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Far from "just a poke": Common painful needle procedures and the development of needle fear

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Title: Far from "just a poke": Common painful needle procedures and the development of needle fear
Author: McMurtry, C.M.; Pillai Riddell, R.; Taddio, A.; Racine, N.; Asmundson, G.J.G.; Noel, M.; Chambers, C.T.; Shah, V.; HELPinKids&Adults Team
Abstract: Background: Vaccine injections are the most common painful needle procedure experienced throughout the lifespan. Many strategies are available to mitigate this pain; however, they are uncommonly utilized, leading to unnecessary pain and suffering. Some individuals develop a high level of fear and subsequent needle procedures are associated with significant distress. Objective: The present work is part of an update and expansion of a 2009 knowledge synthesis to include the management of vaccine-related pain across the lifespan and the treatment of individuals with high levels of needle fear. This article will provide a conceptual foundation for understanding: (a) painful procedures and their role in the development and maintenance of high levels of fear; (b) treatment strategies for preventing or reducing the experience of pain and the development of fear; and (c) interventions for mitigating high levels of fear once they are established. Results: First, the general definitions, lifespan development and functionality, needle procedure-related considerations, and assessment of the following constructs are provided: pain, fear, anxiety, phobia, distress, and vasovagal syncope. Second, the importance of unmitigated pain from needle procedures is highlighted from a developmental perspective. Third, the prevalence, course, etiology, and consequences of high levels of needle fear are described. Finally, the management of needle-related pain and fear are outlined to provide an introduction to the series of systematic reviews in this issue. Discussion: Through the body of work in this supplement, the authors aim to provide guidance in how to treat vaccination-related pain and its sequelae, including high levels of needle fear.
URI: https://hdl.handle.net/10214/21410
Date: 2015
Rights: Attribution - NonCommercial - NoDerivatives 4.0 International
Terms of Use: All items in the Atrium are protected by copyright with all rights reserved unless otherwise indicated.
Related Publications: McMurtry, C.M., Pillai Riddell, R., Taddio, A., Racine, N., Asmundson, G.J.G., Noel, M., Chambers, C.T., Shah, V. and the HELPinKids&Adults Team (2015). Far from just a poke": common painful needle procedures and the development of needle fear. The Clinical Journal of Pain. October 2015 - Volume 31 - Issue - p S3-S11. https://doi.org/10.1097/AJP.0000000000000272


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Attribution - NonCommercial - NoDerivatives 4.0 International Except where otherwise noted, this item's license is described as Attribution - NonCommercial - NoDerivatives 4.0 International