BEHAVIORAL INTERVENTION FOR PAINFUL CANCER PROCEDURES

减少儿童焦虑和疼痛的理论治疗 接受重复的医疗程序是有限的;此外， 了解引起焦虑和疼痛的因素， 设置.本研究将应用认知行为治疗原则 减少预期性焦虑和随后的程序性焦虑， 反复进行医疗程序的儿童的疼痛。此外，这项研究 将研究如何记忆，偏见和个人差异变量，如 应对方式，影响医疗过程中的焦虑和疼痛。 来自三个不同年龄组的癌症儿童将被分配到 治疗组或注意力控制组。治疗，基于 条件反射原理结合认知影响， 条件反射，将鼓励孩子重新评估更积极的， 以前的医疗程序经验，并降低反应， 程序相关的刺激。据推测，儿童接受 治疗将显示较少的自我报告，生理和行为 焦虑和疼痛之前和期间的医疗程序，这些 差异将在后续评估中保持。焦虑会 调节治疗条件与疼痛和记忆之间的关系 偏见将调解过去和现在的焦虑之间的关系， 医疗过程中的疼痛。这项研究的主要目标是 加强对儿童的理解，减少他们在学习期间的痛苦和恐惧。 重复的癌症手术。

Theory-based treatments for reducing anxiety and pain in children undergoing repeated medical procedures are limited; furthermore, little is known about the factors that give rise to anxiety and pain in such settings. This study will apply cognitive-behavioral treatment principles to reduce anticipatory anxiety and, subsequently, procedural anxiety and pain in children undergoing repeated medical procedures. Also, this study will examine how memory, bias and individual difference variables, such as coping style, influence anxiety and pain during medical procedures. Children with cancer from three different age groups will be assigned to either a treatment or an attention-control group. Treatment, based on conditioning principles combined with cognitive influences on conditioning, will encourage children to re-evaluate more positively their previous experiences with medical procedures and decrease reactivity to procedure-related stimuli. It is hypothesized that children receiving treatment will show less self-report, physiological, and behavioral anxiety and pain before and during medical procedures, and that these differences will be maintained at a follow-up assessment. Anxiety will mediate the relationship between treatment condition and pain, and memory bias will mediate the relationship between past and present anxiety and pain during medical procedures. The broad objective of this research is to enhance understanding of and reduce children's pain and fears during repeated cancer procedures.