Blount R L, Powers S W, Cotter M W, Swan S, Free K
Department of Psychology, University of Georgia, Athens 30602-3013.
Behav Modif. 1994 Jan;18(1):6-31. doi: 10.1177/01454455940181002.
Three 4- to 7-year-old pediatric oncology patients were taught to engage in distraction prior to painful bone marrow aspirations and lumbar puncture procedures and to use party blowers as a breathing technique during the painful procedures. Parents were taught to coach their children to use these coping behaviors. Using a multiple baseline across subjects design, results indicated that all of the parents increased their rate of coaching. Each child responded with increased coping and decreased observable distress after the first treatment session. One child returned to baseline levels of coping and distress on the next two sessions. The other two children maintained their high rates of coping and low rates of observable distress during the remaining treatment and during the maintenance sessions. Parents' coaching of their children to use coping behaviors also remained high during maintenance sessions.
三名4至7岁的儿科肿瘤患者在进行痛苦的骨髓穿刺和腰椎穿刺手术前，被教导如何进行分散注意力，并在痛苦的手术过程中使用派对吹管作为一种呼吸技巧。家长们也被教导如何指导他们的孩子使用这些应对行为。采用跨受试者的多基线设计，结果表明所有家长的指导率都有所提高。每个孩子在第一次治疗后，应对能力增强，可观察到的痛苦减少。有一个孩子在接下来的两节课中恢复到了应对和痛苦的基线水平。另外两个孩子在剩余的治疗和维持阶段保持了较高的应对率和较低的可观察到的痛苦率。在维持阶段，家长指导孩子使用应对行为的情况也保持在较高水平。
