Comparison of gut-directed hypnotherapy and unspecific hypnotherapy as self-help format in children and adolescents with functional abdominal pain or irritable bowel syndrome

Gulewitsch MD, Schlarb A (2017)
European Journal of Gastroenterology & Hepatology 29(12): 1351-1360.

Download
Es wurde kein Volltext hochgeladen. Nur Publikationsnachweis!
Zeitschriftenaufsatz | Veröffentlicht | Englisch
Autor
;
Abstract / Bemerkung
OBJECTIVE: Psychosocial treatments for chronic abdominal pain in childhood or adolescence are effective, but time consuming and hardly available. In the present study, gut-directed hypnotherapy (GDHT) and unspecific hypnotherapy (UHT) were compared to evaluate the feasibility and efficacy of a hypnotherapeutic self-help intervention. PARTICIPANTS AND METHODS: Children/adolescents between 6 and 17 years of age with chronic abdominal pain were randomized to GDHT or UHT. The treatment period was 12 weeks each. Measurements were performed before and after treatment. The primary outcome was a pain diary. Analysis was carried out as per protocol. RESULTS: Of 45 participants included, 13 were lost to follow-up. Thirty-two participants (14 GHDT, 18 UHT) were analyzed. Dropouts had higher pain severity. Completers in both conditions showed good adherence and a similar decrease in days with pain and pain duration. Pain intensity decreased only in the UHT condition. Eleven participants (two GDHT, nine UHT) achieved clinical remission (>80% improvement) and 13 participants (seven GDHT, six UHT) improved significantly (30-80%). CONCLUSION: Results suggest a high efficacy of standardized home-based hypnotherapy for children/adolescents with abdominal pain. Children/adolescents with high pain severity are at risk of dropping out. The UHT condition showed slight evidence of superiority, but conditions were equivalent on most outcomes. Taken together, self-help approaches based on hypnotherapy could close a treatment gap and prevent chronification.
Erscheinungsjahr
Zeitschriftentitel
European Journal of Gastroenterology & Hepatology
Band
29
Ausgabe
12
Seite(n)
1351-1360
ISSN
eISSN
PUB-ID

Zitieren

Gulewitsch MD, Schlarb A. Comparison of gut-directed hypnotherapy and unspecific hypnotherapy as self-help format in children and adolescents with functional abdominal pain or irritable bowel syndrome. European Journal of Gastroenterology & Hepatology. 2017;29(12):1351-1360.
Gulewitsch, M. D., & Schlarb, A. (2017). Comparison of gut-directed hypnotherapy and unspecific hypnotherapy as self-help format in children and adolescents with functional abdominal pain or irritable bowel syndrome. European Journal of Gastroenterology & Hepatology, 29(12), 1351-1360. doi:10.1097/meg.0000000000000984
Gulewitsch, M. D., and Schlarb, A. (2017). Comparison of gut-directed hypnotherapy and unspecific hypnotherapy as self-help format in children and adolescents with functional abdominal pain or irritable bowel syndrome. European Journal of Gastroenterology & Hepatology 29, 1351-1360.
Gulewitsch, M.D., & Schlarb, A., 2017. Comparison of gut-directed hypnotherapy and unspecific hypnotherapy as self-help format in children and adolescents with functional abdominal pain or irritable bowel syndrome. European Journal of Gastroenterology & Hepatology, 29(12), p 1351-1360.
M.D. Gulewitsch and A. Schlarb, “Comparison of gut-directed hypnotherapy and unspecific hypnotherapy as self-help format in children and adolescents with functional abdominal pain or irritable bowel syndrome”, European Journal of Gastroenterology & Hepatology, vol. 29, 2017, pp. 1351-1360.
Gulewitsch, M.D., Schlarb, A.: Comparison of gut-directed hypnotherapy and unspecific hypnotherapy as self-help format in children and adolescents with functional abdominal pain or irritable bowel syndrome. European Journal of Gastroenterology & Hepatology. 29, 1351-1360 (2017).
Gulewitsch, Marco D., and Schlarb, Angelika. “Comparison of gut-directed hypnotherapy and unspecific hypnotherapy as self-help format in children and adolescents with functional abdominal pain or irritable bowel syndrome”. European Journal of Gastroenterology & Hepatology 29.12 (2017): 1351-1360.

51 References

Daten bereitgestellt von Europe PubMed Central.

