Psykologiske intervensjoner for barn med somatiske symptomer: Systematisk oversikt og metaanalyse

Psychological Interventions for Children with Functional Somatic Symptoms: A Systematic Review and Meta-Analysis

Forfattere
Bonvanie, I. J. Kallesoe, K. H. Janssens, K. A. M. Schroder, A. Rosmalen, J. G. M. Rask, C. U.
Årstall
2017
Tidsskrift
Volum
187
Sider
272-281.e17
Objective To analyze the effectiveness of psychological treatments on symptom load and associated disability in children with functional somatic symptoms, and to explore potential moderators of effects. Study design Cochrane, PubMed, PsycINFO, EMBASE, and CINAHL were searched for randomized controlled trials published in peer-reviewed journals. Randomized controlled trials studying the effect of a psychological treatment on symptom load and disability in children with functional somatic symptoms were selected. Data on symptom load, disability, and school absence directly post-treatment and at follow-up were extracted by 2 assessors. Studies were appraised with the Cochrane risk of bias tool. Standardized mean differences were pooled in a random-effects model. Heterogeneity in effect-sizes was explored by use of meta-regressions. PROSPERO Registration ID: CRD42015029667. Results Out of 4098 identified records, 27 studies were included in this review of which 21 were included in meta-analyses. Psychological treatments reduced symptom load (Hedges g = -0.61), disability (Hedges g = -0.42), and school absence (Hedges g = -0.51) post-treatment in children suffering from various functional somatic symptoms. Effects were maintained at follow-up. Type and duration of symptoms, age, and treatment dose did not explain heterogeneity in effect-sizes between studies. Effect-sizes should be interpreted with caution because of the variety in outcome measures, unexplained heterogeneity in found effects and potential publication bias. Conclusions Psychological interventions reduce symptom load, disability, and school absence in children with functional somatic symptoms. Future research should clarify which patient and treatment characteristics modify outcomes. Copyright © 2017 Elsevier Inc.

Oversett med Google Translate
-
Tiltaksnivå

Tidlig innsats

Tema

Biologiske risikofaktorer, sykdommer og symptomer

Somatisk sykdom (inkl. smertetilstander)

Utmattelsestilstander (ME, fatigue)

Tiltak

Organisering av tiltak

Hjemmebaserte tjenester

Døgnbehandling

Aldersgruppe

Barn i skolealder (6-12 år)

Ungdom (13-18 år)

Mer informasjon
Leter du etter mer informasjon om temaet? Trykk på lenkene nedenfor for å søke i PsykTestBarn og Håndboka for barn og unges psykiske helse.