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Internet-delivered psychological treatment of functional gastrointestinal disorders in youth: Study protocol for exploration of cognitive biases

Published online by Cambridge University Press:  01 September 2022

E. Nielsen ,
K. Kallesøe ,
E. Bjerre-Nielsen ,
T. Gehrt ,
M. Bonnert ,
L. Frostholm  and
C. Rask
E. Nielsen*
Affiliation:
Aarhus University, Department Of Clinical Medicine, Aarhus N, Denmark Aarhus University Hospital, Department Of Child And Adolescent Psychiatry, Psychiatry, Aarhus N, Denmark
K. Kallesøe
Affiliation:
Aarhus University Hospital, Department Of Child And Adolescent Psychiatry, Psychiatry, Aarhus N, Denmark
E. Bjerre-Nielsen
Affiliation:
Aarhus University Hospital, Department Of Child And Adolescent Psychiatry, Psychiatry, Aarhus N, Denmark
T. Gehrt
Affiliation:
Aarhus University, Department Of Psychology And Behavioural Sciences, Aarhus C, Denmark
M. Bonnert
Affiliation:
Karolinska Institute, Department Of Clinical Neuroscience, Stockholm, Sweden Karolinska Institute, Department Of Medical Epidemiology And Biostatistics, Stockholm, Sweden
L. Frostholm
Affiliation:
Aarhus University, Department Of Clinical Medicine, Aarhus N, Denmark Aarhus University Hospital, Department Of Functional Disorders, Aarhus N, Denmark
C. Rask
Affiliation:
Aarhus University, Department Of Clinical Medicine, Aarhus N, Denmark Aarhus University Hospital, Department Of Child And Adolescent Psychiatry, Psychiatry, Aarhus N, Denmark
*
*Corresponding author.

Abstract

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Introduction

Functional gastrointestinal disorders (FGID) are common in children and adolescents (CA), cause functional disability and high health care use. Internet based cognitive behavioral therapy (i-CBT) have shown promising effect in Sweden. The treatment is exposure based and target avoidance behavior. Cognitive biases regarding bodily symptoms are suggested to be part of development and maintenance of functional disorders in adults, and could therefore be an important treatment target. Little is known about cognitive biases in CA with FGID, and hence the potential importance, it is crucial to explore more in depth. This study is embedded in The Danish FGID Treatment Study which aims to test Swedish i-CBT treatment in a Danish context.

Objectives

1) Examine cognitive biases in CA with FGID, compared with healthy controls. 2) Asses these biases before and after treatment for FGID to investigate changes and impact on treatment effect.

Methods

We developed a novel experimental approach to examine possible cognitive biases in CA. It consists of a picture task and a FGID-specific version of the Health Norms Sorting Task. We will examine 60 CA with FGID, who are included in The Danish FGID Treatment Study before and after treatment. In addition we will perform the test on 100 healthy controls.

Results

The results are expected to improve our understanding of maintaining cognitive factors in CA with FGID, and how these may affect outcome and change during treatment, and how they differ from the general population.

Conclusions

This study can provide new targets for treatment approaches.

Disclosure

No significant relationships.

Keywords

CBTfunctional gastrointestinal disordersChild and adolescents psychiatryCognitive Bias
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S419
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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