Epidemiology of pediatric functional abdominal pain disorders: a meta-analysis.
Korterink JJ, Diederen K, Benninga MA, Tabbers MM., PLoS ONE 10(5), 2015
PMID: 25992621
Prevalence, characteristics, and management of childhood functional abdominal pain in general practice.
Spee LA, Lisman-Van Leeuwen Y, Benninga MA, Bierma-Zeinstra SM, Berger MY., Scand J Prim Health Care 31(4), 2013
PMID: 24106821
A million-dollar work-up for abdominal pain: is it worth it?
Dhroove G, Chogle A, Saps M., J. Pediatr. Gastroenterol. Nutr. 51(5), 2010
PMID: 20706149
Childhood functional gastrointestinal disorders: child/adolescent.
Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, Walker LS., Gastroenterology 130(5), 2006
PMID: 16678566
Health-related quality of life in children with abdominal pain due to functional or organic gastrointestinal disorders.
Warschburger P, Hanig J, Friedt M, Posovszky C, Schier M, Calvano C., J Pediatr Psychol 39(1), 2013
PMID: 24055816
School Attendance in Children With Functional Abdominal Pain and Inflammatory Bowel Diseases.
Assa A, Ish-Tov A, Rinawi F, Shamir R., J. Pediatr. Gastroenterol. Nutr. 61(5), 2015
PMID: 25950089
The impact of recurrent abdominal pain: predictors of outcome in a large population cohort.
Ramchandani PG, Fazel M, Stein A, Wiles N, Hotopf M., Acta Paediatr. 96(5), 2007
PMID: 17462061
Recurrent abdominal pain, anxiety, and depression in primary care.
Campo JV, Bridge J, Ehmann M, Altman S, Lucas A, Birmaher B, Di Lorenzo C, Iyengar S, Brent DA., Pediatrics 113(4), 2004
PMID: 15060233
Prevalence of pain-predominant functional gastrointestinal disorders and somatic symptoms in patients with anxiety or depressive disorders.
Yacob D, Di Lorenzo C, Bridge JA, Rosenstein PF, Onorato M, Bravender T, Campo JV., J. Pediatr. 163(3), 2013
PMID: 23522860
Early life risk factors that contribute to irritable bowel syndrome in adults: a systematic review.
Chitkara DK, van Tilburg MA, Blois-Martin N, Whitehead WE., Am. J. Gastroenterol. 103(3), 2008
PMID: 18177446
Predicting persistence of functional abdominal pain from childhood into young adulthood.
Horst S, Shelby G, Anderson J, Acra S, Polk DB, Saville BR, Garber J, Walker LS., Clin. Gastroenterol. Hepatol. 12(12), 2014
PMID: 24732284
Functional abdominal pain in childhood and long-term vulnerability to anxiety disorders.
Shelby GD, Shirkey KC, Sherman AL, Beck JE, Haman K, Shears AR, Horst SN, Smith CA, Garber J, Walker LS., Pediatrics 132(3), 2013
PMID: 23940244
Childhood functional abdominal pain: mechanisms and management.
Korterink J, Devanarayana NM, Rajindrajith S, Vlieger A, Benninga MA., Nat Rev Gastroenterol Hepatol 12(3), 2015
PMID: 25666642
Functional abdominal pain in childhood: from etiology to maladaptation.
Schulte IE, Petermann F, Noeker M., Psychother Psychosom 79(2), 2009
PMID: 20051705
Brain-Gut Interactions in IBS.
Fichna J, Storr MA., Front Pharmacol 3(), 2012
PMID: 22783191

