Caregiver Ratings of Toddler Pain: The Role of Caregiver Psychological Predictors
Abstract Introduction/Aim Young children’s limited ability to self-report pain necessitates an understanding of the factors that influence pain ratings. The current paper examines the relative prediction of caregiver psychological factors and toddler pain behaviors on caregiver pain ratings post-vac...
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Veröffentlicht in: | Journal of pediatric psychology 2023-10, Vol.48 (10), p.870-878 |
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container_title | Journal of pediatric psychology |
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creator | Zaffino, Jessica V Shiff, Ilana Stern, Amy P Flanders, Dan Weinberg, Eitan Savlov, Deena Garfield, Hartley Pillai Riddell, Rebecca |
description | Abstract
Introduction/Aim
Young children’s limited ability to self-report pain necessitates an understanding of the factors that influence pain ratings. The current paper examines the relative prediction of caregiver psychological factors and toddler pain behaviors on caregiver pain ratings post-vaccination.
Methods
One hundred fifty-six parent–toddler dyads were video recorded during pediatric vaccinations. Child pain behaviors were coded before, during, and after the needle using the Face, Legs, Activity, Cry, Consolability Scale and the Neonatal Facial Coding System). Caregivers rated their child’s pain after the needle, reported pre- and post-needle worry during the visit, and completed rating scales assessing other areas of psychological functioning within 2 weeks after the appointment. Regression models were estimated to examine the relative contribution of child and caregiver factors to the prediction of caregiver pain ratings.
Results
The regression model predicting caregiver pain ratings from the toddlers’ pain-related distress (facial activity immediately after the needle, overall pain-related behavior immediately after, 1-min and 2-min post-needle) and caregiver worry were significant (adjusted R-square = 0.21), with caregiver pre- and post-needle worry being the only significant predictors of caregiver pain ratings.
Conclusions
This study outlines that although child distress behavior remains a significant influence on pain ratings during toddlerhood, when caregiver worry (pre- and post-needle) was entered into the model, they were the only significant predictors of caregiver pain ratings. |
doi_str_mv | 10.1093/jpepsy/jsad061 |
format | Article |
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Introduction/Aim
Young children’s limited ability to self-report pain necessitates an understanding of the factors that influence pain ratings. The current paper examines the relative prediction of caregiver psychological factors and toddler pain behaviors on caregiver pain ratings post-vaccination.
Methods
One hundred fifty-six parent–toddler dyads were video recorded during pediatric vaccinations. Child pain behaviors were coded before, during, and after the needle using the Face, Legs, Activity, Cry, Consolability Scale and the Neonatal Facial Coding System). Caregivers rated their child’s pain after the needle, reported pre- and post-needle worry during the visit, and completed rating scales assessing other areas of psychological functioning within 2 weeks after the appointment. Regression models were estimated to examine the relative contribution of child and caregiver factors to the prediction of caregiver pain ratings.
Results
The regression model predicting caregiver pain ratings from the toddlers’ pain-related distress (facial activity immediately after the needle, overall pain-related behavior immediately after, 1-min and 2-min post-needle) and caregiver worry were significant (adjusted R-square = 0.21), with caregiver pre- and post-needle worry being the only significant predictors of caregiver pain ratings.
Conclusions
This study outlines that although child distress behavior remains a significant influence on pain ratings during toddlerhood, when caregiver worry (pre- and post-needle) was entered into the model, they were the only significant predictors of caregiver pain ratings.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jsad061</identifier><language>eng</language><publisher>Oxford University Press</publisher><ispartof>Journal of pediatric psychology, 2023-10, Vol.48 (10), p.870-878</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c224t-f78184b78b5d79a89a7c758fe95192632a10c7f9820ef9c9a4e791e6da7871953</cites><orcidid>0000-0003-3990-3680</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids></links><search><creatorcontrib>Zaffino, Jessica V</creatorcontrib><creatorcontrib>Shiff, Ilana</creatorcontrib><creatorcontrib>Stern, Amy P</creatorcontrib><creatorcontrib>Flanders, Dan</creatorcontrib><creatorcontrib>Weinberg, Eitan</creatorcontrib><creatorcontrib>Savlov, Deena</creatorcontrib><creatorcontrib>Garfield, Hartley</creatorcontrib><creatorcontrib>Pillai Riddell, Rebecca</creatorcontrib><title>Caregiver Ratings of Toddler Pain: The Role of Caregiver Psychological Predictors</title><title>Journal of pediatric psychology</title><description>Abstract
Introduction/Aim
Young children’s limited ability to self-report pain necessitates an understanding of the factors that influence pain ratings. The current paper examines the relative prediction of caregiver psychological factors and toddler pain behaviors on caregiver pain ratings post-vaccination.
Methods
One hundred fifty-six parent–toddler dyads were video recorded during pediatric vaccinations. Child pain behaviors were coded before, during, and after the needle using the Face, Legs, Activity, Cry, Consolability Scale and the Neonatal Facial Coding System). Caregivers rated their child’s pain after the needle, reported pre- and post-needle worry during the visit, and completed rating scales assessing other areas of psychological functioning within 2 weeks after the appointment. Regression models were estimated to examine the relative contribution of child and caregiver factors to the prediction of caregiver pain ratings.
