Predicting preschool pain-related anticipatory distress: the relative contribution of longitudinal and concurrent factors

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dc.contributor.authorRacine, Nicole
dc.contributor.authorPillai Riddell, Rebecca
dc.contributor.authorFlora, David
dc.contributor.authorTaddio, Anna
dc.contributor.authorGarfield, Hartley
dc.contributor.authorGreenberg, Saul
dc.date.accessioned2018-03-26T16:54:46Z
dc.date.available2018-03-26T16:54:46Z
dc.date.issued2016
dc.description.abstractAnticipatory distress prior to a painful medical procedure can lead to negative sequelae including heightened pain experiences, avoidance of future medical procedures, and potential non-compliance with preventative healthcare such as vaccinations. Few studies have examined the longitudinal and concurrent predictors of pain-related anticipatory distress. This paper consists of two companion studies to examine both the longitudinal factors from infancy, as well as concurrent factors from preschool that predict pain-related anticipatory distress at the preschool age. Study 1 examined how well preschool pain-related anticipatory distress was predicted by infant pain responding at 2, 4, 6 and 12 months of age. In Study 2, using a developmental psychopathology framework, longitudinal analyses examined the predisposing, precipitating, perpetuating, and present factors that led to the development of anticipatory distress during routine preschool vaccinations. A sample of 202 caregiverchild dyads was observed during their infant and preschool vaccinations (OUCH Cohort) and was used for both studies. In Study 1, pain responding during infancy was not found to significantly predict pain-related anticipatory distress at preschool. In Study 2, a strong explanatory model was created whereby 40% of the variance in preschool anticipatory distress was explained. Parental behaviours from infancy and preschool were the strongest predictors of child anticipatory distress at preschool. Child age positively predicted child anticipatory distress. This strongly suggests that the involvement of parents in pain management interventions during immunization is one of the most critical factors in predicting anticipatory distress to the preschool vaccination.en_US
dc.identifier.citationRacine, N., Pillai Riddell, R, Flora, D., Taddio, A., Greenberg, S., and Garfield. H. (2016). Preschool Anticipatory Distress to Immunization Pain: Understanding Development.. Pain. Sep;157(9):1918-32. doi: 10.1097/j.pain.0000000000000590.
dc.identifier.uridoi: 10.1097/j.pain.0000000000000590en_US
dc.identifier.urihttp://hdl.handle.net/10315/34424
dc.language.isoenen_US
dc.publisherPainen_US
dc.rightsThis article was published in the Journal Pain in 2016: doi: 10.1097/j.pain.0000000000000590en_US
dc.rights.journalhttps://journals.lww.com/pain/Pages/default.aspxen_US
dc.subjectinfanten_US
dc.subjectpainen_US
dc.subjectcaregiveren_US
dc.subjectanticipatory distressen_US
dc.subjectbehaviouren_US
dc.titlePredicting preschool pain-related anticipatory distress: the relative contribution of longitudinal and concurrent factors
dc.typeArticleen_US

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