YorkSpace has migrated to a new version of its software. Access our Help Resources to learn how to use the refreshed site. Contact diginit@yorku.ca if you have any questions about the migration.
 

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

Loading...
Thumbnail Image

Date

2016

Authors

Racine, Nicole
Pillai Riddell, Rebecca
Flora, David
Taddio, Anna
Garfield, Hartley
Greenberg, Saul

Journal Title

Journal ISSN

Volume Title

Publisher

Pain

Abstract

Anticipatory 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.

Description

Keywords

infant, pain, caregiver, anticipatory distress, behaviour

Citation

Racine, 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.