BEHAVIORAL INTERVENTION FOR PAINFUL CANCER PROCEDURES

减轻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；而且，几乎没有 已知引起焦虑和疼痛的因素 设置。这项研究将应用认知-行为治疗原则 为了减少预期性焦虑和随后的程序性焦虑 反复接受医疗程序的儿童的疼痛。另外，这项研究 我将考察记忆、偏见和个体差异变量，如 应对方式，影响医疗过程中的焦虑和疼痛。 来自三个不同年龄段的癌症儿童将被分配到 要么是治疗组，要么是注意力控制组。治疗，基于 条件反射原理与认知影响相结合 条件反射，将鼓励孩子们更积极地重新评估他们的 以前有过医疗程序的经验，减少了对 与程序相关的刺激。据推测，接受治疗的儿童 治疗将表现出更少的自我报告、生理和行为 在医疗程序之前和期间的焦虑和疼痛，而这些 分歧将在后续评估中保持不变。焦虑会 调节治疗条件与疼痛、记忆之间的关系 偏见将调节过去和现在焦虑之间的关系，并 在医疗过程中的疼痛。这项研究的广泛目标是 加强对儿童疼痛和恐惧的理解和减少 反复的癌症手术。

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.