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Horizons of Psychology :: Psihološka obzorja

Scientific and Professional Psychological Journal of the Slovenian Psychologists' Association

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Psychological aspects of paediatric procedural pain and implementation of cognitive-behavioural approach

Martina Bürger Lazar & Mateja Sever

pdf Full text (pdf)  |  Views: 86  |  flagWritten in Slovene.  |  Published: March 27, 2020

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Abstract: Medical procedures are often associated with a high degree of distress in children. Negative experience related to recurrent painful medical procedures in the childhood may have long-term negative psychological effects. Therefore, besides pharmacological interventions, different cognitive-behavioural techniques are very helpful in reducing child distress and pain perception. However, there is no standard method equally suitable for all children. The most appropriate intervention should be carefully chosen for each individual child, taking into consideration the characteristics of the medical procedure, knowledge of factors affecting pain perception and the child’s personality. Scientific research in which the effect of various psychological approaches to preparing children for (painful) medical procedures was studied shows that cognitive-behavioural interventions are the most effective in reducing pain and distress in children, and should therefore be used in clinical practice.

Keywords: procedural pain, child, psychological aspects of pain, cognitive-behavioural interventions

Bürger Lazar, M., & Sever, M. (2020). Psihološki vidiki proceduralne bolečini pri otroku in uporaba kognitivno-vedenjskega pristopa [Psychological aspects of paediatric procedural pain and implementation of cognitive-behavioural approach]. Psihološka obzorja, 29, 42–51.

Reference list

Accardi, M. C., & Milling, L. S. (2009). The effectiveness of hypnosis for reducing procedure-related pain in children and adolescents: A comprehensive methodological review. Journal of Behavioral Medicine, 32, 328–339. CrossRef

American Academy of Pediatrics, Committee on Psychosocial Aspects of Child and Family Health, & American Pain Society,Task Force on Pain, & Infants, Children, and Adolescents (2001). The assessment and management of acute pain in infants, children, and adolescents. Pediatrics, 108, 793–797. CrossRef

Birnie, K. A., Chambers, C. T., Taddio, A., McMurtry, C. M., Noel, M., Pillai Riddell, R., & Shah, V. (2015). Psychological Interventions for vaccine injections in children and adolescents, systematic review of randomized and quasi-randomized controlled trials, Clinical Journal of Pain, 31 (Suppl 10), S72–S89. CrossRef

Birnie, K. A., Noel, M., Parker, J. A., Chambers, C. T., Uman, L. S., Kisely, S. R., & McGrath, P. J. (2014). Systematic review of psychological interventions of distraction and hypnosis for needlerelated pain and distress in children and dolescents. Journal of Pediatric Psychology, 39(8), 783–808. CrossRef

Birnie, K. A., Noel, M., Chambers, C. T., Lindsay, S., Uman, L. S., & Parker, J. A. (2018). Psychological interventions for needle‐related procedural pain and distress in children and adolescents, Cochrane Systematic Review - Intervention. CrossRef

Blount, R. L., Cohen, L. L., Frank, N. C., Bachanas, P. J., Smith A. J., Manimala, M. R., & Pate, J. T. (1997). The Child-Adult Medical Procedure Interaction Scale-Revised: an assessment of validity. Journal of Pediatric Psychology, 22(1), 73–88. CrossRef

Blount, R. L., Piira, T., Cohen, L. L., & Cheng, P. S. (2006). Pediatric procedural pain. Behavior Modification, 30(24), 24–49. CrossRef

Blount, R. L., Simons, L. E., Devine, K. A., Jaaniste, T., Cohen, L. L., Chambers, C. T., & Hayutin, L. G. (2008). Evidence-based assessment of coping and stress in pediatric psychology. Journal of Pediatric Psychology, 33(9), 1021–1045. CrossRef

Blount, R. L., Zermpsky, W. T., Jaaniste, T., Evans, S., Cohen, L. L., Devine, K. A., & Zeltzer, L. K. (2009). Management of pediatric pain and distress. V M. C. Roberts in R. C. Steele (ur.), Handbook of pediatric psychology (str. 171–188). New York: The Guilford Press.

Bürger Lazar, M., & Anžič, J. (2005). Prepoznavanje in ocena bolečine pri otroku z rakom [Recognition and assessment of paediatric cancer pain]. V A. Gregorič (ur.), XV. srečanje pediatrov v Mariboru z mednarodno udeležbo. Zbornik predavanj. Maribor: Splošna bolnišnica Maribor.

