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J Pediatr Psychol. 1999 Apr;24(2):131-45.

Empirically supported treatments in pediatric psychology: procedure-related pain.

Author information

1
Children's Hospital Medical Center, Division of Psychology, Cincinnati, Ohio 45229-3039, USA. scottpowers@chmcc.org

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.

PMID:
10361392
[Indexed for MEDLINE]

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