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Pain Neuroscience Education for Children with Functional Abdominal Pain Disorders: A Randomized Comparative Pilot Study

This article explores the effectiveness of a newly developed Pain Neuroscience Education program for children (PNE4Kids) with functional abdominal pain disorder (FAPD). Children (6–12 years) with FAPD were randomly assigned to 1) the experimental group (n = 14), participating in one hypnotherapy ses...

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Autores principales: Pas, Roselien, Rheel, Emma, Van Oosterwijck, Sophie, Foubert, Anthe, De Pauw, Robby, Leysen, Laurence, Roete, Ann, Nijs, Jo, Meeus, Mira, Ickmans, Kelly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356615/
https://www.ncbi.nlm.nih.gov/pubmed/32526929
http://dx.doi.org/10.3390/jcm9061797
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author Pas, Roselien
Rheel, Emma
Van Oosterwijck, Sophie
Foubert, Anthe
De Pauw, Robby
Leysen, Laurence
Roete, Ann
Nijs, Jo
Meeus, Mira
Ickmans, Kelly
author_facet Pas, Roselien
Rheel, Emma
Van Oosterwijck, Sophie
Foubert, Anthe
De Pauw, Robby
Leysen, Laurence
Roete, Ann
Nijs, Jo
Meeus, Mira
Ickmans, Kelly
author_sort Pas, Roselien
collection PubMed
description This article explores the effectiveness of a newly developed Pain Neuroscience Education program for children (PNE4Kids) with functional abdominal pain disorder (FAPD). Children (6–12 years) with FAPD were randomly assigned to 1) the experimental group (n = 14), participating in one hypnotherapy session (i.e., usual care) and one additional PNE4Kids session, or 2) the control group (n = 14), participating in two hypnotherapy sessions. Parental pain catastrophizing, the child’s functional disability (parental-proxy), pain-related fear (parent-proxy) and pain intensity, were assessed at baseline and one and three weeks after each therapy session. Pressure algometry and a conditioned pain modulation paradigm were performed at baseline and three weeks after completion of the last therapy session. Parents from both the experimental as well as the control group showed significantly less parental pain catastrophizing (p < 0.01). Children showed significantly less functional disability (p < 0.05), pain-related fear (p < 0.01) and local pressure pain sensitivity (p < 0.05) at short-term follow-up (three weeks after last intervention) in both groups. No significant (p > 0.05) between-group differences were found. Hypnotherapy combined with PNE4Kids did not result in better clinical outcomes compared to hypnotherapy alone. Study limitations include the application of one single PNE4Kids session and the short follow-up time.
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spelling pubmed-73566152020-07-22 Pain Neuroscience Education for Children with Functional Abdominal Pain Disorders: A Randomized Comparative Pilot Study Pas, Roselien Rheel, Emma Van Oosterwijck, Sophie Foubert, Anthe De Pauw, Robby Leysen, Laurence Roete, Ann Nijs, Jo Meeus, Mira Ickmans, Kelly J Clin Med Article This article explores the effectiveness of a newly developed Pain Neuroscience Education program for children (PNE4Kids) with functional abdominal pain disorder (FAPD). Children (6–12 years) with FAPD were randomly assigned to 1) the experimental group (n = 14), participating in one hypnotherapy session (i.e., usual care) and one additional PNE4Kids session, or 2) the control group (n = 14), participating in two hypnotherapy sessions. Parental pain catastrophizing, the child’s functional disability (parental-proxy), pain-related fear (parent-proxy) and pain intensity, were assessed at baseline and one and three weeks after each therapy session. Pressure algometry and a conditioned pain modulation paradigm were performed at baseline and three weeks after completion of the last therapy session. Parents from both the experimental as well as the control group showed significantly less parental pain catastrophizing (p < 0.01). Children showed significantly less functional disability (p < 0.05), pain-related fear (p < 0.01) and local pressure pain sensitivity (p < 0.05) at short-term follow-up (three weeks after last intervention) in both groups. No significant (p > 0.05) between-group differences were found. Hypnotherapy combined with PNE4Kids did not result in better clinical outcomes compared to hypnotherapy alone. Study limitations include the application of one single PNE4Kids session and the short follow-up time. MDPI 2020-06-09 /pmc/articles/PMC7356615/ /pubmed/32526929 http://dx.doi.org/10.3390/jcm9061797 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pas, Roselien
Rheel, Emma
Van Oosterwijck, Sophie
Foubert, Anthe
De Pauw, Robby
Leysen, Laurence
Roete, Ann
Nijs, Jo
Meeus, Mira
Ickmans, Kelly
Pain Neuroscience Education for Children with Functional Abdominal Pain Disorders: A Randomized Comparative Pilot Study
title Pain Neuroscience Education for Children with Functional Abdominal Pain Disorders: A Randomized Comparative Pilot Study
title_full Pain Neuroscience Education for Children with Functional Abdominal Pain Disorders: A Randomized Comparative Pilot Study
title_fullStr Pain Neuroscience Education for Children with Functional Abdominal Pain Disorders: A Randomized Comparative Pilot Study
title_full_unstemmed Pain Neuroscience Education for Children with Functional Abdominal Pain Disorders: A Randomized Comparative Pilot Study
title_short Pain Neuroscience Education for Children with Functional Abdominal Pain Disorders: A Randomized Comparative Pilot Study
title_sort pain neuroscience education for children with functional abdominal pain disorders: a randomized comparative pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356615/
https://www.ncbi.nlm.nih.gov/pubmed/32526929
http://dx.doi.org/10.3390/jcm9061797
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