The relationship between adults' behavior and child coping and distress during BMA/LP procedures: A sequential analysis

The influence of the immediate social environment on the child's ability to cope during painful medical procedures was examined. Transcriptions and audiotapes of verbal interactions among residents, nurses, mothers, fathers, and children that occurred during bone marrow aspirations and lumbar p...

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Veröffentlicht in:Behavior therapy 1989, Vol.20 (4), p.585-601
Hauptverfasser: Blount, Ronald L., Corbin, Susan M., Sturges, James W., Wolfe, Vicky V., Prater, James M., Denise James, L.
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container_end_page 601
container_issue 4
container_start_page 585
container_title Behavior therapy
container_volume 20
creator Blount, Ronald L.
Corbin, Susan M.
Sturges, James W.
Wolfe, Vicky V.
Prater, James M.
Denise James, L.
description The influence of the immediate social environment on the child's ability to cope during painful medical procedures was examined. Transcriptions and audiotapes of verbal interactions among residents, nurses, mothers, fathers, and children that occurred during bone marrow aspirations and lumbar puncture procedures were scored using the Child-Adult Medical Procedure Interaction Scale (CAMPIS). Using Sackett's lag analysis to determine conditional probabilities, during the medical procedure it was found that adults' reassuring comments, apologies to the child, giving control to the child, and criticism of the child typically preceded child distress. Also, when the child emitted any one of eight distress behaviors, adults generally attempted to reassure the child. Child coping typically was preceded and followed by adult commands to the child to engage in coping procedures, by nonprocedural talk to the child, and by humor directed to the child. Implications for future research are discussed.
doi_str_mv 10.1016/S0005-7894(89)80136-4
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title The relationship between adults' behavior and child coping and distress during BMA/LP procedures: A sequential analysis
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