Ganzevoort Ilse N, Van der Veen Adriëlla L, Alma Manna A, Karg Anja, Berger Marjolein Y, Holtman Gea A
Department of Primary and Long-Term Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Health Sciences, Applied Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Fam Pract. 2025 Aug 14;42(5). doi: 10.1093/fampra/cmaf066.
Hypnotherapy is an effective treatment for children with functional abdominal pain in secondary care. However, children usually present first to general practitioners (GPs) in Dutch primary care, and it is unknown how children, parents, and GPs perceive hypnotherapy in this setting.
To explore the perceptions of children, parents, and GPs about hypnotherapy in primary care for children with functional abdominal pain.
This is a qualitative study among Dutch children with functional abdominal pain, the parents of other children with functional abdominal pain, and GPs. Semi-structured interviews were conducted online. Interviews were recorded and transcribed verbatim. Data were analysed iteratively by thematic content analysis.
In total, 7 children, 8 parents, and 12 GPs participated. We identified three main themes: attitude to abdominal pain, therapeutic context, and societal constraints and considerations. The attitudes of children and parents to abdominal pain, including acceptance of pain as functional and coping behaviour, affected their expectations of hypnotherapy. Therapeutic context (e.g. the GP-patient relationship and expectations of an effect) and societal constraints and considerations (e.g. stigma and cost) regarding hypnotherapy affected the willingness of children, parents, and GPs to use hypnotherapy.
Despite controversy about its use, hypnotherapy for functional abdominal pain is considered as a treatment option in primary care. Attitudes of children and parents influenced their willingness to use hypnotherapy. Effective implementation requires good information about hypnotherapy, a good GP-patient relationship, and clear and reliable referral options for hypnotherapy.
在二级医疗保健中，催眠疗法是治疗功能性腹痛儿童的有效方法。然而，在荷兰初级医疗保健中，儿童通常首先会去看全科医生（GP），目前尚不清楚儿童、家长和全科医生在这种情况下对催眠疗法的看法。
探讨儿童、家长和全科医生对初级医疗保健中针对功能性腹痛儿童的催眠疗法的看法。
这是一项针对荷兰功能性腹痛儿童、其他功能性腹痛儿童的家长以及全科医生的定性研究。通过在线方式进行半结构化访谈。访谈进行录音并逐字转录。通过主题内容分析对数据进行迭代分析。
共有7名儿童、8名家长和12名全科医生参与。我们确定了三个主要主题：对腹痛的态度、治疗背景以及社会限制和考虑因素。儿童和家长对腹痛的态度，包括将疼痛视为功能性的并接受以及应对行为，影响了他们对催眠疗法的期望。催眠疗法的治疗背景（如全科医生与患者的关系以及对疗效的期望）以及社会限制和考虑因素（如耻辱感和成本）影响了儿童、家长和全科医生使用催眠疗法的意愿。
尽管关于催眠疗法的使用存在争议，但在初级医疗保健中，针对功能性腹痛的催眠疗法仍被视为一种治疗选择。儿童和家长的态度影响了他们使用催眠疗法的意愿。有效的实施需要关于催眠疗法的良好信息、良好的全科医生与患者关系以及明确可靠的催眠疗法转诊选择。
