Evidence map›Paper›PMID 34598050›Full record

Trial reportJournal of psychosomatic research2021

Mediation of outcomes for cognitive behavioral therapy targeted to parents of children with Functional Abdominal Pain Disorders.

Miranda A L van Tilburg, Rona L Levy, Susan Stoner, Joan M Romano, Tasha B Murphy, Bisher Abdullah, Lloyd Mancl, Andrew D Feld

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of psychosomatic research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Observational
  5. Article
  6. 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

8 authors at 3 institutions in 1 country.

Miranda A L van TilburgSchool of Pharmacy & Health Sciences, Campbell University, Buies Creek, NC, United States of America; School of Social Work, University of Washington, Seattle, WA, United States of America; Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC, United States of America. Electronic address: tilburg@med.unc.edu.
Rona L LevySchool of Social Work, University of Washington, Seattle, WA, United States of America.
Susan StonerAlcohol and Drug Abuse Institute, University of Washington, Seattle, WA, United States of America.
Joan M RomanoDepartment of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA, United States of America.
Tasha B MurphySchool of Social Work, University of Washington, Seattle, WA, United States of America.
Bisher AbdullahCHI Franciscan, Prime Health Clinic, Tacoma, WA, United States of America.
Lloyd ManclOral Health Sciences, University of Washington, Seattle, WA, United States of America.
Andrew D FeldDivision of Gastroenterology, Washington Permanente Medical Group, University of Washington, Seattle, WA, United States of America.
University of Washington · USFranciscan Health · USUniversity of Washington Medical Center · US

Funding

Parent training to address pediatric functional abdominal painR01HD036069 · NICHD · UNIVERSITY OF WASHINGTON · PI LEVY, RONA L. · 1999 to 2015
$6.4M
NICHD NIH HHS R01 HD036069
6 · The paper itself

Abstract

objectiveThere is a large body of evidence for the efficacy of Cognitive Behavioral Therapy (CBT) in treating Functional Abdominal Pain Disorders (FAPD) in children. In most CBT interventions for FAPD, parents participate together with their children. However, only one study to date has examined targeting parents alone for treatment. The aim of the current study was to examine mediators of a parent-only CBT treatment incorporating social learning (SLCBT) for FAPD in children.

methodsWe examined mediators of child outcomes in an existing randomized controlled trial (n = 316) of parent-only social learning CBT compared to an education condition. Hypothesized mediators (parental protectiveness, perceived threat of pain, catastrophizing) were assessed at 3 months post-treatment, and outcomes (parent ratings of disability, quality of life, school absences, and health care visits) were assessed at 6 months post-treatment. Mediation analyses were performed using Hayes' PROCESS macro.

resultsPain catastrophizing significantly mediated treatment effects for all outcomes (B ranged from -1.65 to 2.22). Reduction in pain threat was a significant mediator for all outcomes (B ranged from -1.84 to 3.13) except school absences and health care visits. Decrease in parental protectiveness mediated effects on disability and missed school (B ranged from -1.47 to 1.34). Mediation effects did not differ by in-person or remote delivery of SLCBT.

conclusionChanges in maladaptive parental thoughts and behaviors following parent-only SLCBT intervention appeared to mediate the effects of the intervention. Parental catastrophizing appears to be a particularly important target given that decreases in that variable mediated all outcomes.

Indexed as

Cognitive Behavioral TherapyQuality of LifeAbdominal PainCatastrophizationChildHumansParentsCognitive behavioral therapyFunctional Abdominal PainParentsPediatricRandomized controlled trialSocial learning

Identifiers

PMID34598050
PMCPMC8526395
OpenAlexW3200035934

What OpenQuestion holds

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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.