Background and aims: High-resolution anorectal manometry (HRM) is associated with significant patient and parent anxiety, which can impact the success and efficiency of the procedure. The nature of HRM necessitates cooperation of an alert child. This study examined effects of psychoeducation intervention on decreasing procedural distress in both pediatric patients and their parents.
Methods: A prospective randomized study of children aged 3-12 years, undergoing HRM, was performed utilizing child-centric educational video. Patients received either psychological preparation intervention or treatment-as-usual. Distress was assessed through self-reported and parent-reported anxiety measures (STAIC-S; STAI-S), physiological arousal measurements, and an observational scale of procedural distress (PBCL).
Results: A total of 63 children, aged 3-12 yrs (6.7 ± 2.5), completed the study. Measures of observed and reported distress and anxiety (PBCL; STAIC-S) were significantly less in children receiving intervention. Parents of children in the intervention group also reported significantly less preprocedural anxiety (STAI-S). Effects on physiological arousal were mixed, with significant preprocedural decrease in systolic blood pressure but no difference in heart rate from baseline.
Conclusions: Preprocedural psychological preparation was effective in decreasing pediatric patient and parental self-reported anxiety associated with HRM. Intervention decreased physician time necessary to successfully complete the study and significantly decreased the number of times patients had to endure balloon inflation.
Anxiety Associated With High-resolution Anorectal Manometry in Pediatric Patients and ParentsK Lamparyk et al. J Pediatr Gastroenterol Nutr 65 (5), e98-e100. PMID 28362695. - Clinical TrialHigh-resolution anorectal manometry is an increasingly common procedure performed in pediatric patients to rule out Hirschsprung and assess anorectal function and sensati …
Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for ChildrenLD Butler et al. Pediatrics 115 (1), e77-85. PMID 15629969. - Clinical TrialHypnotic relaxation may provide a systematic method for improving the overall medical care of children with urinary tract abnormalities and may be beneficial for children …
The Effects of a Psychological Preparation Program on Anxiety in Children and Adolescents Undergoing Gastrointestinal EndoscopyL Mahajan et al. J Pediatr Gastroenterol Nutr 27 (2), 161-5. PMID 9702646. - Clinical TrialPsychological preparation before endoscopy significantly decreases patient and parental anxiety. Such preparation may allow for a reduction in sedative medications and th …
Non-pharmacological Interventions for Assisting the Induction of Anaesthesia in ChildrenA Manyande et al. Cochrane Database Syst Rev (7), CD006447. PMID 26171895. - ReviewThis review shows that the presence of parents during induction of general anaesthesia does not diminish their child's anxiety. Potentially promising non-pharmacological …
Psychological Interventions for Reducing Pain and Distress During Routine Childhood Immunizations: A Systematic ReviewCT Chambers et al. Clin Ther 31 Suppl 2, S77-S103. PMID 19781437. - ReviewEvidence suggests that breathing exercises, child-directed distraction, nurse-led distraction, and combined cognitive-behavioral interventions are effective in reducing t …