© 2000 Evidence-Based Mental Health
Reframing memory reduced some measures of children's anticipatory distress and pain during lumbar puncture
Chen E, Zeltzer LK, Craske MG, et al. Alteration of memory in the reduction of children's distress during repeated aversive medical procedures. J Consult Clin Psychol 1999 Aug;67:481–90.[Medline]
QUESTION: Does a memory based intervention reduce distress in children receiving lumbar puncture?
Randomised (allocation concealed*), unblinded*, controlled trial of 3 consecutive lumbar punctures.
The outpatient Childrens Center for Cancer and Blood Diseases at Childrens Hospital Los Angeles, Los Angeles, California, USA.
55 English or Spanish speaking children between 3 and 18 years of age (mean age 7 y, 67% boys) with acute lymphoblastic leukaemia having lumbar punctures (1 at baseline, 1 at post-intervention, and 1 at 1 wk follow up). 50 children were included in the analyses.
25 children were allocated to a reframing memory intervention. The 15 minute intervention occurred twice—immediately after the first lumbar puncture and before the second. Children's memories of the most recent lumbar puncture were elicited through a memory interview; the therapist encouraged children to re-evaluate their memories by reminding them about successful coping behaviours and to increase the accuracy of recall. The children received a card with the guided memories. 25 children were allocated
University of Western Ontario London, Ontario, Canada
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