COMPARISONS WITH PHARMACOLOGICAL PAIN MANAGEMENT ...

June 25th | Pain Psychological Perspectives

Several controlled trials the most methodologically sound, all performed in children, comparing psychological interventions with pharmacological intervention have been reported by Jay and his colleagues. In the first study of its kind, children who experience repeated bone marrow aspirations, serving as their own controls, these procedures have been receiving a random sequence of three interventions: attention control, 0.3 mg / Valium kg only, and psychological intervention only. The results indicate that psychological intervention has reduced pain, distress, and physiological arousal than either Valium or control conditions. A similar RCT followed by these researchers have shown similar effects on pain and excitement of whether patients received a psychological intervention, alone or in combination with Valium. Jay et al. also compared the intervention to the same psychological light general anesthesia in children undergoing repeated bone marrow aspirations. The results indicated that general anesthesia was associated with less distress of the procedure, but no difference between the interventions were observed regarding the self-assessments of pain after the procedure. Subjects, all of whom received both types of intervention pain in the within-subject design, has not indicated a preference for one over the other type of intervention, and it was noted that psychological intervention required less time. Overall, the results of these well-controlled studies indicate that psychological interventions are at least comparable efficacy to standard pharmacological approaches for the management of pain associated with bone marrow aspiration in children. It is important to note that these conclusions are not likely to generalize to all types of acute pain clinic. Clearly, the procedures associated with acute pain more intense, even as "minor" surgery, require pharmacological analgesia. However, the results reported earlier indicate that the combination of psychological and pharmacological approaches may have significant benefits 260 Bruehl and Chung adapts to patients. This recommendation is consistent with work checked by Kazak et al. suggesting that a behavioral intervention, including breathing, distraction and imagery associated with the standard pharmacological interventions resulted in distress significantly reduced compared to standard pharmacological therapy alone in children undergoing repeated lumbar punctures or bone marrow aspirations.

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Tags: acute, Comparisons, intense, management, More, pain, Pharmacological, With

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