Psychological interventions for needle-related procedural pain and distress in children and adolescents.
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ABSTRACT:
SUBMITTER: Birnie KA
PROVIDER: S-EPMC6517234 | biostudies-literature | 2018 Oct
REPOSITORIES: biostudies-literature
Publications
Psychological interventions for needle-related procedural pain and distress in children and adolescents.
Birnie Kathryn A KA Noel Melanie M Chambers Christine T CT Uman Lindsay S LS Parker Jennifer A JA
The Cochrane database of systematic reviews 20181004
<h4>Background</h4>This is the second update of a Cochrane Review (Issue 4, 2006). Pain and distress from needle-related procedures are common during childhood and can be reduced through use of psychological interventions (cognitive or behavioral strategies, or both). Our first review update (Issue 10, 2013) showed efficacy of distraction and hypnosis for needle-related pain and distress in children and adolescents.<h4>Objectives</h4>To assess the efficacy of psychological interventions for need ...[more]
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Project description:ObjectiveTo systematically review the evidence (and quality) for distraction and hypnosis for needle-related pain and distress in children and adolescents. To explore the effects of distraction characteristics (e.g., adult involvement, type of distracter), child age, and study risk of bias on treatment efficacy. Methods26 distraction and 7 hypnosis trials were included and self-report, observer-report, and behavioral pain intensity and distress examined. Distraction studies were coded for 4 intervention characteristics, and all studies coded for child age and study risk of bias. ResultsFindings showed strong support for distraction and hypnosis for reducing pain and distress from needle procedures. The quality of available evidence was low, however. Characteristics of distraction interventions, child age, and study risk of bias showed some influence on treatment efficacy.ConclusionsDistraction and hypnosis are efficacious in reducing needle-related pain and distress in children. The quality of trials in this area needs to be improved.
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Project description: Not available
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