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Journal of Pediatric Psychology Advance Access originally published online on March 12, 2009
Journal of Pediatric Psychology 2009 34(10):1091-1096; doi:10.1093/jpepsy/jsp015
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

A Randomized Controlled Trial of Massage Therapy in Children with Sickle Cell Disease

Kathleen L. Lemanek, PhD1, Mark Ranalli, MD1 and Colleen Lukens, PhD2

1Ohio State University College of Medicine and 2Children's Hospital of Philadelphia

All correspondence concerning this article should be addressed to Kathleen L. Lemanek, PhD, Department of Psychology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA. E-mail: kathleen.lemanek{at}nationwidechildrens.org


  Abstract

Objective This randomized controlled trial investigated the short-term effects of massage therapy on youth with SCD and their parents. Methods Thirty-four children and adolescents, and their parents were assigned to a massage therapy or an attention control group. Parents were trained in massage in their homes once a week for 4 weeks, with instructions to provide nightly massages. Families in the control group were visited weekly by a research assistant. Participants completed measures of depression and anxiety, functional status, pain intensity, medication use, and service utilization. Results Parents in the massage therapy group reported higher levels of depression and anxiety following the intervention. Youth in this group showed higher levels of functional status, and lower levels of depression, anxiety, and pain. Health service utilization rates were unchanged from pre- to post-intervention. Conclusions These results offer preliminary support for parent-delivered massage therapy as an intervention for SCD pain.

Key words: massage therapy; pain; sickle cell disease.

Received September 14, 2008; revision received January 24, 2009; accepted February 15, 2009


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