TY - JOUR
T1 - A randomized controlled prospective outcome study of a psychological and pharmacological intervention protocol for procedural distress in pediatric leukemia
AU - Kazak, Anne E.
AU - Penati, Biancamaria
AU - Boyer, Bret A.
AU - Himelstein, Bruce
AU - Brophy, Patricia
AU - Waibel, Mary Katherine
AU - Blackall, George F.
AU - Daller, Ruth
AU - Johnson, Kelly
N1 - Funding Information:
'This research was supported in part by a grant to Anne E. Kazak from the National Cancer Institute (No. 57917). The authors thank all the members of the APPO Workgroup in the Division of Oncology and the Pain Management Team at the Children's Hospital of Philadelphia, the many individuals who assisted in the numerous facets of designing, implementing, and evaluating this project, and the patients and parents who have participated. We also thank Tabitha CaJlaway for assistance in data entry and Marc Blumberg for data collection. 2AII correspondence should be addressed to Anne E. Kazak, Director, Psychosocial Services, Division of Oncology, The Children's Hospital of Philadelphia, 324 S. 34th Street, Philadelphia, Pennsylvania 1910+4399.
PY - 1996/10
Y1 - 1996/10
N2 - Evaluated distress during invasive procedures in childhood leukemia. Child and parent distress, assessed by questionnaires and ratings, were compared in two arms of a randomized, controlled prospective study, one a pharmacologic only (PO) (n = 45) and the other a combined pharmacologic and psychological intervention (CI) (n = 47), at 1, 2, and 6 months after diagnosis. The cross-sectional control group (CC) consisted of parents of 70 patients in first remission prior to the prospective study. Mothers' and nurses' ratings of child distress indicated less child distress in the CI group than the PO. When contrasted with the CC group, the CI group showed lower levels of child distress. Data showed decreases over time in distress and concurrent improvements in quality of life and parenting stress and supported an inverse association between distress and child age.
AB - Evaluated distress during invasive procedures in childhood leukemia. Child and parent distress, assessed by questionnaires and ratings, were compared in two arms of a randomized, controlled prospective study, one a pharmacologic only (PO) (n = 45) and the other a combined pharmacologic and psychological intervention (CI) (n = 47), at 1, 2, and 6 months after diagnosis. The cross-sectional control group (CC) consisted of parents of 70 patients in first remission prior to the prospective study. Mothers' and nurses' ratings of child distress indicated less child distress in the CI group than the PO. When contrasted with the CC group, the CI group showed lower levels of child distress. Data showed decreases over time in distress and concurrent improvements in quality of life and parenting stress and supported an inverse association between distress and child age.
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U2 - 10.1093/jpepsy/21.5.615
DO - 10.1093/jpepsy/21.5.615
M3 - Article
C2 - 8936892
AN - SCOPUS:0029851511
SN - 0146-8693
VL - 21
SP - 615
EP - 631
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 5
ER -