Journal of Pediatric Psychiatry, Vol 24, 131-145, Copyright © 1999 by Society of Pediatric Psychology
SW Powers
OBJECTIVE: To use the Chambless criteria for empirically supported
treatments and determine if any interventions for procedure-related pain in
children and adolescents can be designated as "well established," "probably
efficacious," or "promising." METHODS: The Chambless criteria were applied
to 13 treatment outcome studies identified by a comprehensive literature
review. RESULTS: A detailed summary is provided for each study, including
the following information: citation, subjects, diagnostic criteria,
baseline, experimental design, assessment measures, treatment protocol,
outcome, and follow-up. CONCLUSIONS: Cognitive behavioral therapy is a
"well- established treatment" for procedure-related pain in children and
adolescents. Treatment includes breathing exercises and other forms of
relaxation and distraction, imagery and other forms of cognitive coping
skills, filmed modeling, reinforcement/incentive, behavioral rehearsal, and
active coaching by a psychologist, parent, and/or medical staff member. I
discuss future challenges for biobehavioral research and practice in the
area of procedure-related pain.
ARTICLE
Empirically supported treatments in pediatric psychology: procedure- related pain
Children's Hospital Medical Center, Division of Psychology, Cincinnati, Ohio 45229-3039, USA. scottpowers@chmcc.org
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