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Cognitive behavioral and behavioral interventions help young children cope during a voiding cystourethrogram
N Zelikovsky1, J R Rodrigue, C A Gidycz
1University of Florida, USA. zelikovsky@email.chop.edu
Insights
A cognitive-behavioral intervention effectively reduced distress and increased coping behaviors in young children during voiding cystourethrogram (VCU) procedures. This approach improved cooperation without significantly altering fear or pain perceptions.
Area of Science:
- Pediatric Psychology
- Radiology
- Child Health
Background:
- Voiding cystourethrogram (VCU) procedures can cause distress in young children.
- Standard care may not adequately address pediatric anxiety during medical imaging.
Purpose of the Study:
- To decrease distress and enhance coping behaviors in children undergoing VCU.
- To evaluate a cognitive-behavioral intervention for pediatric patients during VCU.
Main Methods:
- Stratified randomization of 3-7 year olds into intervention (n=20) and standard care (n=20) groups.
- Intervention included information, coping skills training, and parent coaching.
- Distress assessed via child report, parent/technician ratings, and behavioral observation.
Main Results:
- Intervention group showed fewer distress behaviors and more coping behaviors.
- Children in the intervention group were rated as more cooperative.
- No significant differences in children's self-reported fear or pain ratings between groups.
Conclusions:
- A cognitive-behavioral treatment package is effective in reducing pediatric distress and increasing cooperation during VCU.
- The intervention successfully enhanced coping mechanisms in pediatric patients.
- Integration of this intervention into routine pediatric radiology is recommended.
Objective:
To reduce young children's distress and increase coping behavior among children undergoing a voiding cystourethrogram (VCU).
Methods:
Three- to seven-year-old children were stratified based on prior VCU experience and randomly assigned to an intervention (n = 20) or a standard care (n = 20) condition. The intervention included provision of information, coping skills training, and parent coaching. We hypothesized that the intervention would reduce children's distress as assessed by child report, parent and technician ratings, and behavioral observations.
Results:
Children in the intervention displayed fewer distress behaviors and greater coping behaviors and were rated as more cooperative than children receiving standard care. Children's fear and pain ratings did not differ significantly between groups.
Conclusions:
A cognitive-behavioral treatment package effectively reduced children's distress, increased coping, and increased cooperation during voiding cystourethrogram procedures. This type of an intervention should be integrated into routine pediatric radiological procedures.