feasible to administer and may help alleviate symptoms of pediatric NCCP. Further study in a randomized trial is needed.
目的
非心因性胸痛（NCCP）是儿童和青少年常见且持续存在的问题；通常没有明确的医学原因。迄今为止，尚未针对儿科人群的胸痛研究过任何心理干预措施。
方法
（a）我们为患有 NCCP 的儿童和青少年开发了一种针对胸痛和相关担忧的简短心理治疗方法。该方案包括心理教育、呼吸训练、认知应对策略，以及 1 次针对父母的关于强化对疼痛和应对行为的影响的教育和辅导课程。（b）我们治疗了 9 名患有慢性 NCCP 的青少年，评估了疼痛、躯体化、残疾、焦虑和抑郁症状以及应对方式。在治疗前、治疗后和治疗后 6 个月进行评估。
结果
治疗后，胸痛和躯体化显著减轻。在 6 个月的随访中，疗效得到维持。相关心理症状没有减轻。
结论
针对儿童 NCCP 的简短心理治疗方法易于实施，可能有助于缓解儿童 NCCP 的症状。需要进行随机试验的进一步研究。
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