Home >> International Journal of Rehabilitation and Health, Volume 3, Number 4

Evaluation of a Cognitive-Behavioral Intervention for Reducing Distress in Pediatric Cancer Patients Undergoing Magnetic Resonance Imaging Procedures

Authors: Tyc V.L.1; Leigh L.2; Mulhern R.K.1; Srivastava D.K.3; Bruce D.4

Source: International Journal of Rehabilitation and Health, Volume 3, Number 4, October 1997 , pp. 267-279(13)

Publisher: Springer

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Abstract:

We evaluated efficacy of a cognitive-behavioral therapy (CBT) intervention compared to a standard care condition (SCC) in 55 pediatric patients with central nervous system cancer, aged 6 to 18 years, undergoing magnetic resonance imaging (MRI). There were no significant differences between the CBT and the SCC groups on child, parent, or staff ratings of MRI distress, child self-reports of expected MRI distress, or observed behavioral distress. The CBT intervention was effective, however, in reducing distress during intravenous line (IV) insertion preceding the index MRI on the basis of staff but not child or parent ratings of distress. No significant differences in need for sedation were present between the CBT and the SCC groups. Positive changes in staff-patient interactions and improved patient education regarding the MRI were apparent. Discussion focuses on recommendations for future studies examining cognitive-behavioral interventions in pediatric patients.

Keywords: cognitive-behavioral therapy; magnetic resonance imaging (MRI); pediatric cancer

Document Type: Research article

DOI: http://dx.doi.org/10.1023/B:IJRH.0000008155.63545.6c

Affiliations: 1: Division of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee. Department of Pediatrics, University of Tennessee, School of Medicine, Memphis, Tennessee 2: Division of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee 3: Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee 4: Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, Tennessee

Publication date: 1997-10-01

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