Evidence map›Paper›PMID 21681863›Full record

Trial reportDepression and anxiety2011

Cognitive-behavioral treatment of persistent functional somatic complaints and pediatric anxiety: an initial controlled trial.

Carrie Masia Warner, Daniela Colognori, Rachel E Kim, Laura C Reigada, Rachel G Klein, Karen J Browner-Elhanan, Amy Saborsky, Eva Petkova, Philip Reiss, Manoj Chhabra and 4 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Depression and anxiety, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 8 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 8 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Ecosystem Barriers and Facilitators Linked to the Fear of Cancer Recurrence: An Umbrella Review.International journal of environmental research and public health · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Psychosocial interventions for recurrent abdominal pain in childhood.The Cochrane database of systematic reviews · 2017
    Pooled it
  6. Pooled it
  7. Pooled it
  8. GP consultations for medically unexplained physical symptoms in parents and their children: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Somatic complaints in anxious youth.Child psychiatry and human development · 2014
    Trial
  13. Review
  14. Article
  15. Review
  16. Preventing pediatric chronic postsurgical pain: Time for increased rigor.Canadian journal of pain = Revue canadienne de la douleur · 2022
    Review
  17. Review
  18. Review
  19. Distinguishing Fear Versus Distress Symptomatology in Pediatric OCD.Child psychiatry and human development · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Carrie Masia WarnerDepartment of Child and Adolescent Psychiatry, NYU Child Study Center, New York, New York 10016, USA. carrie.masia@nyumc.org
Daniela Colognori
Rachel E Kim
Laura C Reigada
Rachel G Klein
Karen J Browner-Elhanan
Amy Saborsky
Eva Petkova
Philip Reiss
Manoj Chhabra
Yvonne B McFarlane-Ferreira
Colin K Phoon
Nanci Pittman
Keith Benkov
American Academy of Child and Adolescent Psychiatry · USNathan Kline Institute for Psychiatric Research · USBrooklyn College · USNewYork–Presbyterian Brooklyn Methodist Hospital · USNYU Langone Health · US

Funding

Treatment of Child Anxiety in Pediatric Medical SettingsR34MH073554 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MASIA, CARRIE L · 2006 to 2008
$671k
NIMH NIH HHS R34 MH073554NIMH NIH HHS R34, MH073554
6 · The paper itself

Abstract

backgroundChildren and adolescents who seek medical treatment for persistent physical distress often suffer from co-occurring anxiety disorders. Treatment options for this impaired population are limited. This study tests the feasibility and potential efficacy of a cognitive-behavioral intervention targeting pain and anxiety for youth with impairing functional physical symptoms and anxiety disorders presenting to pediatricians for medical care.

methodsChildren and adolescents (aged 8-16) experiencing somatic complaints, without an explanatory medical disorder (i.e., functional), were recruited from primary care and specialty (gastroenterologists and cardiologists) pediatricians. Forty children, primarily with gastrointestinal symptoms, who met criteria for a co-occurring anxiety disorder, were randomly assigned to a cognitive-behavioral treatment addressing pain and anxiety, Treatment of Anxiety and Physical Symptoms (TAPS), or to a waiting list control.

resultsTAPS was found to be an acceptable treatment for this population and was superior to the waiting list condition. Eighty percent of children in TAPS were rated as treatment responders by independent evaluators compared with none of the controls. Overall, self- and parent ratings indicated reductions in children's somatic discomfort and anxiety following intervention. TAPS participants maintained clinical gains 3 months following treatment.

conclusionsThe study supports the feasibility and preliminary efficacy of a cognitive-behavioral intervention targeting co-occurring physical distress and anxiety in youth presenting for medical treatment. Such an approach has the potential to exert broad impact on children's dysfunction and to minimize exposure to invasive, ineffective, and costly medical procedures and treatments.

Indexed as

AdolescentAnxiety DisordersAnxiety, SeparationChildChronic DiseaseCognitive Behavioral TherapyCombined Modality TherapyFeasibility StudiesFemaleFollow-Up StudiesGastrointestinal DiseasesHumansMalePhobic DisordersSomatoform Disorders

Identifiers

PMID21681863
PMCPMC3128648
OpenAlexW2117886757

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.