Commentary: empirical foundations for the development of behavioral interventions for recurrent abdominal pain.
نویسنده
چکیده
identified three distinct psychosocial profiles that classify adult chronic pain patients and predict treatment needs and outcomes (Turk & Rudy, 1988, 1990). If distinct psychosocial profiles are found to differentiate groups of children with RAP, this information might be used to identify those children who are coping well and need no further intervention than education and reassurance provided by their pediatricins and to match children with various maladaptive responses to abdominal pain with the most appropriate behavioral interventions. Identification of psychosocial profiles of children most likely to benefit from treatment also would help us to educate physicians about which children to refer for behavioral management. Research that examines RAP within a situated context may be helpful in identifying specific targets for behavioral intervention. Most of the research on RAP has focused on child traits (e.g., anxiety, social competence), general measures of family functioning (e.g., cohesion), and stressful life events occurring over a period of a year. A situated approach that focuses on individual episodes of abdominal pain would help to identify the relation of pain episodes to specific stressors, patterns of interpersonal interactions, and child appraisal and coping responses. Observational studies have been useful in identifying these variables in acute pain associated with medical procedures (e.g., Blount, Sturges, & Powers, 1990) but are less practical with conditions such as RAP that involve episodic and unpredictable pain. However, laboratory analogue Journal of Pediatric Psychology, Vol. 24, No. 2, 1999, pp. 129–130
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ورودعنوان ژورنال:
- Journal of pediatric psychology
دوره 24 2 شماره
صفحات -
تاریخ انتشار 1999