The Role of the Family in Children's Responses to Stressful Medical Procedures

Peterson, Lizette; Mori, Lisa; Carter, Pamela

doi:10.1207/s15374424jccp1402_1

Cited by 12 publications

(2 citation statements)

References 17 publications

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“…While children have natural propensities for coping with pain, some aspects of coping are learned and have understandable antecedents in familial and cultural socialization practices. The role of families, particularly parents, as contributors to children's abilities to cope effectively with painful or stressful medical procedures, has received attention (Compas, 1987; Craig, 1983; Lavigne, Schulein, & Hahn, 1986a, 1986b; Melamed & Bush, 1985; Payne & Norflect, 1986; Peterson, Mori, & Carter, 1985). Observational learning, direct instruction, and physical guidance and control have been implicated in familial transmission of capacities that help or hinder children in their efforts to cope with pain (Craig, 1986).…”

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confidence: 99%

Postoperative pain in children: Developmental and family influences on spontaneous coping strategies.

Bennett-Branson¹,

Craig²

1993

Canadian Journal of Behavioural Science / Revue canadienne des

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Despite advances in pharmacological approaches to pain control, most children who undergo surgery continue to experience moderate to severe postoperative pain. Children and their parents are forced to rely on personal resources to cope with this severe stressor. This study examined children and parents' reactions to post-operative pain, including stress appraisal and cognitive-behavioural coping processes from a developmental perspective. Sixty children (7-16 years) and their parents provided interview and psychometric data about pain and coping on the day following surgery. Observational data also was provided by nurses. Findings indicated moderate to severe levels of postoperative pain were common. Older children (10-16 years) provided more complex and multidimensional pain descriptions. All children described a variety of self-control strategies found to be helpful in managing postoperative pain. Older children were more likely to report using cognitive coping strategies, yet they reported lower overall self-efficacy. Multiple regression analyses revealed that coping strategy use, perceived self-efficacy, and frequency of catastrophizing thoughts were significantly predictive of children's pain, affective distress, and physical recovery. Parents were accurate judges of their child's pain and affective distress. Parental anxiety was positively related to child anxiety, and inversely related to child self-efficacy and frequency of cognitive coping. Parents acknowledged historical transmission of coping ideas, largely through verbal suggestions and reassurances. Implications for clinical practice are discussed. ResumeMalgre le progrte des methodes pharmacologiques utilisees pour controler la douleur, la plupart des enfants qui subissent une operation chirurgicale eprouvent encore une douleur postoperatoire moyennement intense ou aigue. Les enfants et leurs parents doivent compter sur leurs propres ressources pour faire face a l'important facteur de stress qu'est la douleur. La priisente etude porte sur les reactions des enfants et des parents a la douleur postoperatoire et comprend une evaluation du stress et des processus d'adaptation cognitifsbehavioraux dans une perspective de developpement. Soixante enfants (ages de 7 a 16 ans) et leurs parents ont fourni des observations lors d'entrevues et des

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confidence: 99%

Postoperative pain in children: Developmental and family influences on spontaneous coping strategies.

Bennett-Branson¹,

Craig²

1993

Canadian Journal of Behavioural Science / Revue canadienne des

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“…Research in the area of pediatric behavioral medicine has demonstrated that the pediatric patient's emotional and behavioral reactions to medical procedures can be related to the psychological adjustment of both the child and his or her parents (Peterson, Mori, & Carter, 1985). Preventive hospital programs that train parents to use psychological techniques to support and coach their children to cope with stressful medical procedures have been proved to be successful (Dunn-Geier, McGrath, Rourke, Latter, & D'Astous, 1986;Pinto & Hollandsworth, 1984).…”

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confidence: 99%

A Survey of Parents Regarding the Admission of a Child for Growth Hormone Monitoring

Sutanto¹

1993

Journal For Healthcare Quality

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This article describes response to a questionnaire requesting information from parents about their knowledge of hospital facilities/procedures and their satisfaction with the routines associated with the admission of their children for 24-hour growth hormone monitoring. The adjustment of children to stressful medical procedures is more successful if parents can act as "therapeutic allies" to their children. Unless parents have a clear understanding of (and satisfaction with) the procedures their children must undergo, they cannot be expected to fulfill this role adequately. By isolating areas in which parental knowledge is lacking or inaccurate, as well as areas of dissatisfaction, the nursing staff is in a better position to improve patient adjustment to medical procedures and to plan ways of improving patient care. The results of this study indicate that more information about hospital facilities needs to be provided to parents of children who have not had previous hospital admissions. In general, however, most parents were satisfied with the explanation given for why their children had to have growth hormone monitoring and the routines associated with the procedure.

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Mental Health Services for Children with Chronic Illness

Davis

Vuong

Issues in Clinical Child Psychology

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The Role of the Family in Children's Responses to Stressful Medical Procedures

Cited by 12 publications

References 17 publications

Postoperative pain in children: Developmental and family influences on spontaneous coping strategies.

Postoperative pain in children: Developmental and family influences on spontaneous coping strategies.

A Survey of Parents Regarding the Admission of a Child for Growth Hormone Monitoring

Mental Health Services for Children with Chronic Illness

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