Sanders M R, Rebgetz M, Morrison M, Bor W, Gordon A, Dadds M, Shepherd R
J Consult Clin Psychol. 1989 Apr;57(2):294-300. doi: 10.1037//0022-006x.57.2.294.
From 10% to 15% of school-aged children experience recurring abdominal pain. This study evaluated the efficacy of a cognitive-behavioral program for the treatment of nonspecific recurrent abdominal pain (RAP) using a controlled group design. The multicomponent treatment program consisted of differential reinforcement of well behavior, cognitive coping skills training, and various generalization enhancement procedures. Multiple measures of pain intensity and pain behavior were conducted, including children's self-monitoring, parent observation, teacher observation, and observation by independent observers. Results showed that both the experimental and the control groups reduced their levels of pain. However, the treated group improved more quickly, the effects generalized to the school setting, and a larger proportion of subjects were completely pain-free by 3-months follow-up (87.5% vs. 37.5%). There was no evidence for any negative side effects of treatment.
10%至15%的学龄儿童经历过反复腹痛。本研究采用对照组设计，评估了一项认知行为计划治疗非特异性反复腹痛（RAP）的疗效。多成分治疗计划包括对良好行为的差别强化、认知应对技能训练以及各种泛化增强程序。对疼痛强度和疼痛行为进行了多项测量，包括儿童自我监测、家长观察、教师观察以及独立观察者的观察。结果显示，实验组和对照组的疼痛水平均有所降低。然而，治疗组改善得更快，效果推广到了学校环境，并且在3个月的随访中，更大比例的受试者完全没有疼痛（87.5%对37.5%）。没有证据表明治疗有任何负面副作用。
