Abdominal pain is common in children
|
Children can be taught to use their imagination to tackle frequent bouts of
stomach pain, research shows.
A relaxation-type CD, asking children to imagine themselves in
scenarios like floating on a cloud led to dramatic improvements in abdominal pain.
The US researchers said the technique worked particularly well in
children as they have such fertile imaginations.
It has been estimated that frequent stomach pain with no
identifiable cause affects up to one in five children. The research, published in the journal Pediatrics, follows on from studies showing
hypnosis is an effective treatment for a range of conditions known as functional abdominal pain,
which includes things like irritable bowel syndrome.
 |
There is really a dearth of information on how to manage children with
abdominal pain
|
In this study, the children had 20 minute sessions of "guided
imagery" - a technique which prompts the subject to imagine things which will reduce their
discomfort.
One example is letting a special shiny object melt into their hand
and then placing their hand on their belly, spreading warmth and light from the hand inside the
tummy to make a protective barrier inside that prevents anything from irritating the
belly
The researchers, from the University of North Carolina and Duke
University Medical Center, said a lack of therapists led them to the idea of using a CD to deliver
the sessions.
In all 30 children aged between six and 15 years took part in the
study - half of whom used the CDs daily for eight weeks and the rest of whom got normal
treatment.
Among those who had used the CDs, 73.3% reported that their
abdominal pain was reduced by half or more by the end of the treatment course compared with 26.7%
in the standard care group.
In two-thirds of children the improvements were still apparent six
months later.
Anxiety
It is not clear exactly how the technique works but studies have
shown it is partly about reducing anxiety but there is also a direct effect on the pain
response.
Some researchers think hypnosis-like techniques reduce
"hypersensitivity" in conditions such as irritable bowel syndrome.
Study leader Dr Miranda van Tilburg said it was especially exciting
that the children were able to use the technique on their own.
"Such self-administered treatment is, of course, very inexpensive
and can be used in addition to other treatments, which potentially opens the door for easily
enhancing treatment outcomes for a lot of children suffering from frequent stomach
aches.
"Children are very good at using their imagination - when you use
this in adults you have to overcome a barrier first."
Professor David Candy, a consultant paediatric gastroenterologist
at Western Sussex Hospitals, said his team had tried hypnosis in a small group of children with
severe abdominal pain problems and had 100% success rate.
He added they are now keen to try the guided imagery technique to
see if they can replicate the US findings.
"There is really a dearth of information on how to manage children
with abdominal pain and it's a very common problem which keeps children out of school."
Teresa would advise that for your child's safety and your
reassurance she has appropriate clearance to work with children and young persons. It is also
necessary for an adult or guardian to accompany the child.
               
|