Modifying Quiet Room Design Enhances Calming of Children and Adolescents
To determine whether altering design of a quiet room (QR) produced more rapid calming of agitated or aggressive hospitalized children. One of five similar QRs was modified by painting the white walls tea rose, carpeting the vinyl floor, and painting a picturesque mural on one wall. The effects of th...
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| Veröffentlicht in: | Journal of the American Academy of Child and Adolescent Psychiatry 1994-05, Vol.33 (4), p.558-566 |
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| container_title | Journal of the American Academy of Child and Adolescent Psychiatry |
| container_volume | 33 |
| creator | GLOD, CAROL A. TEICHER, MARTIN H. BUTLER, MARTHA SAVINO, MARGARET HARPER, DAVID MAGNUS, ELEANOR PAHLAVAN, KAMBIZ |
| description | To determine whether altering design of a quiet room (QR) produced more rapid calming of agitated or aggressive hospitalized children.
One of five similar QRs was modified by painting the white walls tea rose, carpeting the vinyl floor, and painting a picturesque mural on one wall. The effects of these modifications were assessed in 19 patients (mean age=9.6 years), using a within-subjects, repeated-measures design. Overt Aggression ratings were made at the time of placement, and at 5-minute intervals thereafter, until the child was dismissed. Children were blind to the fact that a study was being conducted; raters and staff were not.
Total aggression ratings were 45% lower in the modified QR than in the standard QR (
p < .03), and initial aggression scores fell by 50% during 5 minutes of placement in the modified QR, but only after 20 minutes of placement in the standard QR (
p < .0001). Motor excitement and verbal aggression were the two component factors most strongly influenced by QR design.
This preliminary report suggests that it may be possible to modify QRs to facilitate calming of aggressive, agitated children and provides preliminary support for redesign of QRs. |
| doi_str_mv | 10.1097/00004583-199405000-00014 |
| format | Article |
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One of five similar QRs was modified by painting the white walls tea rose, carpeting the vinyl floor, and painting a picturesque mural on one wall. The effects of these modifications were assessed in 19 patients (mean age=9.6 years), using a within-subjects, repeated-measures design. Overt Aggression ratings were made at the time of placement, and at 5-minute intervals thereafter, until the child was dismissed. Children were blind to the fact that a study was being conducted; raters and staff were not.
Total aggression ratings were 45% lower in the modified QR than in the standard QR (
p < .03), and initial aggression scores fell by 50% during 5 minutes of placement in the modified QR, but only after 20 minutes of placement in the standard QR (
p < .0001). Motor excitement and verbal aggression were the two component factors most strongly influenced by QR design.
This preliminary report suggests that it may be possible to modify QRs to facilitate calming of aggressive, agitated children and provides preliminary support for redesign of QRs.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1097/00004583-199405000-00014</identifier><identifier>PMID: 8005909</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>Hagerstown, MD: Elsevier Inc</publisher><subject>Acting Out ; Adolescent ; aggression ; Aggression - psychology ; Aggressiveness ; agitation ; Arousal ; Biological and medical sciences ; Child ; Child Behavior Disorders - psychology ; Child Behavior Disorders - therapy ; Child psychology ; Child, Preschool ; children ; Dangerous Behavior ; Female ; Hospitalization ; Humans ; Institution therapy. Inpatient treatment ; Interior Design and Furnishings ; Male ; Medical sciences ; Milieu Therapy ; Patient Isolation - psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; quiet room ; seclusion ; Social Environment ; Treatments</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 1994-05, Vol.33 (4), p.558-566</ispartof><rights>1994 The American Academy of Child and Adolescent Psychiatry</rights><rights>1994 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins May 1994</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-d9b9cf06b78a1e0ccd209e93de0d37222232b0a89653806be8e8a82acb78007f3</citedby><cites>FETCH-LOGICAL-c425t-d9b9cf06b78a1e0ccd209e93de0d37222232b0a89653806be8e8a82acb78007f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1097/00004583-199405000-00014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4057168$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8005909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GLOD, CAROL A.</creatorcontrib><creatorcontrib>TEICHER, MARTIN H.</creatorcontrib><creatorcontrib>BUTLER, MARTHA</creatorcontrib><creatorcontrib>SAVINO, MARGARET</creatorcontrib><creatorcontrib>HARPER, DAVID</creatorcontrib><creatorcontrib>MAGNUS, ELEANOR</creatorcontrib><creatorcontrib>PAHLAVAN, KAMBIZ</creatorcontrib><title>Modifying Quiet Room Design Enhances Calming of Children and Adolescents</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><description>To determine whether altering design of a quiet room (QR) produced more rapid calming of agitated or aggressive hospitalized children.
