Injection phobia Scale

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Abstract Assessments for blood-injury-injection phobia measure feared stimuli and overt behaviours, but they have not systematically addressed the symptoms of fear and faintness. The Blood-Injection Symptom Scale (BISS) was developed to overcome this omission Phobia Inventory (Wenzel & Holt, 2003), a 40-item measure of fearful reactions to injections, hospitals, blood, and bodily injury. Despite various available measures of BII-related fear, only the Injection Phobia Scale Anxiety (IPS-Anx; Öst et al., 1992) was developed exclusively for the assessment of injection phobia

A set of symptoms potentially associated with the presence of blood and injections was generated by examining descriptions of blood-injury phobia (Marks, 1988; Page, 1994), two broad symptom measures (King, Magraf, Ehlers & Maddock, 1986; Robins et al., 1988) and a scale used to evaluate blood fears and fainting in a medical population (Page. The Blood-Injection Symptom Scale (BISS) was developed to overcome this omission. An exploratory factor analysis grouped symptoms triggered by blood and injections into three internally consistent factors (faintness, anxiety and tension). A confirmatory factor analysis replicated the factor structure in a new sample IAPT Phobia Scale All three questions are marked on a scale of 0-8 depending on how much the patient avoids the circumstances described. Patients should be asked to choose a number from the scale below, then record the number in the box opposite the situation injection phobia scale, included subscales for anxiety and for avoidance Mean injection phobia anxiety sub-scale measures were 43.8 for 1 session and 48.3 for 5 sessions at baseline, 22.7 and 17.1 at post-treatment, 16.2 and 15.2 at follow-up respectively Mean injection phobia avoidance sub-scale measures were 22.8 for 1 session and 24.6 for

scales of the D-FISQ to ensure that all rele-vant aspects of blood phobia wer e included. These items concerned dizziness, fainting, difficulty in concentrating, or becoming nauseous when self-injecting or self-test-ing, resulting in 2 subscales of 19 items. Items were presented as statements and were scored on a 4-point Likert scale, fro The Severity Measure for Specific Phobia—Adult is a 10-item measure that assesses the severity of specific phobia in individuals age 18 and older. The measure was designed to be completed by an individual upon receiving a diagnosis of specific phobia (or clinically significant specific phobia symptoms) and thereafter, prior to follow-u

Große Auswahl an ‪-injektion - -injektion

The injection phobics were given the Injection Phobia Scale, constructed by the author (Ost et al., 1991b) and consisting of 18 items that are rated on a 0-4 scale for anxiety and a 0-2 scale for avoidance 1. Introduction. Blood injury injection (BII) phobia is a common psychiatric disorder, with an estimated prevalence of 3% to 4% in the general population [1, 2].While most patients with blood injury phobia will not look for medical assistance and refuse medical appointments because of anxiety symptoms emerging with exposure, do not present to clinics or hospitals, and generally refuse hospital.

procedural anxiety Needle or injection phobias are when people feel very scared of needles and having injections. Often, it is so bad that they avoid receiving injections and/or having a blood sample taken. Blood phobia is when people intensely fear and avoid situations involving direct or indirect exposure to blood, injuries wounds and so forth The Injection Phobia Scale-Anxiety (IPS-Anx; Öst et al., 1992) is an 18-item measure that asks individuals to rate their degree of fear and anxiety if they were to experience a variety of injection procedures. This measure uses a 5-point Likert-type scale, ranging from 0 No anxiety= to 4 Från avhandlingen: As a diagnostic aid for blood- and injection phobia a threshold of 35 (sensitivity 94%) or more is needed. However, in some clinical or research settings it might be important not to miss any cases of blood- and injection phobia, and under these circumstances a threshold of 30 (sensitivity 98%) might be reasonable

There are three subscales on this questionnaire: Fainting, anxiety and tension. Its internal consistency was Cronbach's alpha =.94 for the total scale and between.83 and.86 for the subscales. The Blood and Injection Phobia Inventory (BIPI) (Borda, López, & Pérez, 2010) has eighteen items Conclusions: Blood and injection phobia is hitherto unreported in the literature, but seems to be relatively common and needs to be recognized during pregnancy as it causes a great deal of discomfort and fear among pregnant women. The Injection Phobia-Anxiety scale is suitable as a screening tool in an antenatal care clinic setting

