Cognitive-Behavioral and Pharmacologic Interventions for Childrens' Distress During Painful Medical Procedures

This study evaluated the efficacy of a cognitive-behavioral intervention package and a low-risk pharmacologic intervention (oral Valium), as compared with a minimal treatment-attention control condition, in reducing children's distress during bone marrow aspirations. The subjects were 56 leukem...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 1987-12, Vol.55 (6), p.860-865
Main Authors: Jay, Susan M, Elliott, Charles H, Katz, Ernest, Siegel, Stuart E
Format: Article
Language:English
Subjects:
Adolescent
Arousal - drug effects
Behavior
Behavior Therapy - methods
Behavior therapy. Cognitive therapy
Biological and medical sciences
Biopsy, Needle - adverse effects
Bone Marrow
Bone Marrow - pathology
Child
Child, Preschool
Children & youth
Cognitive Therapy
Combined Modality Therapy
Diazepam
Diazepam - administration & dosage
Distress
Drug Therapy
Female
Health care
Human
Humans
Leukemia - pathology
Leukemias
Male
Medical Diagnosis
Medical sciences
Pain Management
Pain Perception
Physiological Correlates
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Social research
Treatments
Citations: Items that cite this one
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Summary:This study evaluated the efficacy of a cognitive-behavioral intervention package and a low-risk pharmacologic intervention (oral Valium), as compared with a minimal treatment-attention control condition, in reducing children's distress during bone marrow aspirations. The subjects were 56 leukemia patients who ranged in age from 3 years to 13 years. The three intervention conditions were delivered in a randomized sequence within a repeated-measures counterbalanced design. Dependent outcome measures included observed behavioral distress scores, self-reported pain scores, pulse rate, and blood pressure scores. Repeated-measures analyses of variance indicated that children in the cognitive-behavior therapy condition had significantly lower behavioral distress, lower pain ratings, and lower pulse rates than when they were in the attention-control condition. When children were in the Valium condition, they exhibited no significant differences from the attention control condition except that they had lower diastolic blood pressure scores.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.55.6.860