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Journal of Pediatric Psychology 14(3) pp. 405-419, 1989
© 1989 Society of Pediatric Psychology

research-article

Reducing Distress During Invasive Medical Procedures: Relating Behavioral Interventions to Preferred Coping Style in Pediatric Cancer Patients1

Karen E. Smith2, Joseph D. Ackerson and Alan D. Blotcky

University of Texas Medical Branch Galveston, University of Alabama, Frank Kay Clinic P.C.

2All correspondence should be sent to Karen E. Smith, Department of Pediatrics, Division of Pediatric Psychology, University of Texas Medical Branch, Galveston, Texas 77550

The hypothesis that matching childrens' preferred coping styles (repression, sensitization) with behavioral interventions (distraction, sensory information) during invasive medical procedures will reduce self-reports of fear and pain, anticipatory heart rate, and observable signs of distress was tested in 28 children with cancer. A significant coping style by intervention interaction for the self-report of experienced pain was found. However, those groups using an intervention that matched their preferred coping style actually reported higher experienced pain ratings. Trends for differences between coping style on factors indicative of the chronicity of the disease were found. Chronicity, which reflects the degree of past experience with invasive medical procedures, may be a more important factor than preferred coping style in pain management of these patients.

Key words: pain; coping styles; pediatric oncology; behavioral intervention.


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