Bürger Lazar, M. (2016). Pomagati otroku zmanjšati strah in bolečino med zdravstvenim posegom: vodnik za starše [Help your child reduce fear and pain during a medical interventions: A guide for parents]. Ljubljana: Slovensko zdravniško društvo, Združenje za pediatrijo: Zbornica-zveza, Sekcija medicinskih sester in zdravstvenih tehnikov v pediatriji.

Bürger Lazar, M. (2010). Psihološki vidiki in priprava otroka na zdravstvene posege [Psychological aspects and interventions in pediatric procedural pain]. Slovenska Pediatrija, 17, 101–106.

Carr, A. (2016). The handbook of child and adolescent clinical psychology: A contextual approach, 3. izd. London in New York: Routledge. CrossRef

Chambers, C. T., Taddio, A., Stinson, J., Campbell-Yeo, M., Halperin, S., & Parker, J. A. (2013). It doesn't have to hurt: Strategies for helping children with shots and needles - A YouTube video for parents. Pridobljeno s

Coakley, R., & Wihak, T. (2017). Evidence-based psychological interventions for the management of pediatric chronic pain: New directions in research and clinical practice. Children (Basel), 4(9), 1–18. CrossRef

Cohen, L. L., Lemanek, K., Blount, R. L., Dahlquist, L. M., Lim, C. S., Palermo, T. M., … Weiss, K. E. (2008). Evidence-based assessment of pediatric pain. Journal of Pediatric Psychology, 33(9), 939–955. CrossRef

Fogel Keck, J., Gerkensmeyer, J. E., Joyce, B. A., & Schade, J. G. (1996). Reliability and validity of the faces and word descriptor scales to measure procedural pain. Journal of Pediatric Nursing, 11(6), 368–374. CrossRef

Franck, L. S., Greenberg, C. S., & Stevens, B. (2000). Pain assessment in infants and children. Pediatric Clinics of North America, 47(3), 487–512. CrossRef

Gerick, S. M. (2008). Pain management in children: Developmental considerations and mind-body therapies. Southern Medical Journal, 98(3), 295–302. CrossRef

Gold, J. I., Kim, S. H., Kant, A. J., Joseph, M. H., & Rizzo, A. S. (2006). Effectiveness of virtual reality for pediatric pain distraction during IV placement. CyberPsychology & Behavior, 9(2), 207–212. CrossRef

Hamilton, A., & Zeltzer, L. (1995). Psychological approaches to procedural pain. V A. A. Green, M. P. W. Platt in A. R. Lloyd-Thomas (ur.), Stress and pain in infancy and childhood (str. 601–618). Clinical Paediatrics 3(3). London: Bailliere Tindall.

Hester, N. O. (1995). Assessment of Acute Pain. V A. A. Green, M. P. W. Platt, A. R. Lloyd-Thomas (ur.), Stress and pain in infancy and childhood (str. 561–577). Clinical Paediatrics, 3(3). London: Bailliere Tindall.

Kodrič, J. (2013). Psihološki pristopi k zobozdravstveni oskrbi otrok. Zobozdravstveni vestnik, 68, 96–103.

Križnik Novšak, A. (2007). Vedenjske tehnike. V Anič, N. in Janjušević, P. (ur.), Izbrane teme iz vedenjsko kognitivne terapije - Zbornik 2 [Selected Topics in Behavioural- Cognitive Therapy] (str. 79–96). Ljubljana: Društvo za vedenjsko in kognitivno terapijo.

Kuttner, L. (2012). Pediatric hypnosis: Pre-, peri-, and post-anesthesia. Pediatric Anesthesia, 22, 573–577. CrossRef

Liossi, C., & Franck, L. S. (2003). Psychological interventions for acute pediatric pain. V P. E. Macintyre, S. M. Walker in D. J. Rowbotham, (ur.), Clinical pain management: Acute pain (2. izdaja) (str. 308–323). London: Hodder Arnold. CrossRef

McGrath, P. J., Beyer, J., Cleelad, C., Eland, J., McGrath, P. A., & Portenoy, R. (1990). Report of the subcomittee on assesment and methodologic issues in the management of pain in childhood cancer. Pediatrics, 86 (Suppl. 2), 814–817.

McGrath, P. J., & Frager, G. (1996). Psychological barriers to optimal pain management in infants and children. The Clinical Journal of Pain, 12, 135–141. CrossRef

McGrath, P. J., & Unruh, A. M. (1987). Pain in children and adolescents. Amsterdam, New York, Oxford: Elsevier.

