Acceptance-based interoceptive exposure for young children with functional abdominal pain.

Published

Journal Article

Functional abdominal pain (FAP) is a common childhood somatic complaint that contributes to impairment in daily functioning (e.g., school absences) and increases risk for chronic pain and psychiatric illness. Cognitive behavioral treatments for FAP target primarily older children (9 + years) and employ strategies to reduce a focus on pain. The experience of pain may be an opportunity to teach viscerally hypersensitive children to interpret the function of a variety of bodily signals (including those of hunger, emotions) thereby reducing fear of bodily sensations and facilitating emotion awareness and self-regulation. We designed and tested an interoceptive exposure treatment for younger children (5-9 years) with FAP. Assessments included diagnostic interviews, 14 days of daily pain monitoring, and questionnaires. Treatment involved 10 weekly appointments. Using cartoon characters to represent bodily sensations (e.g., Gassy Gus), children were trained to be "FBI agents" - Feeling and Body Investigators - who investigated sensations through exercises that provoked somatic experience. 24 parent-child dyads are reported. Pain (experience, distress, and interference) and negative affect demonstrated clinically meaningful and statistically significant change with effect sizes ranging from 0.48 to 71 for pain and from 0.38 to 0.61 for pain distress, total pain: X2 (1, n = 24) = 13.14, p < 0.0003. An intervention that helps children adopt a curious stance and focus on somatic symptoms reduces pain and may help lessen somatic fear generally. CLINICAL TRIAL REGISTRATION:NCT02075437.

Full Text

Duke Authors

Cited Authors

  • Zucker, N; Mauro, C; Craske, M; Wagner, HR; Datta, N; Hopkins, H; Caldwell, K; Kiridly, A; Marsan, S; Maslow, G; Mayer, E; Egger, H

Published Date

  • October 2017

Published In

Volume / Issue

  • 97 /

Start / End Page

  • 200 - 212

PubMed ID

  • 28826066

Pubmed Central ID

  • 28826066

Electronic International Standard Serial Number (EISSN)

  • 1873-622X

International Standard Serial Number (ISSN)

  • 0005-7967

Digital Object Identifier (DOI)

  • 10.1016/j.brat.2017.07.009

Language

  • eng