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Parental responses ...
Parental responses and catastrophizing in online cognitive behavioral therapy for pediatric functional abdominal pain : A mediation analysis of a randomized controlled trial
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- Lalouni, Maria (författare)
- Karolinska Institute,Karolinska Institutet,Stockholms läns sjukvårdsområde,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, (SWE), Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, (SWE), Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden, (SWE)
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- Sjöström-Bujacz, Aleksandra (författare)
- Karolinska Institute,Karolinska Institutet,Försvarshögskolan,Avdelningen för ledarskap och ledning i Stockholm,Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
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- Bonnert, Marianne (författare)
- Karolinska Institute,Karolinska Institutet,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden, (SWE), Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet / Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden, (SWE)
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- B. Jensen, Karin (författare)
- Karolinska Institute,Karolinska Institutet,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, (SWE)
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- Rosengren, Anna (författare)
- Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden, (SWE),Stockholms läns sjukvårdsområde
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- Hedman-Lagerlöf, Erik (författare)
- Karolinska Institute,Karolinska Institutet,Stockholms läns sjukvårdsområde,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, (SWE) Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden, (SWE)
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- Serlachius, Eva (författare)
- Karolinska Institute,Lund University,Lunds universitet,Karolinska Institutet,Barn- och ungdomspsykiatri,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Child and Adolescent Psychiatry,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, (SWE) Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet / Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden, (SWE) Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden, (SWE)
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- Olén, Ola (författare)
- Karolinska Institute,Karolinska Institutet,Stockholms läns sjukvårdsområde,Sachs’ Children and Youth Hospital,Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, (SWE), Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden, (SWE) Department of Paediatric Gastroenterology and Nutrition, Sachs’ Children’s Hospital, Stockholm, Sweden, (SWE)
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- Ljótsson, Brjánn (författare)
- Karolinska Institute,Karolinska Institutet,Stockholms läns sjukvårdsområde,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, (SWE), Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden, (SWE) Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet / Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden, (SWE)
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(creator_code:org_t)
- 2022-10-03
- 2022
- Engelska.
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Ingår i: Frontiers in Pain Research. - : Frontiers Media SA. - 2673-561X. ; 3
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Objective: To test if decreased parental protective behaviors, monitoring behaviors, and parental catastrophizing mediate relief of gastrointestinal symptoms in children 8–12 years with functional abdominal pain disorders(FAPDs). The study uses secondary data analyses of a randomized controlled trial in which exposure-based online cognitive behavioral therapy (ICBT) was found superior to treatment as usual in decreasing gastrointestinal symptoms.Methods: The ICBT included 10 weekly modules for children and 10 weekly modules for parents. Treatment as usual consisted of any medication, dietary adjustments, and healthcare visits that the participants engaged in during 10 weeks. All measures were self-assessed online by parents. Biweekly assessments of the Adult Responses to Children’s Symptoms (ARCS), Protectand Monitor subscales, and the Pain Catastrophizing Scale, parental version (PCS-P) were included in univariate and multivariate growth models to test their mediating effect on the child’s gastrointestinal symptoms assessed withthe Pediatric Quality of Life Gastrointestinal Symptoms Scale (PedsQL).Results: A total of 90 dyads of children with FAPDs and their parents were includedin the study, of which 46 were randomized to ICBT and 44 to treatment as usual. The PCS-P was found to mediate change in the PedsQL ab = 0.639 (95% CI0.020–2.331), while the ARCS Monitor ab = 0.472 (95% CI −1.002 to 2.547), and Protect ab= −0.151 (95% CI −1.455 to 0.674) were not mediators of change.Conclusions: To target parental catastrophizing in ICBT for pediatric FAPDs is potentially important to reduce abdominal symptoms in children.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- functional abdominal pain
- parents
- children
- irritable bowel syndrome
- mediation analysis
- Ledarskap och ledning
- Leadership and Command & Control
- children
- functional abdominal pain
- irritable bowel syndrome
- mediation analysis
- parents
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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