Journal of pediatric psychology
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Randomized Controlled Trial
A pilot study to assess the efficacy of biofeedback-assisted relaxation training as an adjunct treatment for pediatric functional dyspepsia associated with duodenal eosinophilia.
To conduct a pilot study examining whether adding biofeedback-assisted relaxation training (BART) to medication treatment results in better clinical outcomes than medication treatment alone for children with functional dyspepsia (FD) associated with duodenal eosinophilia, a subgroup of children with recurrent abdominal pain. ⋯ BART is a promising adjunctive treatment for pediatric FD associated with duodenal eosinophilia. Electronic daily diaries appear to be a useful approach to assessing changes in self-reported pain ratings in this population.
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Cluster analyses allow health professionals to classify adolescents with chronic pain into subgroups, which might allow efficient tailoring of treatment. Given the nature of family relationships when a child has chronic pain, we aimed to evaluate whether an adolescent-disability-derived cluster formula would appropriately classify their parents via parenting stress, anxiety, and depression. ⋯ Findings suggest the patient-derived 4-group cluster solution might be an efficient method of distinguishing subgroups of parents with varying levels of stress, anxiety, and depression, which can be used to guide family-oriented treatment efforts.
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To examine whether children's experience of pain intensity and anxiety, and adult behaviors during venepuncture, were related to children's memories of the procedure. ⋯ Results indicate that children's direct experience of pain intensity and staff behaviors during venepuncture are related to their memories. These data highlight the importance of effective pain management during medical procedures.
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This study examined the effects of videogame distraction and a virtual reality (VR) type head-mounted display helmet for children undergoing cold pressor pain. ⋯ Using the VR helmet did not result in improved pain tolerance over and above the effects of interactive videogame distraction without VR technology. Clinical implications and possible developmental differences in elementary school-aged children's ability to use VR technology are discussed.
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To explore the behaviors of parents and nurses during the immunization process and their association with children's distress and coping in a sample of Portuguese preschool-aged children; to identify similarities and differences in the behavior of parents, nurses, and children, as well as in the relation between adults' behaviors and child distress and coping, with those previously identified by the Interactive Model of Acute Child Distress, from Blount et al. (1992). ⋯ Portuguese nurses and parents' behaviors during immunization show some important cultural differences.