that many children under the age of 6 years had difficulty mastering the skills involved in progressive muscle relaxation, imagery, and deep breathing. Consequently, modified cognitive-behavioral strategies, such as distraction, may be more appropriate for preschool children. Additional modifications may be needed for children with other special needs, such as motor or cognitive disabilities. We also know very little about the long-term outcome of cognitive-behavioral interventions for procedural pain. It is admirable that several of the studies that were cited in this review presented long-term outcome data. In actuality, however, we have only published data demonstrating continued benefits of treatment after the complete withdrawal of cognitive-behavioral therapy for a handful of children! Powers et al. (1993) documented the longest follow-up period, with three children maintaining reductions in behavioral distress for 1 to 6 months postintervention. In the remaining studies that included follow-up behavioral observations, Blount et al. (1994), Dahlquist et al. (1985), and Jay et al. (1985) documented that distress reductions maintained for one to two sessions for a total of eight children. Thus, the question of whether children actually can continue to effectively use cognitive-behavioral coping strategies for months or years following the completion of psychological treatment remains to be answered. We currently are in the process of analyzing 6to 12-month followup data from an NCI-funded longitudinal study of cognitive behavioral treatment of children receiving cancer chemotherapy. Our preliminary data suggest that virtually all children responded posiJournal of Pediatric Psychology, Vol. 24, No. 2, 1999, pp. 153–154