共查询到20条相似文献,搜索用时 15 毫秒
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S W Powers 《Journal of pediatric psychology》1999,24(2):131-145
OBJECTIVE: To use the Chambless criteria for empirically supported treatments and determine if any interventions for procedure-related pain in children and adolescents can be designated as "well established," "probably efficacious," or "promising." METHODS: The Chambless criteria were applied to 13 treatment outcome studies identified by a comprehensive literature review. RESULTS: A detailed summary is provided for each study, including the following information: citation, subjects, diagnostic criteria, baseline, experimental design, assessment measures, treatment protocol, outcome, and follow-up. CONCLUSIONS: Cognitive behavioral therapy is a "well-established treatment" for procedure-related pain in children and adolescents. Treatment includes breathing exercises and other forms of relaxation and distraction, imagery and other forms of cognitive coping skills, filmed modeling, reinforcement/incentive, behavioral rehearsal, and active coaching by a psychologist, parent, and/or medical staff member. I discuss future challenges for biobehavioral research and practice in the area of procedure-related pain. 相似文献
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Empirically supported treatments in pediatric psychology: recurrent pediatric headache 总被引:13,自引:10,他引:3
OBJECTIVE: To review the empirical research examining behavioral treatments
for recurrent pediatric headache. METHODS: Thirty-one investigations
published after 1980 were reviewed using predetermined criteria to evaluate
the adequacy of research methodologies. A modification of criteria proposed
for evaluating the efficacy of psychological interventions for adults (Task
Force on Promotion and Dissemination of Psychological Procedures, 1995) was
used to evaluate the adequacy of evidence available for individual
intervention strategies. RESULTS: Sufficient evidence exists to conclude
that relaxation/self-hypnosis is a well-established and efficacious
treatment for recurrent headache. Furthermore, enough evidence exists to
conclude that thermal biofeedback alone is a probably efficacious
treatment. Other promising interventions have been tested that combine
relaxation and biofeedback or integrate other cognitive-behavioral
treatment approaches, but are limited by inadequate research methodologies.
CONCLUSIONS: We discuss the importance of developmentally based conceptual
models and the impact of diagnostic heterogeneity and offer specific
recommendations for future intervention research in the area of recurrent
pediatric headache.
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OBJECTIVE: To review empirical studies of psychological interventions for nonadherence to medical regimens for three chronic illnesses: asthma, juvenile rheumatoid arthritis (JRA), and type 1 diabetes. METHODS: The Chambless criteria for "promising," "probably efficacious," or "well-established" were applied to 8 intervention studies on asthma, 4 on JRA, and 11 on type 1 diabetes. RESULTS: For asthma, organizational strategies appear probably efficacious in promoting adherence, whereas educational and behavioral strategies appear promising. For JRA, behavioral strategies appear probably efficacious in improving adherence. For type 1 diabetes, multicomponent packages and operant learning procedures appear probably efficacious, whereas cognitive-behavioral strategies appear promising. No interventions were identified as "well-established." CONCLUSIONS: Future studies will need to develop adequate definitions of adherence, accurate methods of assessing adherence, and appropriate designs to evaluate multicomponent treatment programs to advance interventions to the "well-established" category. 相似文献
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OBJECTIVE: To review the status of empirically supported treatments for recurrent abdominal pain (RAP). METHODS: We identified studies based on literature search and contact with experts in the field and evaluated studies based on guidelines modified from the criteria established by the Task Force on Promotion and Dissemination of Psychological Procedures. RESULTS: Nine published intervention studies were identified that fell into three distinctive approaches: operant procedures, fiber treatments, and cognitive-behavioral treatments. CONCLUSIONS: Operant procedures did not meet even the most lenient category (promising intervention) of the guidelines. Fiber treatment for RAP associated with constipation met the criteria for a promising intervention. Cognitive-behavioral treatment met the criteria for a probably efficacious intervention. We discuss implications and offer recommendations for future intervention research. 相似文献
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OBJECTIVE: To evaluate psychological literature addressing interventions
for disease-related pain in children. METHODS: We conducted a literature
review of all studies using psychological interventions for pain stemming
directly from disease process as well as pain secondary to disease
treatment. RESULTS: Few empirically validated psychological approaches to
the treatment of disease pain were found. Although existing intervention
studies do not meet Chambless criteria, some promising strategies were
identified. CONCLUSIONS: Clinical evidence suggests that
cognitive-behavioral strategies for the management of disease pain in
children are promising and manualized, controlled intervention studies are
needed.
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Mindell JA 《Journal of pediatric psychology》1999,24(6):465-481
OBJECTIVE: To review the literature for empirically supported treatments for bedtime refusal and night wakings in young children. METHODS: An extensive review of the literature resulted in the inclusion of 41 studies that were evaluated according to the criteria established by the Task Force on Promotion and Dissemination of Psychological Procedures (1995). RESULTS: Evidence exists indicating that extinction and parent education on the prevention of sleep problems can be considered well-established treatments. Furthermore, graduated extinction and scheduled awakenings are probably efficacious treatments, with positive routines a promising intervention. CONCLUSIONS: A discussion of effectiveness, treatment feasibility, cost-effectiveness, and methodological limitations of the studies is provided. Recommendations for future directions for research in the treatment of these two common sleep disorders are presented. 相似文献
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Empirically supported treatments for panic disorder: costs, benefits, and stepped care 总被引:5,自引:0,他引:5
Treatment outcome findings suggest that cognitive-behavioral therapy (CBT) and pharmacotherapy offer similar short-term treatment gains for panic disorder and that CBT may afford more optimal maintenance of treatment gains without the need for ongoing treatment. However, efficacy is not the only consideration for patients, and because of limited health care resources, evaluation of the cost-benefit ratio of these treatments is important. In this article, the authors review estimates of the relative efficacy, acceptability, tolerability, and costs of these treatments; empirically examine the costs and outcome of cognitive-behavioral and pharmacologic interventions as they are delivered in an outpatient clinic specializing in these treatments; and comment on how these data inform a stepped care model of treatment. Analysis of the "services" data indicated that CBT was at least equal to pharmacotherapy in terms of pretreatment severity and acute treatment outcome and that CBT is an especially cost-effective treatment option. 相似文献
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Lane MM 《Journal of pediatric psychology》2006,31(3):233-245
OBJECTIVES: To review research on perceptual accuracy in pediatric asthma and diabetes and to provide recommendations for future research efforts and clinical applications of the construct in these populations. METHODS: A literature search was conducted using Medline and PsychInfo databases as well as the bibliographies of relevant articles. RESULTS: Children and adolescents with asthma or diabetes evidence considerable variability in perceptual accuracy and frequently make clinically relevant errors that have the potential to affect self-management behavior. CONCLUSIONS: Recommendations for future research include studying distinct types of perceptual errors, empirically supporting the relationship between perceptual accuracy and relevant outcomes, identifying factors related to perceptual inaccuracy, and conducting longitudinal research and intervention studies. Recommendations for applying the construct in clinical practice include adopting an individualized approach to symptoms to guide patient education and management, identifying patients prone to making clinically relevant errors, and developing and implementing interventions to improve accuracy. 相似文献