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Updated: Apr 20, 2026

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

Psychologists in preoperative programmes for children undergoing surgery.

Francesca Cuzzocrea¹, Sebastiano Costa², Maria Cristina Gugliandolo²

¹Department of Human and Social Sciences, University of Messina, Messina, Italy fcuzzocrea@unime.it.

Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community

|December 4, 2014

Summary

Combining psychological support with contextual games significantly reduces preoperative anxiety and improves cooperation in pediatric surgical patients. Distracting activities alone were least effective.

Keywords:

Anxiety contextual games distracting activities patient compliance psychological accompaniment psychological preparation

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Last Updated: Apr 20, 2026

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

Area of Science:

Pediatric Psychology
Surgical Patient Care
Child Development

Background:

Preoperative anxiety and non-compliance are significant challenges in pediatric surgery.
Current interventions for managing anxiety and promoting cooperation vary in effectiveness.

Purpose of the Study:

To evaluate the efficacy of psychological accompaniment and game activities in reducing preoperative anxiety and enhancing compliance in pediatric surgical patients.
To compare the effectiveness of contextualized games versus general distracting activities when combined with psychological support.

Main Methods:

A total of 104 pediatric patients undergoing surgery were allocated into four groups: (1) contextual games with psychological accompaniment, (2) contextual games only, (3) distracting activities only, and (4) psychological accompaniment only.
Anxiety levels were measured using the modified Yale Preoperative Anxiety Scale.
Compliance was assessed using a modified Induction Compliance Checklist.

Main Results:

The group receiving both contextual games and psychological accompaniment exhibited the lowest anxiety levels and highest cooperation rates.
Contextual games alone were more effective than psychological accompaniment alone.
Distracting activities alone proved to be the least effective intervention.

Conclusions:

A comprehensive intervention combining psychological support with age-appropriate, contextualized games is most effective for managing preoperative anxiety and improving cooperation in pediatric surgical patients.
Tailored, preparatory games are superior to general distractions for enhancing patient experience and procedural success.