Results
The regression model predicting caregiver pain ratings from the toddlers’ pain-related distress (facial activity immediately after the needle, overall pain-related behavior immediately after, 1-min and 2-min post-needle) and caregiver worry were significant (adjusted R-square = 0.21), with caregiver pre- and post-needle worry being the only significant predictors of caregiver pain ratings.
Conclusions
This study outlines that although child distress behavior remains a significant influence on pain ratings during toddlerhood, when caregiver worry (pre- and post-needle) was entered into the model, they were the only significant predictors of caregiver pain ratings.</description><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkM9LwzAUx4MoOKdXzz3qoVvStE3iTYa_YOAcFbyFLH3pMrKlJp2w_96ODjx6erz3_Xzf4YPQLcETggWdblpo42G6iarGJTlDI5KXRcpo8XWORrhfUl4KeomuYtxgjPOcliP0MVMBGvsDIVmqzu6amHiTVL6uXX9aKLt7SKo1JEvv4Jj84Yt40GvvfGO1cskiQG1150O8RhdGuQg3pzlGn89P1ew1nb-_vM0e56nOsrxLDeOE5yvGV0XNhOJCMc0KbkAURGQlzRTBmhnBMwxGaKFyYIJAWSvGGREFHaO74W8b_PceYie3NmpwTu3A76PMOMNCcMpwj04GVAcfYwAj22C3KhwkwfLoTg7u5MldX7gfCn7f_sf-AhKhcrU</recordid><startdate>20231020</startdate><enddate>20231020</enddate><creator>Zaffino, Jessica V</creator><creator>Shiff, Ilana</creator><creator>Stern, Amy P</creator><creator>Flanders, Dan</creator><creator>Weinberg, Eitan</creator><creator>Savlov, Deena</creator><creator>Garfield, Hartley</creator><creator>Pillai Riddell, Rebecca</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3990-3680</orcidid></search><sort><creationdate>20231020</creationdate><title>Caregiver Ratings of Toddler Pain: The Role of Caregiver Psychological Predictors</title><author>Zaffino, Jessica V ; Shiff, Ilana ; Stern, Amy P ; Flanders, Dan ; Weinberg, Eitan ; Savlov, Deena ; Garfield, Hartley ; Pillai Riddell, Rebecca</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c224t-f78184b78b5d79a89a7c758fe95192632a10c7f9820ef9c9a4e791e6da7871953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zaffino, Jessica V</creatorcontrib><creatorcontrib>Shiff, Ilana</creatorcontrib><creatorcontrib>Stern, Amy P</creatorcontrib><creatorcontrib>Flanders, Dan</creatorcontrib><creatorcontrib>Weinberg, Eitan</creatorcontrib><creatorcontrib>Savlov, Deena</creatorcontrib><creatorcontrib>Garfield, Hartley</creatorcontrib><creatorcontrib>Pillai Riddell, Rebecca</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zaffino, Jessica V</au><au>Shiff, Ilana</au><au>Stern, Amy P</au><au>Flanders, Dan</au><au>Weinberg, Eitan</au><au>Savlov, Deena</au><au>Garfield, Hartley</au><au>Pillai Riddell, Rebecca</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Caregiver Ratings of Toddler Pain: The Role of Caregiver Psychological Predictors</atitle><jtitle>Journal of pediatric psychology</jtitle><date>2023-10-20</date><risdate>2023</risdate><volume>48</volume><issue>10</issue><spage>870</spage><epage>878</epage><pages>870-878</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><abstract>Abstract
Introduction/Aim
Young children’s limited ability to self-report pain necessitates an understanding of the factors that influence pain ratings. The current paper examines the relative prediction of caregiver psychological factors and toddler pain behaviors on caregiver pain ratings post-vaccination.
Methods
One hundred fifty-six parent–toddler dyads were video recorded during pediatric vaccinations. Child pain behaviors were coded before, during, and after the needle using the Face, Legs, Activity, Cry, Consolability Scale and the Neonatal Facial Coding System). Caregivers rated their child’s pain after the needle, reported pre- and post-needle worry during the visit, and completed rating scales assessing other areas of psychological functioning within 2 weeks after the appointment. Regression models were estimated to examine the relative contribution of child and caregiver factors to the prediction of caregiver pain ratings.
Results
The regression model predicting caregiver pain ratings from the toddlers’ pain-related distress (facial activity immediately after the needle, overall pain-related behavior immediately after, 1-min and 2-min post-needle) and caregiver worry were significant (adjusted R-square = 0.21), with caregiver pre- and post-needle worry being the only significant predictors of caregiver pain ratings.
Conclusions
This study outlines that although child distress behavior remains a significant influence on pain ratings during toddlerhood, when caregiver worry (pre- and post-needle) was entered into the model, they were the only significant predictors of caregiver pain ratings.</abstract><pub>Oxford University Press</pub><doi>10.1093/jpepsy/jsad061</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3990-3680</orcidid></addata></record> |
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source | Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; EBSCOhost Education Source; Alma/SFX Local Collection |
title | Caregiver Ratings of Toddler Pain: The Role of Caregiver Psychological Predictors |
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