One of five similar QRs was modified by painting the white walls tea rose, carpeting the vinyl floor, and painting a picturesque mural on one wall. The effects of these modifications were assessed in 19 patients (mean age=9.6 years), using a within-subjects, repeated-measures design. Overt Aggression ratings were made at the time of placement, and at 5-minute intervals thereafter, until the child was dismissed. Children were blind to the fact that a study was being conducted; raters and staff were not.
Total aggression ratings were 45% lower in the modified QR than in the standard QR (
p < .03), and initial aggression scores fell by 50% during 5 minutes of placement in the modified QR, but only after 20 minutes of placement in the standard QR (
p < .0001). Motor excitement and verbal aggression were the two component factors most strongly influenced by QR design.
This preliminary report suggests that it may be possible to modify QRs to facilitate calming of aggressive, agitated children and provides preliminary support for redesign of QRs.</description><subject>Acting Out</subject><subject>Adolescent</subject><subject>aggression</subject><subject>Aggression - psychology</subject><subject>Aggressiveness</subject><subject>agitation</subject><subject>Arousal</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child Behavior Disorders - psychology</subject><subject>Child Behavior Disorders - therapy</subject><subject>Child psychology</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Dangerous Behavior</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Institution therapy. Inpatient treatment</subject><subject>Interior Design and Furnishings</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Milieu Therapy</subject><subject>Patient Isolation - psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>quiet room</subject><subject>seclusion</subject><subject>Social Environment</subject><subject>Treatments</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkFFrFDEQx4Mo9ax-BCGI-LY6yW42yWO91rZQEaV9Drlktk3ZTWqyK_Tbm_Ou9-BLB0IY5jfDnx8hlMFnBlp-gVqdUG3DtO5A1K6pj3UvyIoJLhvRMfWSrEBpaJTo5WvyppT7LSKVOiJHCkBo0Cty8T35MDyGeEt_LgFn-iuliZ5iCbeRnsU7Gx0WurbjtEXSQNd3YfQZI7XR0xOfRiwO41zekleDHQu-2__H5Obb2fX6orn6cX65PrlqXMfF3Hi90W6AfiOVZQjOeQ4adesRfCt5rZZvwCrdi1ZVDBUqq7h1dQFADu0x-bS7-5DT7wXLbKZQE4yjjZiWYmQv-rbreAU__AfepyXHms1wxoXUAkSF1A5yOZWScTAPOUw2PxoGZmvaPJk2B9Pmn-m6-n5_f9lM6A-Le7V1_nE_t8XZcchVZSgHrN6SrFcV-7rDsEr7EzCb4gJW6z5kdLPxKTyf5S8D3Jf_</recordid><startdate>19940501</startdate><enddate>19940501</enddate><creator>GLOD, CAROL A.</creator><creator>TEICHER, MARTIN H.</creator><creator>BUTLER, MARTHA</creator><creator>SAVINO, MARGARET</creator><creator>HARPER, DAVID</creator><creator>MAGNUS, ELEANOR</creator><creator>PAHLAVAN, KAMBIZ</creator><general>Elsevier Inc</general><general>Lippincott</general><general>Elsevier BV</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>19940501</creationdate><title>Modifying Quiet Room Design Enhances Calming of Children and Adolescents</title><author>GLOD, CAROL A. ; TEICHER, MARTIN H. ; BUTLER, MARTHA ; SAVINO, MARGARET ; HARPER, DAVID ; MAGNUS, ELEANOR ; PAHLAVAN, KAMBIZ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-d9b9cf06b78a1e0ccd209e93de0d37222232b0a89653806be8e8a82acb78007f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Acting Out</topic><topic>Adolescent</topic><topic>aggression</topic><topic>Aggression - psychology</topic><topic>Aggressiveness</topic><topic>agitation</topic><topic>Arousal</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child Behavior Disorders - psychology</topic><topic>Child Behavior Disorders - therapy</topic><topic>Child psychology</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Dangerous Behavior</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Institution therapy. Inpatient treatment</topic><topic>Interior Design and Furnishings</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Milieu Therapy</topic><topic>Patient Isolation - psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>quiet room</topic><topic>seclusion</topic><topic>Social Environment</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GLOD, CAROL A.