Needle phobia is a fear of medical procedures that involve needles or injections. It is very common, affecting at least one in 10 people, and is nothing to be ashamed of. Rate each situation on a scale 0 to 10, where 10 is the most difficult and 0 is the easiest. Ther The present investigation examined the factor structure and psychometric properties of the Injection Phobia Scale-Anxiety (IPS-Anx). Principal components analysis of IPS-Anx items in Study 1 (n = 498) revealed a 2-factor structure consisting of Distal Fear and Contact Fear. However, CFA results in Study 2 (n = 567) suggest that a 1-factor structure may be more parsimonious Injection Phobia Scale-Anxiety (IPS-Anx; Öst et al., 1992) This questionnaire assesses fear of injections. On 18 items, par-ticipants indicate their anxiety on a scale from 0 (='no anxiety') to 4 (='maximum anxiety') if they were to have an injection and/or venipuncture. A total score can be obtained (0-72) The survey instruments applied were Dental Fear Survey, Injection Phobia Scale-Anxiety, and Mutilation Questionnaire. Results: About 11% of the subjects with DA and subtypes of BIIP, respectively, reported high probability of avoiding dental treatment in a situation where a dental injection was possibly needed

Injection Phobia Scale - Anxiety Short Form - EARL at

  1. Write down different aspects of needles and injections which scare you and rank them by the amount of distress they cause you, on a scale of 1-10. An example could look like this: Having an injection in my arm - ranked 10/10. Holding a needle - ranked 9/10. Watching someone have an injection in real life - ranked 7/10
  2. Sample I, 1460 pupils attending elementary and high schools, provided questionnaire‐based data. The survey instruments used were IOIF‐s, Children's Fear Survey Schedule‐Dental Subscale (CFSS‐DS), Mutilation Questionnaire for Children (MQ‐c) and Injection phobia Scale for Children (IS‐c)
  3. ed the factor structure and psychometric properties of the Injection Phobia Scale-Anxiety (IPS-Anx). Principal components analysis of IPS-Anx items in Study 1 (n = 498) revealed a 2-factor structure consisting of Distal Fear and Contact Fear

The Blood-Injection Symptom Scale (BISS): assessing a

Blood-injection-injury phobia (BII) deals with a person's personal fear of blood, injury, injection/needles and will cause them to strongly avoid most medical procedures. This phobia is most commonly noticed after a person faints or experiences a change in heart rate/extremely uncomfortable sensations around the sight of blood. Most cases are discovered in early childhood and [ Many drugs, such as monoclonal antibodies, are administrated using parenteral delivery devices via subcutaneous injections. Unfortunately, needle phobia, anxiety before and during needle insertion and pain during injections are key aspects that lead to poor therapeutic compliance and prevent wider applicability and acceptance of this technology across patient groups

The Blood-Injection Symptom Scale (BISS): Assessing a

  1. ed the psychometric properties of the BIPI in 174 Spanish-speaking subjects. The BIPI is a self-ad
  2. Injection Phobia Scale -Anxiety 53 Injection Phobia Scale -Avoidance 54 T he Edinburgh Postnatal Depression Scale 55 The Beck Anxiety Inventory 56 Treatment and phobia 57 Cognitive behavioral therapy (CBT) 57 Applied Tension (AT) 58 Aims of the present thesis 62 Participants in the study I -IV 63.
  3. Heimberg RG et al.: Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine, 1999, 29, 199-212 (not cited); Ayala ES, Meuret AE, Ritz T: Treatments for blood-injury-injection phobia: a critical review of current evidence
  4. Blood-injection-injury phobia, or needle phobia, may affect 10% of a population, at times leading to life-threatening impairment when people avoid needle-mediated prevention or treatment. Method Twenty needle-phobic persons, serving as their own controls, were treated for 1 hr with Thought Field Therapy (TFT)
  5. The treatment of blood-injection-injury (BII) phobia has a unique treatment component as compared with other types of specific phobias. In particular, many patients with a BII phobia distinctively experience an increased susceptibility to fainting when exposed to feared medical-related stimuli due to a diphasic physiological response
  6. Blood injury and injection (BII) phobia deals with the fear of injury, injection/needles, and blood [3]. BII phobia is most commonly diagnosed after a person faints,experiencesachangeinheartrate,orhasextremely uncomfortable sensations around the sight of blood [ 3]
  7. In order to assess the women's self reported degree of phobia, the Injection Phobia Scale-Anxiety (IPSA) and the Injection Phobia Scale-Avoidance 5 (IPSAV) were used (Öst et al. 1992). The scales consist of 18 items each, describing various injection situations. The woman rates the degree of anxiety in situations involving injections

