Evidence map›Paper›PMID 38310252›Full record

SynthesisBMC gastroenterology2024

Effect of cognitive-behavior therapy for children with functional abdominal pain: a meta-analysis.

Xiaolan Huang, Nan Jia, Yan Zhang, Yanyan Hao, Fei Xiao, Chunrong Sun, Xiaodai Cui, Fei Wang

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
7.8field-weighted citation impact, top 3% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
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 2 institutions in 1 country.

Xiaolan HuangExperiment center, Capital Institute of Pediatrics, Beijing, China.
Nan JiaExperiment center, Capital Institute of Pediatrics, Beijing, China.
Yan ZhangAffiliated Children's Hospital of Capital Institute of Pediatrics, Beijing, 100000, China.
Yanyan HaoAffiliated Children's Hospital of Capital Institute of Pediatrics, Beijing, 100000, China.
Fei XiaoExperiment center, Capital Institute of Pediatrics, Beijing, China.
Chunrong SunExperiment center, Capital Institute of Pediatrics, Beijing, China.
Xiaodai CuiExperiment center, Capital Institute of Pediatrics, Beijing, China.
Fei WangAffiliated Children's Hospital of Capital Institute of Pediatrics, Beijing, 100000, China. 13911209019@163.com.
Capital Institute of Pediatrics · CNChildren's Hospital of Capital Institute of Pediatrics · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive-Behavior Therapy (CBT) is the validated non-pharmacological treatment for chronic pain in pediatric patients. While some suggested CBT were comparable to the usual care in reducing children's functional abdominal pain. This meta-analysis was designed to systematically review the literature for RCTs that investigated the efficacy of CBT in children with functional abdominal pain (FAP).

methodsPubMed, Embase, and the Cochrane library were searched for papers published up to October 2022. Studies applying different CBT delivery methods (in-person, web-based, phone-based) were included in this meta-analysis to evaluate the comprehensive effectiveness of CBT compared with usual care. Weighted and standardized mean difference with the 95% confidence intervals were used for the synthesis of the results. Primary outcome was the decrease of functional disability inventory (FDI) and the secondary outcomes were the decrease of severity in pain intensity, depression, anxiety, gastrointestinal symptoms, and improvement in physical quality of life (QoL).

resultsA total of 10 RCTs with 1187 children were included in the final analysis. The results showed that CBT resulted in better effect in reducing functional disability inventory (SMD=-2.282, 95%CI: -4.537 to -0.027, P = 0.047), pain intensity (SMD=-0.594, 95%CI: -1.147 to -0.040, P = 0.036), and improving QoL (SMD = 14.097, 95%CI: 0.901 to 27.292, P = 0.036) compared with the control groups. Comparable effects were observed in the severity of depression (SMD=-0.493, 95%CI: -1.594 to 0.608, P = 0.380), anxiety (SMD=-0.062, 95%CI: -0.640 to 0.517, P = 0.835), and gastrointestinal symptoms (SMD=-1.096 95%CI: -2.243 to 0.050, P = 0.061) between CBT and usual treatment.

conclusionsWe observed the differences in post-treatment FAP and pain intensity for children receiving CBT compared with children receiving treatment as usual. CBT in the setting of FAP demonstrates promising developments and highlights the need for future research.

Indexed as

Cognitive Behavioral TherapyQuality of LifeAbdominal PainChildCognitionHumansNeoplasm Recurrence, LocalChildrenCognitive-behavior therapyFunctional abdominal painMeta-analysis

Identifiers

PMID38310252
PMCPMC10838415
OpenAlexW4391508666

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.