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儿童痛苦医疗程序中认知行为疗法与全身麻醉的比较研究。

A comparative study of cognitive behavior therapy versus general anesthesia for painful medical procedures in children.

作者信息

Jay Susan, Elliott Charles H, Fitzgibbons Irma, Woody Patricia, Siegel Stuart

机构信息

Children's Hospital of Los Angeles, Los Angeles, CA 90064 USA University of Southern California School of Medicine, Los Angeles, CA 90064 USA Department of Psychology, The Fielding Institute, Santa Barbara, CA, USA.

出版信息

Pain. 1995 Jul;62(1):3-9. doi: 10.1016/0304-3959(94)00216-2.

Abstract

A treatment outcome study was conducted to compare the efficacy of cognitive behavior therapy (CBT) versus general anesthesia in alleviating the distress of 18 pediatric cancer patients (ages: 3-12 years) undergoing bone marrow aspirations (BMAs). CBT and short-acting mask anesthesia were delivered within a repeated-measures counterbalance design. Results indicated that children exhibited more behavioral distress in the CBT condition for the 1st minute lying down on the treatment table. However, parents rated significantly more behavioral adjustment symptoms 24 h following the BMA when their children had received anesthesia. No differences were found in childrens' and parents' preference for CBT versus anesthesia.

摘要

进行了一项治疗结果研究,以比较认知行为疗法(CBT)与全身麻醉在减轻18名接受骨髓穿刺(BMA)的儿科癌症患者(年龄:3至12岁)痛苦方面的疗效。CBT和短效面罩麻醉在重复测量的平衡设计中实施。结果表明,在治疗台上躺下的第1分钟,儿童在CBT条件下表现出更多的行为痛苦。然而,当孩子接受麻醉时,家长在BMA后24小时对行为调整症状的评分显著更高。在儿童和家长对CBT与麻醉的偏好方面未发现差异。

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