Empirically supported treatments in pediatric psychology: Procedure-related pain

Journal/Book: J Pediat Psychol. 1999; 24: Journals Dept, 2001 Evans Rd, Cary, NC 27513, USA. Oxford Univ Press Inc. 131-145.

Abstract: Objective: To use the Chambless criteria for empirically supported treatments and determine if any interventions for procedure-related pain in children and adolescents can be designated as ''well established,'' ''probably efficacious,'' or ''promising.'' Methods: The Chambless criteria were applied to 13 treatment outcome studies identified by a comprehensive literature review. Results: A detailed summary is provided for each study, including the following information: citation, subjects, diagnostic criteria, baseline, experimental design, assessment measures, treatment protocol, outcome, and follow-up. Conclusions: Cognitive behavioral therapy is a ''well-established treatment'' for procedure-related pain in children and adolescents. Treatment includes breathing exercises and other forms of relaxation and distraction, imagery and other forms of cognitive coping skills, filmed modeling, reinforcement/incentive, behavioral rehearsal, and active coaching by a psychologist, parent, and/or medical staff member. I discuss future challenges for biobehavioral research and practice in the area of procedure-related pain.

Note: Editorial Powers SW, Childrens Hosp, Med Ctr, Div Psychol, 3333 Burnet Ave, Cincinnati,OH 45229 USA

Keyword(s): painful medical procedures; children; adolescents; cognitive behavioral therapy; empirically supported treatments; COGNITIVE-BEHAVIOR THERAPY; MEDICAL PROCEDURES; CHILDRENS DISTRESS; STAFF BEHAVIORS; REDUCE CHILD; PARENT; INTERVENTION; MANAGEMENT; COPE; IMMUNIZATIONS

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