McMurtry, C. M., McGrath, P. J., & Chambers, C. T. (2006). Reassurance can hurt: Parental behavior and painful medical procedures. Journal of Pediatrics, 148(4), 560–561. CrossRef

Noel, M., Petter, M., Parker, J. A., & Chambers, C. T. (2012). Cognitive behavioral therapy for pediatric chronic pain: The problem, research, and practice. Journal of Cognitive Psychotherapy: An International Quarterly, 26(2), 143–156. CrossRef

Palermo, T. M., & Wilson, A. C. (2009). eHealth applications in pediatric psychology. V M. C. Roberts in R. C. Steele (ur.), Handbook of pediatric psychology (str. 227–237). Fourth Edition. New York: The Guilford Press.

Pastirk, S. (2004). Predstavitev nekaterih tehnik kognitivne terapije. V Anič, N. (ur.), Prispevki iz kognitivno-vedenjske terapije - Zbornik 1 [Articles in Behavioural- Cognitive Therapy] (str. 14–25). Ljubljana: Društvo za vedenjsko in kognitivno terapijo, Svetovalni center za otroke, mladostnike in starše.

Payne, S., & Walker, J. (2002). Psihologija v zdravstveni negi. Ljubljana: Educy.

Penner, L. A., Cline, R. J. W., Albrecht, T. L., Harper, F. W. K., Peterson, A. M., Taub, J. M., & Ruckdeschel, J. C. (2008). Parents' empathic responses and pain and distress in pediatric patients. Basic and Applied Social Psychology, 30(2), 102–113. CrossRef

Ross, D. M., & Ross, S. A. (1988). Childhood pain. Current issues, research, and management. Baltimore-Munich: Urban & Schwarzenberg.

Schechter, N. L., Zempsky, W. T., Cohen, L. L., McGrath, P. J., McMurtry, C. M., & Bright, N. S. (2007). Pain reduction during pediatric immunizations: Evidence-based review and recommendations. Pediatrics, 119(5), e1184–1198. CrossRef

Shields, B. J., Cohen, D. M., Harbeck-Weber, C., Powers, J. D., & Smith, G. A. (2003). Pediatric pain measurement using a visual analogue scale: A comparison of two teaching methods. Clinical Pediatrics, 42(3), 227–234. CrossRef

Slifer, K. J., Tucker, C. L., & Dahlquist, L. M. (2002). Helping children and caregivers cope with repeated invasive procedures: How are we doing? Journal of Clinical Psychology in Medical Settings, 9(2), 131–152. CrossRef

Snell, C. M. S., & DeMaso, D. R. (2010). Adaptation and coping in chronic childhood physical illness. V D. R. Shaw in D. R. De Maso, (ur.), Textboook of pediatric psychosomatic medicine (str. 21–32). London: American Psychiatric Publishing.

Spirito, A., & Kazak, A. E. (2006). Effective and emerging treatments in pediatric psychology. Oxford: University Press. CrossRef

Taddio, A., Hogan, M. E., Gerges, S., Girgis, A., Moyer, P., Wang, L., … Ipp, M. (2012). Addressing parental concerns about ain during childhood vaccination: Is there enough time to include pain management in the ambulatory setting? Clinical Journal of Pain, 28, 238–242. CrossRef

Treadwell, M. J., Franck, L. S., & Vichinski, E. (2002). Using quality improvement strategies to enhance pediatric pain assessment. International Journal for Quality in Health Care, 14(1), 39–47. CrossRef

Uman, L. S., Birnie, K. A., Noel, M., Parker, J. A., Chambers, C. T., McGrath, P. J., & Kisely, S. R. (2013). Psychological interventions for needlerelated procedural pain and distress in children and adolescents. Cochrane Database of Systematic Reviews, 10. CrossRef

Uman, L. S., Chambers, C. T., McGrath, P. J., & Kisely, S. (2006). Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Systematic Reviews, 4. CrossRef

Weisman, S. J., Bernstein, B., & Schechter, N. L. (1998). Consequences of inadequate analgesia during painful procedures in children. Archives of Diseases in Pediatric and Adolescent Medicine, 152, 147–149. CrossRef

WHO (1998). Cancer pain relief and palliative care in children. Switzerland, England, USA: WHO and International Association for the Study of Pain.

Wilson-Smith, E. M. (2011). Procedural pain management in neonates, infants and children. Reviews in Pain, 5(3), 4–12. CrossRef

Wong, D., & Baker, C. (1988). Pain in children: comparison of assessment scales. Pediatric Nursing, 14(1), 9–17.

Young, K. D. (2005). Pediatric procedural pain. Annals of Emergency Medicine, 45(2), 160–171. CrossRef

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