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Journal of Pediatric Psychology, Vol. 25, No. 2, 2000, pp. 117-121
© 2000 Society of Pediatric Psychology

Brief Clinical Report: Procedural Pain and Anxiety Management With Mother and Sibling as Co-therapists

Maru Barrera, PhD

The Hospital for Sick Children and The University of Toronto

All correspondence should be sent to Maru Barrera, Department of Psychology, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada. E-mail: barrera{at}sickkids.on.ca .

Objective: To describe a multidimensional family-focused intervention for pain and anxiety management during port-access with a Spanish-speaking preschool child being treated for acute lymphoblastic leukemia, using the patient's mother and one sibling as co-therapists.

Methods: Assessment procedures included interviews with mother, sibling, and primary nurse and behavioral observations during port-access, and during a medical examination. Intervention consisted of two training and two "in-vivo" sessions, using behavioral and cognitive behavioral techniques.

Results: Physical resistance was eliminated and anxiety responses reduced during port-access sessions. Maternal anxiety and sibling distress were also reduced.

Conclusions: This case study illustrates an empirically supported child and family focused in the clinical care context and highlights cultural factors that may influence the success of such interventions.

Key words: procedural pain; anxiety; psychological intervention; pediatric cancer.


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