Effect of Distraction Technique and Hypnosis in Pain of Bone Marrow Aspiration in Children: a Narrative Review

  title={Effect of Distraction Technique and Hypnosis in Pain of Bone Marrow Aspiration in Children: a Narrative Review},
  author={Ali Morad Heidari Gorji and Mozhgan Taebei and Mansour Ranjbar and Mahdi Babaei Hatkehlouei and Amir Hossein Goudarzian},
  journal={International Journal of Pediatrics},
BackgroundThe present review study provides specific evidence to assess the impact of distraction techniques and hypnosis on the pain of bone marrow aspiration in children.Materials and MethodsThis review study aimed to determine the effects of distraction techniques and hypnosis on the controlling pain of bone marrow aspiration in children. Internal databases (SID, Magiran, IranMedex and Irandoc), and international databases (Google-Scholar, Medline, PubMed, Elsevier, ProQuest, Springer and… 
3 Citations
The Impact of 3 Different Distraction Techniques on the Pain and Anxiety Levels of Children During Venipuncture: A Clinical Trial
The distraction techniques of playing VG, watching CM, and PI appear to be effective in reducing anxiety and pain perception in children during the procedure of venipuncture.
Passive versus Active Distraction Methods to Reduce Vaccination Associated Pain and Anxiety in Children
Children who received pain control measures while being vaccinated reported less pain and anxiety compared to those who received routine care, in support with long standing recommendations to use interactive distraction methods to reduce vaccine associated pain and Anxiety.
Effects of Breastfeeding and Sensorial Saturation on Physiological Parameters of Infants after Administration of Pentavalent Vaccine at Four and Six Months of Age: A Field Trial
Both breastfeeding and sensorial saturation practices resulted in the stability of physiological parameters of the infants after vaccination at four and six months of age; however, no significant within-group difference was observed after vaccination in these two groups.


Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents.
Findings showed strong support for distraction and hypnosis for reducing pain and distress from needle procedures, and the quality of available evidence was low, however.
The Effect of Distraction Technique on the Pain of Dressing Change among 3-6 Year-old Children
It seems that distraction intervention has a significant positive effect on the pain of dressing change in children with second degree burn.
Effects of active distraction on pain of children undergoing venipuncture: Who benefits from it?
Several interaction effects emerged indicating that the experimental condition yielded less pain in females, in children with low pain thresholds, and in those with WBC < 12 000; procedure duration did not differ among conditions.
Psychological interventions for needle-related procedural pain and distress in children and adolescents.
Overall, there is strong evidence supporting the efficacy of distraction and hypnosis for needle-related pain and distress in children and adolescents, with no evidence currently available for preparation and information or both, combined CBT, parent coaching plus distraction, suggestion or virtual reality.
Clinical hypnosis versus cognitive behavioral training for pain management with pediatric cancer patients undergoing bone marrow aspirations.
  • C. LiossiP. Hatira
  • Psychology, Medicine
    The International journal of clinical and experimental hypnosis
  • 1999
It is concluded that hypnosis and CB coping skills are effective in preparing pediatric oncology patients for bone marrow aspiration.
The efficacy of non-pharmacological methods of pain management in school-age children receiving venepuncture in a paediatric department: a randomized controlled trial of audiovisual distraction and routine psychological intervention.
Audiovisual distraction was demonstrated to be effective in reducing self-reported pain, improving patient cooperation and increasing success rate in venepuncture procedures and was as successful as routine psychological intervention.
The Role of Suggestions in Hypnosis for Chronic Pain: A Review of the Literature.
This review focused on the types of suggestions used in twenty five studies comparing hypnosis to active treatments, non-treatment control groups, or both in adult populations with various chronic pain conditions to address the issue of differences in the content of hypnotic suggestions.
Music for patients with hematological malignancies undergoing bone marrow biopsy: a randomized controlled study of anxiety, perceived pain, and patient satisfaction.
While there were no significant group differences for the music intervention compared to standard of care for anxiety or perceived pain, additional feedback indicated that patients found theMusic intervention beneficial and requested use of music during future procedures.
Hypnosis for pain management during labour and childbirth.
In this updated review, hypnosis interventions are compared with all control groups (main comparison) and also with specific control conditions: standard care, supportive counselling, and relaxation training (two RCTs), which showed evidence of considerable statistical heterogeneity.