Jay S M, Elliott C H, Woody P D, Siegel S
University of Southern California, Los Angeles.
Health Psychol. 1991;10(5):317-22. doi: 10.1037//0278-6133.10.5.317.
In previous research, a cognitive-behavioral therapy (CBT) package was found to be effective in reducing children's distress associated with the painful medical procedures of bone marrow aspirations (BMAs) and lumbar punctures (LPs). Orally administered Valium demonstrated less effectiveness but was helpful in reducing behavioral distress before the medical procedure. In the present study, we investigated whether the combination of oral Valium and CBT would result in increased efficacy of the CBT. Eighty-three subjects were randomly assigned to receive either CBT or CBT plus Valium while undergoing either a BMA or an LP. Dependent variables included observed behavioral distress, self-reported fear and pain, and pulse rate. Results failed to support the value of such a combination but did provide additional evidence in regard to the effectiveness of the CBT. The need for more potent medical interventions for some children is discussed.
在先前的研究中，发现一种认知行为疗法（CBT）方案能有效减轻儿童因骨髓穿刺（BMA）和腰椎穿刺（LP）等痛苦的医疗程序而产生的痛苦。口服安定的效果较差，但有助于减轻医疗程序前的行为痛苦。在本研究中，我们调查了口服安定与CBT联合使用是否会提高CBT的疗效。83名受试者在接受BMA或LP时被随机分配接受CBT或CBT加安定。因变量包括观察到的行为痛苦、自我报告的恐惧和疼痛以及脉搏率。结果未能支持这种联合使用的价值，但确实为CBT的有效性提供了更多证据。文中讨论了对一些儿童采用更强效医疗干预措施的必要性。
