Journal of pediatric psychology
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Randomized Controlled Trial Comparative Study Clinical Trial
Children's expectations and memories of acute distress: short- and long-term efficacy of pain management interventions.
To examine the effect of psychologic and pharmacologic interventions on children's expectations and 6-month recollections of painful procedures. ⋯ Children have negative expectations prior to a procedure despite knowing that a distress management intervention will be employed. However, interventions may thwart the development of negative memories of distress.
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To evaluate prospectively the association between parental anxiety during treatment for childhood leukemia and posttraumatic stress symptoms (PTSS) after treatment ends. A secondary goal is to explore concurrent variables associated with parental avoidance after treatment ends. ⋯ Highly anxious parents are at risk for PTSS and may benefit from approaches that decrease anxiety during treatment and afterward. Enhancing self-efficacy related to follow-up care and identifying positive aspects of the traumatic experiences are suggested as treatment approaches for families after cancer treatment.
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Comparative Study
Multidimensional assessment of pain in pediatric sickle cell disease.
To conduct a multidimensional assessment of pain in children with sickle cell disease (SCD). Variables included parent and child reports of pain location and intensity, qualitative descriptors of pain, perceptions regarding the seriousness and severity of SCD, and environmental and emotional factors associated with pain. ⋯ Findings support including children as reporters in clinical assessment of SCD pain. Integration of assessment strategies into home-based pain management may improve health outcomes. Future research should target biobehavioral treatment for pediatric SCD pain.
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Randomized Controlled Trial Clinical Trial
Daily coping practice predicts treatment effects in children with sickle cell disease.
To examine the 1-month effects of a pain coping skills intervention in children with sickle cell disease (SCD). ⋯ Brief training in coping skills followed by minimal therapist contact may lead to a range of benefits when children practice with their skills on a consistent basis.
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The dearth of empirical support for interventions in pediatric chronic and disease-related pain requires a shift in our treatments and treatment research. Treatments with a higher degree of treatment accommodation are needed to reduce the treatment demands on patients and their families. ⋯ Likewise, treatment research will need higher levels of research acceptability to ensure adequate data demonstrating the true efficacy of treatments. A more creative approach is needed that incorporates technology as a tool to these ends.