The fear of needles in children

David Fassler1

  • 1University of Vermont College of Medicine.

Insights

A cognitive intervention significantly reduced needle fears in hospitalized children, improving their behavior, heart rate, and pain perception during injections. This approach offers practical benefits for pediatric care.

Area of Science:

  • Pediatric Psychology
  • Child Health Interventions
  • Pain Management

Background:

  • Needle-based procedures are a common source of fear and anxiety for young children in healthcare settings.
  • Fear of needles can lead to distress, pain, and avoidance behaviors, impacting medical care.
  • Effective interventions are needed to mitigate needle-related fear in pediatric patients.

Purpose of the Study:

  • To evaluate the efficacy of a single-session, cognitively-based intervention program.
  • To assess the impact of the intervention on needle fears in hospitalized children.
  • To determine effects on children's behavior, physiological responses, and pain perception.

Main Methods:

  • A cohort of hospitalized children participated in a single-session cognitive intervention.
  • Fear levels and behavioral responses were assessed before and after the intervention.
  • Physiological measures (heart rate) and self-reported pain perception were recorded post-intervention.

Main Results:

  • The intervention led to significant positive changes in children's behavior during injections.
  • A notable reduction in heart rate variability was observed post-intervention, indicating decreased stress.
  • Children reported significantly lower pain perception following the cognitively-based intervention.

Conclusions:

  • Cognitively-based interventions are effective in reducing needle fears and associated distress in hospitalized children.
  • The findings support the integration of this intervention into routine pediatric healthcare practices.
  • Addressing needle fears can improve the overall patient experience and adherence to medical procedures.

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