TY - JOUR
T1 - Coping with the stress of a painful medical procedure
AU - Fauerbach, J. A.
AU - Lawrence, J. W.
AU - Haythornthwaite, J. A.
AU - Richter, L.
N1 - Funding Information:
This study was supported by grants from the Fetzer Institute, and the U.S. Department of Education, National Institute on Disability and Rehabilitation Research (#H133A970025). We are grateful to Daniel Richter and Sandy Stevens for assisting with data collection.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2002/9
Y1 - 2002/9
N2 - To evaluate its effect on procedure-related distress, the focus of attention was manipulated by providing training to hospitalized acute burn patients (n=42). Participants were randomly assigned to attention focusing (i.e. attending to procedural sensations) or music distraction (i.e. attention diverting) coping interventions, or to usual care during the target dressing change. Coping behavior (i.e. distraction, focusing, and three confounding methods, ignoring, catastrophizing, reinterpreting), tension and intrusiveness were evaluated 24h retrospectively (i.e. for the prior procedure), during the targeted procedure, and 30min after the target procedure. When coping during the target procedure by ignoring, reinterpreting, and catastrophizing were covaried, the music distraction group experienced significantly fewer intrusions, and the attention focus group had more intrusions. Additionally, secondary analyses revealed that coping by ignoring during the prior day's procedure significantly predicted higher procedural tension during, and more intrusions following, the targeted procedure. Suppression-based forms of emotion-focused coping may be enhanced by training in the use of an explicit distractor.
AB - To evaluate its effect on procedure-related distress, the focus of attention was manipulated by providing training to hospitalized acute burn patients (n=42). Participants were randomly assigned to attention focusing (i.e. attending to procedural sensations) or music distraction (i.e. attention diverting) coping interventions, or to usual care during the target dressing change. Coping behavior (i.e. distraction, focusing, and three confounding methods, ignoring, catastrophizing, reinterpreting), tension and intrusiveness were evaluated 24h retrospectively (i.e. for the prior procedure), during the targeted procedure, and 30min after the target procedure. When coping during the target procedure by ignoring, reinterpreting, and catastrophizing were covaried, the music distraction group experienced significantly fewer intrusions, and the attention focus group had more intrusions. Additionally, secondary analyses revealed that coping by ignoring during the prior day's procedure significantly predicted higher procedural tension during, and more intrusions following, the targeted procedure. Suppression-based forms of emotion-focused coping may be enhanced by training in the use of an explicit distractor.
KW - Coping
KW - Distress
KW - Mental control
KW - Painful procedure
KW - Suppression
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U2 - 10.1016/S0005-7967(01)00079-1
DO - 10.1016/S0005-7967(01)00079-1
M3 - Article
C2 - 12296486
AN - SCOPUS:0036724105
SN - 0005-7967
VL - 40
SP - 1003
EP - 1015
JO - Behaviour Research and Therapy
JF - Behaviour Research and Therapy
IS - 9
ER -