Trial reportEuropean journal of pediatrics2019
Relaxation-guided imagery reduces perioperative anxiety and pain in children: a randomized study.
Trial report in European journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Two Distraction Strategies in Reducing Preoperative Anxiety in Children:A Randomized Controlled Trial
Effect of a Preoperative Preparation Video on Preoperative Anxiety Among Children Undergoing Dental Treatment Under General Anesthesia
Who cites it
38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 113 citations in OpenAlex.
- Nonpharmacological interventions for decreasing anxiety during anesthesia induction in children: a systematic review and Bayesian network meta-analysis.BMC anesthesiology · 2025Pooled it
- Educational and psychological interventions for managing atopic dermatitis (eczema).The Cochrane database of systematic reviews · 2024Pooled it
- Effects of non-pharmacological interventions on pain in wound patients during dressing change: A systematic review.Nursing open · 2024Pooled it
- Virtual reality in pediatrics, effects on pain and anxiety: A systematic review and meta-analysis update.Paediatric anaesthesia · 2022Pooled it
- Virtual Reality for the Management of Postoperative Pain and Anxiety in Children and Adolescents Undergoing Nuss Repair of Pectus Excavatum: Randomized Controlled Trial.JMIR perioperative medicine · 2026Trial
- The effect of information and progressive relaxation exercises before the planned cesarean section on primigravida women's surgical fear, anxiety, pain and postpartum comfort: a randomized controlled trial.BMC pregnancy and childbirth · 2026Trial
- The effect of virtual reality on skin prick test-related pain and fear in children: a randomized controlled trial.European journal of pediatrics · 2025Trial
- Anxiolytic effects of chewing gum during preoperative fasting and patient-centered outcome in female patients undergoing elective gynecologic surgery: randomized controlled study.Scientific reports · 2022Trial
- Application of virtual reality on non-drug behavioral management of short-term dental procedure in children.Trials · 2021Trial
- Virtual reality for intravenous placement in the emergency department-a randomized controlled trial.European journal of pediatrics · 2021Trial
- Article
- Review of paediatric pharmacological and non-pharmacological procedural comfort strategies.BMJ paediatrics open · 2026Review
- Focus on comfort: the effect of focus language on postoperative hospital stay compared to the Numeric Rating Scale in children receiving postoperative care-a pre-post study.European journal of pediatrics · 2026Article
- Preoperative interventions for reducing anxiety in school-age children undergoing surgery: a network meta-analysis.The Cochrane database of systematic reviews · 2026Article
- Article
- Perioperative Nursing in Strabismus Surgery: A Narrative Review.Iranian journal of public health · 2025Review
- Impact of pediatric surgery on anxiety in children and their families and coping strategies: a narrative review.Translational pediatrics · 2025Review
- Complementary Approaches to Postoperative Pain Management: A Review of Non-pharmacological Interventions.Pain and therapy · 2025Review
- Effect of immersive virtual reality on pain in different dental procedures in children: a randomized controlled clinical trial.Frontiers in oral health · 2025Article
- Nonpharmacological interventions for managing postoperative pain and anxiety in children: a randomized controlled trial.Clinical and experimental pediatrics · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Several studies have shown the efficacy of psychological interventions in reducing preoperative anxiety in children undergoing surgery. This study aims to investigate the effectiveness of a specific non-pharmacological technique, the relaxation-guided imagery, in reducing both preoperative anxiety and postoperative pain in a sample of 60 children (6-12 years old) undergoing minor surgery who were randomly assigned to the experimental group (N = 30) or the control group (N = 30). The first group received the relaxation-guided imagery, before the induction of general anesthesia; the second group received standard care. The levels of preoperative anxiety and postoperative pain were assessed using, respectively, the modified Yale Preoperative Anxiety Scale and the Face, Legs, Activity, Cry, and Consolability Scale. The results showed a statistically significant difference between groups, with less anxiety and less pain for children included in the experimental group (p < .001; p < .001).Conclusion: Results suggest that relaxation-guided imagery reduces preoperative anxiety and postoperative pain in children. Future studies should focus on developing protocols and studying the eventual reduction of administered drugs for anesthesia and pain. What is Known: • Literature suggests the usefulness of relaxation-guided imagery in reducing anxiety and pain in the perioperative period. • Stronger evidences are needed to support the application of relaxation-guided imagery as routine care in pediatric surgery. What is New: • To our knowledge, this is the first randomized study to investigate the efficacy of relaxation-guided imagery in reducing preoperative anxiety and postoperative pain within a single pediatric sample. • The present study provides stronger evidence in an area that is lacking in research.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.