Effective reduction of anxiety in hospitalised children through bibliotherapy

Edwin Jose Lawrence1, Jerly Lazer2

  • 1Department of Nursing Services, ESI Dispensary, Vikravandi, India.

Insights

Bibliotherapy significantly reduced hospital admission anxiety in children aged 5-12. Anxiety scores dropped by 27%, with no participants experiencing severe anxiety post-intervention.

Area of Science:

  • Pediatric Psychology
  • Childhood Anxiety Disorders
  • Intervention Strategies

Background:

  • Hospitalization is a significant source of distress and anxiety for children.
  • Assessing and mitigating anxiety in pediatric patients is crucial for their well-being.

Purpose of the Study:

  • To evaluate the effectiveness of bibliotherapy in reducing anxiety among hospitalized children.
  • To explore correlations between anxiety levels and demographic/clinical variables.

Main Methods:

  • A pre-test and post-test design was utilized over three months in a tertiary care pediatric ward.
  • Sixty children (aged 5-12) participated, with anxiety assessed using the Spence Children Anxiety Scale.
  • Bibliotherapy was implemented as the primary intervention.

Main Results:

  • Post-bibliotherapy, 72% of children exhibited mild anxiety and 28% moderate anxiety; no severe anxiety was recorded.
  • A 27% reduction in overall anxiety scores was observed.
  • Significant associations were identified between anxiety reduction and age, educational status, and family type.

Conclusions:

  • Bibliotherapy is a highly effective intervention for reducing anxiety in hospitalized children aged 5-12.
  • The findings support the use of bibliotherapy as a low-cost, accessible tool in pediatric care settings.
Abstract

Related Concept Videos

Behavior Therapy01:22

Behavior Therapy

Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
49
The Placebo Effect01:54

The Placebo Effect

The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.2K
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
56
Cognitive Therapy01:25

Cognitive Therapy

Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
152
Anxiolytic Drugs: Overview01:26

Anxiolytic Drugs: Overview

Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
303
Rational Emotive Behavior Therapy01:24

Rational Emotive Behavior Therapy

Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
50