心理治疗对儿童复发性腹痛的影响——一项荟萃分析。

Effects of psychological treatment on recurrent abdominal pain in children - a meta-analysis.

机构信息

University Hospital Marburg and Gießen, Department for Child and Adolescent Psychiatry/Psychotherapy, Schützenstraße 49, D-35039 Marburg, Germany.

出版信息

Clin Psychol Rev. 2011 Nov;31(7):1192-7. doi: 10.1016/j.cpr.2011.07.010. Epub 2011 Aug 2.

DOI:10.1016/j.cpr.2011.07.010

PMID:21871242

Abstract

Recurrent abdominal pain in children has a high prevalence, thought to be about 10%. Untreated, there is a high risk that the symptoms become chronic and may lead in some cases to co-morbid mental disorders. Evidence-based treatments are therefore urgently needed. The objective of this study was to examine the effectiveness of psychological therapies for pain reduction in children with recurrent abdominal pain (RAP) by a meta-analysis of intervention studies. Ten controlled studies fulfilling minimum methodical criteria were included. The results of the analysis showed that psychological therapies, mainly cognitive-behavioural, have a moderate effect on the reduction of pain in children with RAP. After analysing homogeneity and significance with the fixed effect model, the medium effect size, calculated with Hedges g, was 0.58 (σ=0.16), demonstrating highly significant (p<.01) effects. The study showed that psychological therapies are effective in treating children with chronic abdominal pain. The empirical basis in this field needs to be broadened.

摘要

儿童反复发作性腹痛的患病率较高，据估计约为 10%。如果未经治疗，这些症状很可能会变成慢性腹痛，并在某些情况下导致并发精神障碍。因此，迫切需要基于证据的治疗方法。本研究的目的是通过对干预研究进行荟萃分析，来检验心理疗法对减少儿童反复发作性腹痛（RAP）的有效性。符合最低方法学标准的 10 项对照研究被纳入分析。分析结果表明，主要是认知行为疗法的心理疗法对减轻 RAP 儿童的疼痛有中度效果。通过固定效应模型分析同质性和显著性后，用 Hedges g 计算出的中等效应大小为 0.58（σ=0.16），表明具有高度显著（p<.01）的效果。该研究表明，心理疗法对治疗慢性腹痛的儿童有效。该领域的实证基础需要进一步扩大。