Katsanos, Immunogastroenterology 1(), 2012

Huertas-Ceballos, Cochrane Database Syst Rev 2(), 2009
Pharmacologic treatment in pediatric functional abdominal pain disorders: a systematic review.
Korterink JJ, Rutten JM, Venmans L, Benninga MA, Tabbers MM., J. Pediatr. 166(2), 2014
PMID: 25449223
Nonpharmacologic treatment of functional abdominal pain disorders: a systematic review.
Rutten JM, Korterink JJ, Venmans LM, Benninga MA, Tabbers MM., Pediatrics 135(3), 2015
PMID: 25667239
Probiotics for childhood functional gastrointestinal disorders: a systematic review and meta-analysis.
Korterink JJ, Ockeloen L, Benninga MA, Tabbers MM, Hilbink M, Deckers-Kocken JM., Acta Paediatr. 103(4), 2014
PMID: 24236577
Hypnotherapy for children with functional abdominal pain or irritable bowel syndrome: a randomized controlled trial.
Vlieger AM, Menko-Frankenhuis C, Wolfkamp SC, Tromp E, Benninga MA., Gastroenterology 133(5), 2007
PMID: 17919634
Long-term follow-up of gut-directed hypnotherapy vs. standard care in children with functional abdominal pain or irritable bowel syndrome.
Vlieger AM, Rutten JM, Govers AM, Frankenhuis C, Benninga MA., Am. J. Gastroenterol. 107(4), 2012
PMID: 22310221
Cognitive-behavioral therapy for children with functional abdominal pain and their parents decreases pain and other symptoms.
Levy RL, Langer SL, Walker LS, Romano JM, Christie DL, Youssef N, DuPen MM, Feld AD, Ballard SA, Welsh EM, Jeffery RW, Young M, Coffey MJ, Whitehead WE., Am. J. Gastroenterol. 105(4), 2010
PMID: 20216531
Audio-recorded guided imagery treatment reduces functional abdominal pain in children: a pilot study.
van Tilburg MA, Chitkara DK, Palsson OS, Turner M, Blois-Martin N, Ulshen M, Whitehead WE., Pediatrics 124(5), 2009
PMID: 19822590
Long-term success of GUT-directed group hypnosis for patients with refractory irritable bowel syndrome: a randomized controlled trial.
Moser G, Tragner S, Gajowniczek EE, Mikulits A, Michalski M, Kazemi-Shirazi L, Kulnigg-Dabsch S, Fuhrer M, Ponocny-Seliger E, Dejaco C, Miehsler W., Am. J. Gastroenterol. 108(4), 2013
PMID: 23419384
Hypnosis treatment for severe irritable bowel syndrome: investigation of mechanism and effects on symptoms.
Palsson OS, Turner MJ, Johnson DA, Burnett CK, Whitehead WE., Dig. Dis. Sci. 47(11), 2002
PMID: 12452403
Gut-focused hypnotherapy normalizes disordered rectal sensitivity in patients with irritable bowel syndrome.
Lea R, Houghton LA, Calvert EL, Larder S, Gonsalkorale WM, Whelan V, Randles J, Cooper P, Cruickshanks P, Miller V, Whorwell PJ., Aliment. Pharmacol. Ther. 17(5), 2003
PMID: 12641511
No change in rectal sensitivity after gut-directed hypnotherapy in children with functional abdominal pain or irritable bowel syndrome.
Vlieger AM, van den Berg MM, Menko-Frankenhuis C, Bongers ME, Tromp E, Benninga MA., Am. J. Gastroenterol. 105(1), 2009
PMID: 19861956
Physiological effects of emotion: assessment via hypnosis.
Whorwell PJ, Houghton LA, Taylor EE, Maxton DG., Lancet 340(8811), 1992
PMID: 1352012
Pain affect encoded in human anterior cingulate but not somatosensory cortex.
Rainville P, Duncan GH, Price DD, Carrier B, Bushnell MC., Science 277(5328), 1997
PMID: 9252330
Increased cerebral functional connectivity underlying the antinociceptive effects of hypnosis.
Faymonville ME, Roediger L, Del Fiore G, Delgueldre C, Phillips C, Lamy M, Luxen A, Maquet P, Laureys S., Brain Res Cogn Brain Res 17(2), 2003
PMID: 12880897
Hypnotherapy in the treatment of irritable bowel syndrome.
Gonsalkorale WM, Whorwell PJ., Eur J Gastroenterol Hepatol 17(1), 2005
PMID: 15647634
The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement.
Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B., Pain 93(2), 2001
PMID: 11427329
[Pain-related disability in adolescents suffering from chronic pain. Preliminary examination of the Pediatric Pain Disability Index (P-PDI)].
Hubner B, Hechler T, Dobe M, Damschen U, Kosfelder J, Denecke H, Schroeder S, Zernikow B., Schmerz 23(1), 2009
PMID: 18941801

Walker, Psychol Assess 9(), 1997
Validation of the Abdominal Pain Index using a revised scoring method.
Laird KT, Sherman AL, Smith CA, Walker LS., J Pediatr Psychol 40(5), 2015
PMID: 25617048
Online psychological treatment for pediatric recurrent pain: a randomized evaluation.
Hicks CL, von Baeyer CL, McGrath PJ., J Pediatr Psychol 31(7), 2005
PMID: 16093516
Attentional biases to pain and social threat in children with recurrent abdominal pain.
Boyer MC, Compas BE, Stanger C, Colletti RB, Konik BS, Morrow SB, Thomsen AH., J Pediatr Psychol 31(2), 2005
PMID: 15843503
Gut-directed hypnotherapy in children with irritable bowel syndrome or functional abdominal pain (syndrome): a randomized controlled trial on self exercises at home using CD versus individual therapy by qualified therapists.
Rutten JM, Vlieger AM, Frankenhuis C, George EK, Groeneweg M, Norbruis OF, Tjon a Ten W, Van Wering H, Dijkgraaf MG, Merkus MP, Benninga MA., BMC Pediatr 14(), 2014
PMID: 24894077

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 29023318
PubMed | Europe PMC

Suchen in

Google Scholar