Relaxation and guided imagery used with 12-year-olds during venipuncture in a school-based screening study

Forsner, Maria; Norström, Fredrik; Nordyke, Katrina; Ivarsson, Anneli; Lindh, Viveca

doi:10.1177/1367493513486963

Cited by 13 publications

(20 citation statements)

References 38 publications

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“…However, some of the girls had high scores on the VRSS and the FAS. These results were similar to another study, where relaxation and guided imagery during venipuncture did not decrease the children's pain experience or pain unpleasantness on a group level . However, the results from these two Swedish populations did not support earlier findings in an Australian population, where relaxation and guided imagery reduced pain and anxiety during venipuncture in children .…”

Section: Discussionsupporting

confidence: 68%

“…However, as whole school classes were matched, the study design may have influenced the result. A difference in pain unpleasantness between the school classes was shown, supporting a randomised design in further studies . The aim of this study was to evaluate whether relaxation and guided imagery had the potential to reduce stress, pain intensity and pain unpleasantness in 11‐ to 12‐year‐old girls during HPV vaccinations.…”

Section: Introductionmentioning

confidence: 82%

“…Guided imagery is often combined with relaxation, and this combination has been shown to reduce children's pain and anxiety during venipuncture . During relaxation and guided imagery, the child is encouraged to imagine something positive and is asked detailed questions to encourage them to engage in the fantasy .…”

Section: Introductionmentioning

confidence: 99%

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Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11‐ to 12‐year‐old girls during vaccinations

et al. 2015

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Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11-to 12-year-old girls during vaccinations, 2015, Acta Paediatrica, (104) Abstract AimRelaxation and guided imagery is a distraction technique known to reduce discomfort during paediatric medical procedures. We examined whether its use decreased the stress experienced by 11 to 12-year-old girls receiving the human papilloma virus vaccination, as well as the intensity and unpleasantness of any pain. MethodA randomised crossover trial was conducted with 37 girls. During the first vaccination, each girl was randomised to receive either relaxation and guided imagery or standard care. They then received the other form of care during the second vaccination. Salivary cortisol was measured before each vaccination and 30 minutes after it was administered. The girls reported pain intensity and pain unpleasantness before and directly after each vaccination and stress after each vaccination. ResultsOn a group level, relaxation and guided imagery did not decrease cortisol levels, selfreported stress, pain intensity and pain unpleasantness. Salivary cortisol levels decreased significantly in both groups during the second vaccination. ConclusionRelaxation and guided imagery did not prove beneficial during the vaccination of 11 to 12-year-old girls and is not recommended as a regular nursing intervention. However, further research is needed into effective techniques to help children who experience pain unpleasantness in connection with needle procedures. Key notes Relaxation and guided imagery is a distraction technique known to reduce discomfort during paediatric medical procedures. 3 We found that its use did not decrease the stress experienced by a group of 11 to 12-year-old girls receiving the human papilloma virus vaccination, as well as the intensity and unpleasantness of any pain. However, further research is needed into effective techniques to help children who experience pain unpleasantness with needle procedures. BACKGROUND

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Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 82%

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Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11‐ to 12‐year‐old girls during vaccinations

et al. 2015

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“…Similarly, an estimated one-sixth of children aged 12 assessed high FAS scores both before and during a needle-related procedure [26]. The results in the current study also showed mean values of the FAS scores that pointed out pain unpleasantness as an issue to highlight.…”

Section: Discussionsupporting

confidence: 70%

The Facial Affective Scale as a Predictor for Pain Unpleasantness When Children Undergo Immunizations

Nilsson

Finnström

Mörelius

et al. 2014

Nursing Research and Practice

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Needle fear is a common problem in children undergoing immunization. To ensure that the individual child's needs are met during a painful procedure it would be beneficial to be able to predict whether there is a need for extra support. The self-reporting instrument facial affective scale (FAS) could have potential for this purpose. The aim of this study was to evaluate whether the FAS can predict pain unpleasantness in girls undergoing immunization. Girls, aged 11-12 years, reported their expected pain unpleasantness on the FAS at least two weeks before and then experienced pain unpleasantness immediately before each vaccination. The experienced pain unpleasantness during the vaccination was also reported immediately after each immunization. The level of anxiety was similarly assessed during each vaccination and supplemented with stress measures in relation to the procedure in order to assess and evaluate concurrent validity. The results show that the FAS is valid to predict pain unpleasantness in 11-12-year-old girls who undergo immunizations and that it has the potential to be a feasible instrument to identify children who are in need of extra support to cope with immunization. In conclusion, the FAS measurement can facilitate caring interventions.

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“…Results were maintained throughout the 6-month follow-up period. 16 In addition to these RCTs, other small studies that showed efficacy of guided imagery have been conducted for a variety of medical conditions, including asthma, 64 sickle cell disease, 65 procedural anxiety, 66 and posttraumatic stress. 67 Both imagery and hypnosis may be combined successfully with other mind-body therapies, such as biofeedback, to enhance relaxation.…”

Section: Guided Imagerymentioning

confidence: 99%

Mind-Body Therapies in Children and Youth

McClafferty¹,

Sibinga²,

Bailey³

et al. 2016

Pediatrics

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Mind-body therapies are popular and are ranked among the top 10 complementary and integrative medicine practices reportedly used by adults and children in the 2007–2012 National Health Interview Survey. A growing body of evidence supports the effectiveness and safety of mind-body therapies in pediatrics. This clinical report outlines popular mind-body therapies for children and youth and examines the best-available evidence for a variety of mind-body therapies and practices, including biofeedback, clinical hypnosis, guided imagery, meditation, and yoga. The report is intended to help health care professionals guide their patients to nonpharmacologic approaches to improve concentration, help decrease pain, control discomfort, or ease anxiety.

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Relaxation and guided imagery used with 12-year-olds during venipuncture in a school-based screening study

Cited by 13 publications

References 38 publications

Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11‐ to 12‐year‐old girls during vaccinations

Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11‐ to 12‐year‐old girls during vaccinations

The Facial Affective Scale as a Predictor for Pain Unpleasantness When Children Undergo Immunizations

Mind-Body Therapies in Children and Youth

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