(PDF) The Blood-Injection Symptom Scale (BISS): Assessing

  1. Aim: The aim of this study was to assess the intensity of needle phobia and to evaluate the different dimensions of fear of dental injections to help provide better care to the patients.Materials and Methods: A simple random technique was used and 250 adult patients above 18 years of age were selected who attended outpatients Department of Operative Dentistry, Baqai Dental College
  2. The Injection Phobia Scale-Anxiety (IPS-Anx) was an 18 item questionnaire for estimating anxiety related to blood and needles; however, it had never been used among blood donors. The measures were translated and tested during a pre-pilot phase (Study 1)
  3. Gertrude Conaway Vanderbilt Professor of PsychologyAssociate Professor of PsychiatryDirector of Clinical TrainingAssociate Dean of Academic Affairs, Graduate School Bunmi O. Olatunji, PhD, is Professor in the Department of Psychology and Psychiatry at Vanderbilt University where he also serves as the Director of Clinical Training. He is Associate Editor of the Journal of Consulting and.
  4. ed for a combined case of blood-injury-injection (BII) phobia and social anxiety disorder. Treatment involved 28 behavior therapy sessions, while applied tension technique was also described and practiced. The specific contribution of social skills techniques, fantasy, and real.

IAPT Phobia Scale Doctor Patien

  1. The women were asked to complete the Injection Phobia-Anxiety scale, measuring phobic symptoms. Women who scored 20 on the questionnaire were telephone-interviewed and then diagnosed or dismissed according to the DSM-IV criteria for blood and injection phobia. Main outcome measures. Prevalence of blood and injection phobia according to the DSM-IV
  2. The discussion of the evolutionary basis of needle phobia in Hamilton's review article concerns the vasovagal type of needle phobia, which is a sub-type of blood-injection-injury type phobia. This type of needle phobia is uniquely characterized by a two-phase vasovagal response. First, there is a brief acceleration of heart rate and blood pressure
  3. Blood and injection phobia is hitherto unreported in the literature, but seems to be relatively common and needs to be recognized during pregnancy as it causes a great deal of discomfort and fear among pregnant women. The Injection Phobia-Anxiety scale is suitable as a screening tool in an antenatal care clinic setting

Keywords: Specific phobia; Blood-injection-injury phobia; Needle phobia; Venipuncture; Medical patients Fear of injections is a common concern among patients in healthcare settings. Approximately 10% of individuals in medical settings report an excessive fear of Anxiety Disorders 20 (2006) 946-960 * Corresponding author Preoperative anxiety is one of the most important problems for the patients, because it causes emotional and psychiatric problems as well as physical problems. It is crucial to detect the patient's existing anxiety to assist patients. Our primary aim in this study is to investigate how the patient's age, gender, the operation, surgical briefing, type of anesthesia recommended for the.

Dental anxiety and phobia are the two major reasons people avoid seeing the dentist (Bare & Dundes, 2004). Fear of dental injections affects how more than 25% of patients approach dental care; for many, fear may be so severe that they completely avoid seeking dental care (Milgrom & colleagues, 1997) Symptoms of needle phobia. The symptoms of needle phobia can vary greatly from one individual to another. The main feature is anxiety at the thought of injections, leading to avoidance of injections. This may be associated with: feeling dizzy and light-headed. a dry mouth