</creatorcontrib><creatorcontrib>TEICHER, MARTIN H.</creatorcontrib><creatorcontrib>BUTLER, MARTHA</creatorcontrib><creatorcontrib>SAVINO, MARGARET</creatorcontrib><creatorcontrib>HARPER, DAVID</creatorcontrib><creatorcontrib>MAGNUS, ELEANOR</creatorcontrib><creatorcontrib>PAHLAVAN, KAMBIZ</creatorcontrib><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>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GLOD, CAROL A.</au><au>TEICHER, MARTIN H.</au><au>BUTLER, MARTHA</au><au>SAVINO, MARGARET</au><au>HARPER, DAVID</au><au>MAGNUS, ELEANOR</au><au>PAHLAVAN, KAMBIZ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modifying Quiet Room Design Enhances Calming of Children and Adolescents</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>1994-05-01</date><risdate>1994</risdate><volume>33</volume><issue>4</issue><spage>558</spage><epage>566</epage><pages>558-566</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>To determine whether altering design of a quiet room (QR) produced more rapid calming of agitated or aggressive hospitalized children.
One of five similar QRs was modified by painting the white walls tea rose, carpeting the vinyl floor, and painting a picturesque mural on one wall. The effects of these modifications were assessed in 19 patients (mean age=9.6 years), using a within-subjects, repeated-measures design. Overt Aggression ratings were made at the time of placement, and at 5-minute intervals thereafter, until the child was dismissed. Children were blind to the fact that a study was being conducted; raters and staff were not.
Total aggression ratings were 45% lower in the modified QR than in the standard QR (
p < .03), and initial aggression scores fell by 50% during 5 minutes of placement in the modified QR, but only after 20 minutes of placement in the standard QR (
p < .0001). Motor excitement and verbal aggression were the two component factors most strongly influenced by QR design.
This preliminary report suggests that it may be possible to modify QRs to facilitate calming of aggressive, agitated children and provides preliminary support for redesign of QRs.</abstract><cop>Hagerstown, MD</cop><pub>Elsevier Inc</pub><pmid>8005909</pmid><doi>10.1097/00004583-199405000-00014</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of the American Academy of Child and Adolescent Psychiatry, 1994-05, Vol.33 (4), p.558-566 |
| issn | 0890-8567 1527-5418 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier) |
| subjects | Acting Out Adolescent aggression Aggression - psychology Aggressiveness agitation Arousal Biological and medical sciences Child Child Behavior Disorders - psychology Child Behavior Disorders - therapy Child psychology Child, Preschool children Dangerous Behavior Female Hospitalization Humans Institution therapy. Inpatient treatment Interior Design and Furnishings Male Medical sciences Milieu Therapy Patient Isolation - psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry quiet room seclusion Social Environment Treatments |
| title | Modifying Quiet Room Design Enhances Calming of Children and Adolescents |
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