Pediatric Procedural Approach-Avoidance Coping and Distress: A Multitrait-Multimethod Analysis

Objective To evaluate the construct validity of children's approach-avoidance coping and distress during immunizations, and to examine the instruments used to assess these domains. Methods We used a multitrait-multimethod matrix to examine the validity of the approach-avoidance coping and distr...

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Veröffentlicht in:Journal of pediatric psychology 2004-03, Vol.29 (2), p.131-141
Hauptverfasser: Bernard, Rebecca S., Cohen, Lindsey L., McClellan, Catherine B., MacLaren, Jill E.
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container_end_page 141
container_issue 2
container_start_page 131
container_title Journal of pediatric psychology
container_volume 29
creator Bernard, Rebecca S.
Cohen, Lindsey L.
McClellan, Catherine B.
MacLaren, Jill E.
description Objective To evaluate the construct validity of children's approach-avoidance coping and distress during immunizations, and to examine the instruments used to assess these domains. Methods We used a multitrait-multimethod matrix to examine the validity of the approach-avoidance coping and distress constructs for 62 4- to 6-year-old children receiving immunization injections. Assessment instruments of both constructs consisted of child, parent, and nurse ratings, and three behavior observation scales. Results Pediatric procedural distress demonstrated adequate convergent and discriminant validity, and it can be assessed in a valid manner. Whereas most approach-avoidance measures demonstrated good convergent validity, several measures did not adequately distinguish between avoidance and distress. Conclusions It is possible that children's approach-avoidance coping may be qualitatively different than adult's approach-avoidance. Researchers should be cognizant of these differences when designing treatments for child procedural distress.
doi_str_mv 10.1093/jpepsy/jsh016
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Assessment instruments of both constructs consisted of child, parent, and nurse ratings, and three behavior observation scales. Results Pediatric procedural distress demonstrated adequate convergent and discriminant validity, and it can be assessed in a valid manner. Whereas most approach-avoidance measures demonstrated good convergent validity, several measures did not adequately distinguish between avoidance and distress. Conclusions It is possible that children's approach-avoidance coping may be qualitatively different than adult's approach-avoidance. 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Pediatr. Psychol</addtitle><description>Objective To evaluate the construct validity of children's approach-avoidance coping and distress during immunizations, and to examine the instruments used to assess these domains. Methods We used a multitrait-multimethod matrix to examine the validity of the approach-avoidance coping and distress constructs for 62 4- to 6-year-old children receiving immunization injections. Assessment instruments of both constructs consisted of child, parent, and nurse ratings, and three behavior observation scales. Results Pediatric procedural distress demonstrated adequate convergent and discriminant validity, and it can be assessed in a valid manner. Whereas most approach-avoidance measures demonstrated good convergent validity, several measures did not adequately distinguish between avoidance and distress. Conclusions It is possible that children's approach-avoidance coping may be qualitatively different than adult's approach-avoidance. Researchers should be cognizant of these differences when designing treatments for child procedural distress.</description><subject>Adaptation, Psychological</subject><subject>approach-avoidance</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>coping style</subject><subject>distress</subject><subject>Female</subject><subject>Humans</subject><subject>Immunization - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Models, Psychological</subject><subject>multitrait-multimethod</subject><subject>Northwestern United States</subject><subject>Prevention and actions</subject><subject>Psychological Tests</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Hygiene-occupational medicine</topic><topic>Reproducibility of Results</topic><topic>Specific populations (family, woman, child, elderly...)</topic><topic>Stress, Psychological - prevention &amp; control</topic><topic>Stress, Psychological - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bernard, Rebecca S.</creatorcontrib><creatorcontrib>Cohen, Lindsey L.</creatorcontrib><creatorcontrib>McClellan, Catherine B.</creatorcontrib><creatorcontrib>MacLaren, Jill E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><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>Bernard, Rebecca S.</au><au>Cohen, Lindsey L.</au><au>McClellan, Catherine B.</au><au>MacLaren, Jill E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric Procedural Approach-Avoidance Coping and Distress: A Multitrait-Multimethod Analysis</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J. 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source Oxford University Press Journals All Titles (1996-Current); Education Source (EBSCOhost); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adaptation, Psychological
approach-avoidance
Biological and medical sciences
Child
Child, Preschool
children
coping style
distress
Female
Humans
Immunization - psychology
Male
Medical sciences
Models, Psychological
multitrait-multimethod
Northwestern United States
Prevention and actions
Psychological Tests
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reproducibility of Results
Specific populations (family, woman, child, elderly...)
Stress, Psychological - prevention & control
Stress, Psychological - psychology
title Pediatric Procedural Approach-Avoidance Coping and Distress: A Multitrait-Multimethod Analysis
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