Acquisition of blood and injection phobia and anxiety

Blood Injury and Injection Phobia: The Neglected On

Many people with a phobia don't need treatment, and avoiding the object of their fear is enough to control the problem. However, it may not always be possible to avoid certain phobias, such as a fear of flying. In this instance, you may decide to get professional help and advice to find out about treatment options Setting and participants. In 2005, 1,606 pregnant women consequently registered at the antenatal care clinics in the southeast health district in Sweden were asked to complete the Injection Phobia Scale-Anxiety (IPSA) (Öst et al. 1992) assessing phobic symptoms.The scale consists of 18 items describing various injection situations anxiety or intraoral injection phobia) according to the DSM-IV-TR, 3) no other psychiatric or developmentally related diagnoses considered to be the primary diagnosis, 4) the patient was not receiving concurrent psychological treatments (scale 1-5, from no fear to high fear

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Creating a Computerized Instrument for the Assessment of

Injection Anxiety and Pain in Men Using Intracavernosal Injection Therapy after Radical Pelvic Surgery Christian J. Nelson * , Wayland Hsiao, Eliana Balk, Joseph Narus, Raanan Tal, Nelson E. Bennett , John P. Mulhal great britain pii blood-injection-injury phobia fear 0191-8869198 $19.00 disgust sensitivity spider fear phobic fear dq score disgust scale ninety-six undergraduate body envelope violation subscale blood-injury phobia questionnaire spider phobia questionnaire bii fear disgust questionnaire animal sub-scale spider phobia animal-reminder disgust. The peak and trough effects produced by intermittent administration cause fluctuations in pain control. Repeated intramuscular injections are frequently unacceptable due to the lack of muscle mass in the debilitated patient, the tendency for bruising and bleeding at the injection site, and the anxiety and pain associated with the injection

Prevalence of blood and injection phobia among pregnant

Intraarticular hyaluronic acid injection (IAHA) is a popular treatment for knee osteoarthritis (OA). This study investigates whether depression, anxiety, and pain affect self-reported knee function in geriatric OA people who have received IAHA. Through convenience sampling, 102 geriatric patients (mean age = 70.91 ± 7.19; 28 males) with knee OA who had undergone IAHA participated in this study Dental anxiety is a common problem that occurs for patients in different ages. 1 One of the main causes of dental anxiety is the injection of anesthesia during dental procedure. 2 Usually, patient needs injections during metal try-in on vital abutments to do a symptom-free procedure comfortably. Recently, the trend to reduce anxiety and dental pain is to shift to other techniques away from. The response rate (50% or greater reduction in Montgomery-Asberg Depression Rating Scale scores), measured six weeks after the injections, was 15% in the placebo injections group but 52% in the. Dental Anxiety. In terms of high dental anxiety, research has shown the prevalence to range anywhere from 10 to 20% in adult populations. 8-11 Humphris et al. examined the prevalence of dental anxiety among a representative sample (n=11,382) of adults aged 16 years and older from the general population in England, Wales, and Northern Ireland using the Modified Dental Anxiety Scale (MDAS). 8. NaturalNews.com / News Editors (Natural News) In a candid interview with German international trial attorney, Reiner Fuellmich, eminent physician Dr. Peter McCullough reflected upon what he called propagandized bioterrorism by injection, expressing concern that the current experimental COVID-19 vaccines may sterilize the young, foster cancer, and could have likely caused 50,000 to.

Diagnostic Criteria: A. Marked fear or anxiety about a specific object or situation (e.g., flying, heights animals, receiving an injection, seeing blood). B. The phobic object of situation almost always provokes immediate fear or anxiety. C. The phobic object or situation is actively avoided or endured with intense fear or anxiety. D Choose a number from the scale below to show how much you would avoid each of the situations listed below because of fear or other unpleasant feelings. Then write the number you choose in the space opposite each situation. 1. Main phobia you want treated (describe in your own words) 2. Injections or minor surgery 3 The Disgust Scale: Item Analysis, Factor Structure, and Suggestions for have also shown that individuals with blood-injection-injury (BII) phobia report more disgust than fear when exposed to phobia- Meunier, & Tolin, 2002). Evidence for the role of disgust in BII phobia has also been found in psychophysiological (Page, 2003) and. While the tactile distraction instrument significantly reduced pain and anxiety (P,0.013), the researchers took a multimodal approach to vaccination pain relief and also utilized vapocoolant spray to the vaccination site and vibration to the unvaccinated arm. 28 Interestingly, according to the results of the FPS-R, parent VAS scale for pain and. A new computerized instrument (the Multimedia Behavioral Avoidance Test, or MBAT) for blood-injury-injection phobia (BII) assessment is presented. Analogous stimuli such as images and videos can also elicit anxiety responses; thus, they can be used for the assessment of phobia.The MBAT was applied to participants via computer, and subjective anxiety responses and time latency were recorded

