TY - JOUR
AU - L. P. Chancey
AU - J. B. Winnick
AU - J. Buzenski
AU - G. Winberry
AU - A. Stiles
AU - N. E. Zahka
AU - S. E. Williams
A1 - 
AB - OBJECTIVE: Cognitive Behavioral Therapy (CBT) for youth with Disorders of Gut-Brain Interaction (DGBIs) is effective; however, there are calls in the field to strengthen the evidence base and identify specific mechanisms of treatment that yield the most benefit for this patient population. A unique, systematic treatment approach of CBT with initial evidence for success for pediatric patients with DGBIs was evaluated to further demonstrate its clinical utility in this population. METHODS: This was a retrospective study of 42 pediatric patients aged 11-17 years with DGBIs, who were diagnosed and referred for CBT by pediatric gastroenterology providers. Providers also completed a survey rating acceptability and effectiveness of CBT. The systematic CBT approach included 10 sessions delivered by a psychologist at an integrated Pediatric GI Clinic. RESULTS: Review of 42 pediatric charts showed significant decreases in self-reported functional disability, abdominal pain, as well as depression and anxiety symptoms pre- to post-CBT completion. A moderation effect was observed where patients reporting higher levels of depressive symptoms and primary symptom of abdominal pain reported smaller reductions in functional impairment compared to those with lower levels of depression and primary symptom of nausea or vomiting. Pediatric Gastroenterology providers were satisfied with this psychological treatment approach. CONCLUSIONS: This study provides evidence for acceptability and effectiveness of implementation of a systematic CBT approach for pediatric DGBIs in an integrated GI clinic, as well as areas worthy of future research, including identifying the most important mechanisms of treatment and factors that influence treatment response.
AD - Department of Outpatient Behavioral Health, Division and Mental Health and Well-Being, WakeMed Health and Hospitals, Raleigh, North Carolina, USA.; Department of Psychiatry and Behavioral Health, Geisinger Commonwealth School of Medicine, Danville, Pennsylvania, USA.; Department of Pediatrics, GI Division, Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia, USA.; Department of Pediatric Gastroenterology, WakeMed Health and Hospitals, Raleigh, North Carolina, USA.; Clinical Research Institute, WakeMed Health and Hospitals, Raleigh, North Carolina, USA.; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Department of Anesthesia, Stanford Medicine Children's Health, Menlo Park, California, USA.
AN - 39099152
BT - Neurogastroenterol Motil
C5 - Healthcare Disparities; Medically Unexplained Symptoms
CP - 10
DA - Oct
DO - 10.1111/nmo.14883
DP - NLM
ET - 20240804
IS - 10
JF - Neurogastroenterol Motil
LA - eng
N2 - OBJECTIVE: Cognitive Behavioral Therapy (CBT) for youth with Disorders of Gut-Brain Interaction (DGBIs) is effective; however, there are calls in the field to strengthen the evidence base and identify specific mechanisms of treatment that yield the most benefit for this patient population. A unique, systematic treatment approach of CBT with initial evidence for success for pediatric patients with DGBIs was evaluated to further demonstrate its clinical utility in this population. METHODS: This was a retrospective study of 42 pediatric patients aged 11-17 years with DGBIs, who were diagnosed and referred for CBT by pediatric gastroenterology providers. Providers also completed a survey rating acceptability and effectiveness of CBT. The systematic CBT approach included 10 sessions delivered by a psychologist at an integrated Pediatric GI Clinic. RESULTS: Review of 42 pediatric charts showed significant decreases in self-reported functional disability, abdominal pain, as well as depression and anxiety symptoms pre- to post-CBT completion. A moderation effect was observed where patients reporting higher levels of depressive symptoms and primary symptom of abdominal pain reported smaller reductions in functional impairment compared to those with lower levels of depression and primary symptom of nausea or vomiting. Pediatric Gastroenterology providers were satisfied with this psychological treatment approach. CONCLUSIONS: This study provides evidence for acceptability and effectiveness of implementation of a systematic CBT approach for pediatric DGBIs in an integrated GI clinic, as well as areas worthy of future research, including identifying the most important mechanisms of treatment and factors that influence treatment response.
PY - 2024
SN - 1350-1925
SP - e14883
ST - A systematic cognitive behavioral therapy approach for pediatric disorders of gut-brain interaction
T1 - A systematic cognitive behavioral therapy approach for pediatric disorders of gut-brain interaction
T2 - Neurogastroenterol Motil
TI - A systematic cognitive behavioral therapy approach for pediatric disorders of gut-brain interaction
U1 - Healthcare Disparities; Medically Unexplained Symptoms
U3 - 10.1111/nmo.14883
VL - 36
VO - 1350-1925
Y1 - 2024
ER -