The relationship between caregiver sensitivity and infant pain behaviors across the first year of life

Previous caregiver sensitivity and infant pain behaviour predict future sensitivity and behaviour in the immunization context, but consistent interrelationships are not seen until 12 months of age. Recent research has begun to examine discrete caregiver pain management behaviors in the infant immuni...

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Veröffentlicht in:Pain (Amsterdam) 2011-12, Vol.152 (12), p.2819-2826
Hauptverfasser: Pillai Riddell, Rebecca, Campbell, Lauren, Flora, David B., Racine, Nicole, Din Osmun, Laila, Garfield, Hartley, Greenberg, Saul
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container_end_page 2826
container_issue 12
container_start_page 2819
container_title Pain (Amsterdam)
container_volume 152
creator Pillai Riddell, Rebecca
Campbell, Lauren
Flora, David B.
Racine, Nicole
Din Osmun, Laila
Garfield, Hartley
Greenberg, Saul
description Previous caregiver sensitivity and infant pain behaviour predict future sensitivity and behaviour in the immunization context, but consistent interrelationships are not seen until 12 months of age. Recent research has begun to examine discrete caregiver pain management behaviors in the infant immunization context. However, there is a dearth of research exploring more global caregiving constructs, such as emotional availability, which can be used to examine the overall sensitivity of caregiver pain management. The aim of the present study was to examine the relationships between caregiver sensitivity (emotional availability) and infant pain behavior (baseline, immediately post-needle, 1 min after needle) over the first year of life. Parents and infants were a part of a Canadian longitudinal cohort (the Opportunities to Understand Childhood Hurt or OUCH cohort) followed up during their 2-, 4-, 6-, and 12-month immunizations (current n = 731). Both within-age group analyses and over-age analyses were performed. Results indicated that: (1) over age, previous infant pain behavior predicts future infant pain behavior, but this varied depending on timing of pain response and age of infant; (2) over age, previous caregiver sensitivity strongly predicts future caregiver sensitivity; and (3) the concurrent relationship between caregiver sensitivity and every type of infant pain response is only consistently seen at the 12-month immunization. Caregiver sensitivity to the infant in pain is predicted most reliably from previous caregiver sensitivity, not infant pain behaviour. The significant concurrent relationship between caregiver sensitivity and infant pain behaviours is not seen until 12 months, replicating patterns in the infant development literature regarding the time at which the attachment relationship between parent and child can be reliably measured. Discussion addresses implications for both researchers and clinicians who work with infants in pain.
doi_str_mv 10.1016/j.pain.2011.09.011
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Psychology</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness Behavior</subject><subject>Illness, stress and coping</subject><subject>Immunization</subject><subject>Infant</subject><subject>Infant Behavior - psychology</subject><subject>Infants</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Management</subject><subject>Pain</subject><subject>Pain - psychology</subject><subject>Parents</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Social Support</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. 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subjects Adult
Biological and medical sciences
Caregiver sensitivity
Caregivers - psychology
Caregivers - trends
Cohort Studies
Emotional availability
Empathy
Female
Fundamental and applied biological sciences. Psychology
Humans
Illness and personality
Illness Behavior
Illness, stress and coping
Immunization
Infant
Infant Behavior - psychology
Infants
Longitudinal Studies
Male
Management
Pain
Pain - psychology
Parents
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Social Support
Somesthesis and somesthetic pathways (proprioception, exteroception, nociception)
interoception
electrolocation. Sensory receptors
Time Factors
Vertebrates: nervous system and sense organs
title The relationship between caregiver sensitivity and infant pain behaviors across the first year of life
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