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These scales, along with other types of assessments, ask you to answer a few simple questions with your most honest reaction. From there, your dentist will have a better idea of what triggers your fear and how to help. Corah's Dental Anxiety Scale. The Corah's Dental Anxiety Scale was developed in 1969 by Dr. Norman L. Corah She divided preteens' needle phobia intensity into quartiles and compared it to their total number of childhood vaccine injections, ages at each dose, total shots at ages 4 to 6 and total shots. Depression, Anxiety and Stress Scale-21 (DASS-21) The DASS-21 is the short version of the DASS-42 questionnaire. It contains a set of three self-report scales and will be used to measure anxiety, depression and stress during pregnancy and after childbirth It is very rare to actually faint from anxiety, unless you have this problem. If you tend to faint when you get an injection or have blood drawn you can benefit from learning a simple technique that will help you prevent fainting or speed up the recovery time if you do faint Welcome to the Needle Phobia Page, and I hope you find the information here useful, and possibly even lifesaving (as many others have). Needle phobia is a defined* medical condition that affects between 20 and 23 percent of the adult population to such an extent that it causes them to avoid needed medical care. Nearly all cases of what is called needle phobia go far beyond a simple fear of.

Fear of blood, injury, and injections, and its

The level of anxiety that participants displayed during the present treatment was also evaluated by the dentists using an anxiety rating scale. Data were analyzed by t-test, ANOVA, and Spearman correlation tests. 83.1% of participants suffered from moderate or high dental anxiety, and 16.2% met criteria for specific phobia Between 9% and 20% of Americans avoid going to the dentist because of anxiety or fear. Indeed, it is a universal phenomenon. Dental phobia is a more serious condition than anxiety Blood-injection-injury phobias: A specific phobia is diagnosed if the person's fear and anxiety are particularly distressing or if they interfere with their daily routine, including school.

DASS 21 - Depression Anxiety and Stress Scale. The DASS 21 is a 21 item self report questionnaire designed to measure the severity of a range of symptoms common to both Depression and Anxiety. In completing the DASS, the individual is required to indicate the presence of a symptom over the previous week. Each item is scored from 0 (did not. Blood and injection phobia: background and cognitive, physiological, and behavioral variables.Ost LG. Author information  Abstract: Blood-phobic (n = 81) and injection-phobic (n = 59) patients fulfilling the DSM-III-R criteria for simple phobia were compared on a number of variables. There were no differences between the samples in age at. the simple scale below. The scale is just like a ruler going from 1, which would show that you are relaxed, to 5, which would show that you are very worried. (Please circle the appropriate number on the scale). 1 would mean: relaxed/not worried 4 would mean: worried a lot 2 would mean: very slightly worried 5 would mean: very worrie A pretest, posttest, quantitative study was conducted involving the measured efficacy of Thought Field Therapy as a useful component for the treatment of individuals diagnosed with blood-injection-injury phobia, also known as needle phobia. The study investigated whether this intervention could serve as a means of reducing or eliminating phobic symptomology Triggers for anxiety and trauma can ignite uncomfortable emotions, painful memories, and other debilitating symptoms. Avoiding these triggers is a normal—but often harmful—response. Avoidance may give relief from the most acute symptoms of anxiety and trauma, but cause these same symptoms to worsen over time..

