Alteration of memory in the reduction of children's distress during repeated aversive medical procedures
Alteration of memory in the reduction of children's distress during repeated aversive medical procedures
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DOI：
10.1037/0022-006x.67.4.481
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发表时间：
1999-08-01
影响因子：
5.9
通讯作者：
Katz, ER
中科院分区：
文献类型：
--
作者：
Chen, E;Zeltzer, LK;Katz, ER
本研究试图减少儿童的痛苦，在厌恶的医疗程序，使用一个简短的，具有成本效益的干预，旨在重构记忆。对50名诊断为白血病的儿童（25名治疗组，25名注意力控制组，年龄3-18岁）进行连续3次腰椎穿刺（LP;基线、干预后和随访）。自我报告，生理和可观察到的痛苦措施之前和之后每个LP收集。在治疗后，干预组的儿童表现出预期的生理和自我报告评级相对于对照组的减少。在随访时，这些影响普遍减少程序困扰。这些结果表明，（a）一个简单的记忆为基础的干预是有效的，在减少儿童的痛苦和（B）从这种干预的好处是保持超过1周，即使没有继续干预。
The present study sought to reduce children's distress during aversive medical procedures using a brief, cost-effective intervention aimed at reframing memory. Fifty children diagnosed with leukemia (25 treatment, 25 attention control, aged 3-18) were observed as they underwent 3 consecutive lumbar punctures (LPs; baseline, postintervention, and follow-up). Self-report, physiological, and observable distress measures were collected before and after each LP. At posttreatment, children in the intervention group showed reductions in anticipatory physiological and self-report ratings relative to the control group. At follow-up, these effects generalized to reductions in procedural distress. These results suggest that (a) a simple memory-based intervention is efficacious at reducing children's distress and (b) benefits from this intervention are maintained over 1 week even without continued intervention.