Relaxation-guided imagery reduces perioperative anxiety and pain in children: a randomized study

Area of Science:

• Pediatric Psychology
• Surgical Care
• Pain Management

Background:

• Psychological interventions are effective in reducing preoperative anxiety in children.
• Non-pharmacological techniques are increasingly explored for perioperative care.
• Evidence for routine use of relaxation-guided imagery in pediatric surgery needs strengthening.

Purpose of the Study:

• To evaluate the effectiveness of relaxation-guided imagery in reducing preoperative anxiety and postoperative pain in children undergoing minor surgery.
• To compare outcomes between children receiving relaxation-guided imagery and those receiving standard care.
• To provide robust evidence for a non-pharmacological intervention in pediatric surgical settings.

Main Methods:

• A randomized controlled trial involving 60 children (6-12 years old) undergoing minor surgery.
• The experimental group received relaxation-guided imagery before anesthesia induction; the control group received standard care.
• Preoperative anxiety (modified Yale Preoperative Anxiety Scale) and postoperative pain (Face, Legs, Activity, Cry, and Consolability Scale) were assessed.

Main Results:

• Children in the experimental group showed statistically significant reductions in both preoperative anxiety and postoperative pain compared to the control group (p < .001).
• Relaxation-guided imagery demonstrated a strong positive effect on reducing psychological distress and pain perception.
• The findings provide strong evidence for the efficacy of this intervention.

Conclusions:

• Relaxation-guided imagery is an effective non-pharmacological method for reducing preoperative anxiety and postoperative pain in children.
• This study supports the integration of relaxation-guided imagery into routine pediatric surgical care.
• Future research should explore protocol development and potential reductions in anesthetic and analgesic drug administration.