4 Ways to Overcome the Fear of Injections - wikiHo

A quick injection that blocks the stellate ganglion relieves symptoms of posttraumatic stress disorder, including distress, anxiety, and depression, and may represent a new treatment option Anxiety levels were not associated with patient movement or vasovagal symptoms. Our results suggest that the practice of routine prevention or treatment of injection-related anxiety in the procedure-naive general population with a duration of pain less than 6 months and without a history of an anxiety disorder should be reevaluated When we think about injecting insulin, we often remember the injections for immunisation, which are done with a longer, bigger needle and given into muscle. It is important to know the needles used to inject insulin are much smaller and finer. Nevertheless, the anxiety from having to inject with needles can still persist Dental anxiety is a common problem that occurs for patients in different ages.1 One of the main causes of dental anxiety is the injection of anesthesia during dental procedure. 2 Usually, patient needs injections during metal try-in on vital abutments to do a symptom-free procedure comfortably. Recently, the trend to reduce anxiety an

A five-point increase on the body mass index scale—for instance, going from 30 to 35—is equivalent to adding 10 years to your age in terms of testosterone levels. Your doctor should also review any other factors that might influence levels, like medication or medical conditions, says Dr. Hayes Specific phobias related to clinical procedures include blood-injection-injury phobia, dental phobia, and MRI claustrophobia. This topic addresses the course, screening, assessment, and differential diagnosis of acute procedure anxiety in adults, related to common medical and surgical procedures These injections typically contain a glucocorticoid and an anesthetic, which are thought to relieve pain by reducing nerve-root inflammation and ischemia. 1 An estimated 25% of all epidural.

A subgroup of patients, receiving bilateral intravitreal injection during the same appointment, was measured twice. A modified Sheehan anxiety questionnaire 7 was used to evaluate anxiety levels. This questionnaire included queries regarding duration of postoperative eye redness, discomfort, and pain in/around the eye after the last injection. The visual analogue scale was used for pain measurement after injections. Results. No significant differences in injection pain scores were observed between the Wand and traditional plastic injector. Higher levels of pre‐injection anxiety were found to be related to more severe pain reports by the children. Conclusions The experimental group was given an intramuscular injection of diclofenac sodium with ShotBlocker. Pain intensity was measured through a visual analog scale after the injection and anxiety was measured using Spielberger's State-Trait Anxiety Inventory. Pulse rate was counted and state and trait anxiety wa A 70-year-old male comes to the emergency department via EMS febrile, with worsening respiratory distress and altered mental status. You quickly diagnose him as having severe sepsis stemming from pneumonia, and initiate treatment. After setting up and preoxygenating him, you have first-pass success on your intubation, pat yourself on the back, and admit him toRead Mor phentolamine. Each injection generally produces an erection in five to minutes 20 that lasts about an hour. Because the needle used is very fine, pain from the injection site is usually minor. Side effects can include bleeding from the injection, prolonged erection and formation of fibrous tissue at the injection site

There was a significant difference between the groups with procedural anxiety levels reported by the family and observer (p = .006 and p = .002, respectively), favoring the intervention groups. Linking Evidence to Action. Nurses should be aware of pain during insulin injection and use methods for pain relief accordingly A rate of about 1 ml per minute (or less) is usually considered optimal for minimizing discomfort. Since the standard dosing held by a dental syringe is around 1.8 ml. This part of your dental injection will ideally (in terms of minimizing pain) last close to 2 minutes. The needle is withdrawn Depression and anxiety will be self-administered by the Hospital Anxiety and Depression Scale (HADS) at baseline and on day 5. This scale has been shown to be a valid and reliable measure of the severity of emotional disorders and is used in general hospital practice

Venham anxiety and behavioral rating scale. These two scales assess the anxiety and uncooperative behavior of children in the dental setting. Both scales consist of five behavioral defined categories ranging from 0 to 5 with higher score, indicating greater level of anxiety or lack of cooperation Several well-validated scales exist for children as young as 3 years to report their own pain level. 62-64 The Wong-Baker Faces scale and the 10-cm Visual Analog Scale have been used successfully in many EDs caring for children. 62,64 For those who are unable to use self-report scales, behavioral scales can be combined with an evaluation of. Both tools used a scale from 1 to 21 to indicate increasing levels of anxiety and poor sleep quality. The mean patient age was 72 years, and the most common indication for intravitreal injection. After 30 min, the injection site was largely painless with both drugs. No significant local reactions occurred with either medication (0.3 ± 0.1 vs 0.3 ± 0.1 on a 5-score scale). Conclusions. Subcutaneous injections of darbepoetin-α are more painful than those of epoetin-β in the majority of paediatric patients