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[Psychological intervention for coping with painful medical procedures in pediatric oncology]
M Salas Arrambide1, O Gabaldón Poc, J L Mayoral Miravete
1Departamento de Psicología. Universidad de Deusto. Bilbao. Spain. msalas@eukalnet.net
Insights
Psychological interventions effectively reduced procedural distress, anxiety, and pain in a pediatric oncology patient. This single-case study highlights the benefits of tailored coping strategies for children undergoing medical procedures.
Area of Science:
- Pediatric Psychology
- Oncology Supportive Care
Background:
- Psychological interventions are recommended for managing procedural distress in pediatric oncology.
- These interventions aim to alleviate anxiety and pain during medical procedures.
Observation:
- A single-case study evaluated a psychological intervention for a pediatric oncology patient.
- The intervention included breathing exercises, imagery, reinforcement, and behavioral rehearsal.
- Pain and anxiety self-reports were collected from the child, alongside observational data.
Findings:
- The psychological intervention successfully decreased procedural distress, anticipatory anxiety, and pain.
- A 3-year-old child was able to provide reliable self-reports on pain and anxiety levels.
- The study demonstrated the feasibility of using age-appropriate tools for self-reporting in young children.
Implications:
- This study supports the use of psychological interventions to improve the coping abilities of children with cancer.
- Findings suggest that even young children can effectively communicate their distress levels with appropriate tools.
- Further research is recommended to explore the broader applicability and long-term effects of such interventions in pediatric oncology.
Background:
Psychological treatments for procedural distress have shown good results in pediatric oncology and several institutions recommend their implementation to reduce the procedural distress, anxiety and pain associated with painful medical procedures.
Objectives:
To assess the results of a psychological intervention in the first child participating in the study "Prospective Analysis of a Psychological Program for Coping with Medical Procedures in Pediatric Oncology".
Methods:
We performed a single-case study, using pain and anxiety self-reports by the child and an observational scale in a psychological intervention with the following components: Breathing exercises, imagery, reinforcement, and behavioral rehearsal.
Results:
The psychological intervention decreased procedural distress, anticipatory anxiety and pain. The 3-year-old child was able to give pain and anxiety self-reports using appropiate tools.
Conclusions:
The potential benefits of this kind of intervention are discussed, and some recommendations for future research are proposed.
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