nach oben

Journal of Clinical Psychology in Medical Settings

Erschienen in:

04.01.2019 | Wound Care

Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care

verfasst von: Erin A. Brown, Alexandra De Young, Roy Kimble, Justin Kenardy

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Abstract

Pediatric burn injuries and subsequent wound care can be painful and distressing for children and their parents. This study tested parenting behavior as a mediator for the relationship between parental acute psychological distress and child behavior during burn wound care. Eighty-seven parents of children (1–6-years-old) self-reported accident-related posttraumatic stress symptoms (PTSS), pre-procedural anxiety, general anxiety/depression symptoms, and guilt before the first dressing change. Parent–child behavior was observed during the first dressing change. Mediation analyses identified three indirect effects. Parental PTSS predicted more child distress, mediated through parental distress-promoting behavior. Parental guilt predicted more child distress, mediated through parental distress-promoting behavior. Parental general anxiety/depression symptoms predicted less child coping, mediated through less parental coping-promoting behavior. Parents with accident-related psychological distress have difficulty supporting their child through subsequent medical care. Nature of parental symptomology differentially influenced behavior. Increased acute psychological support for parents may reduce young child procedural pain-related distress.

Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Oxford: Lawrence Erlbaum.

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, D.C.: American Psychiatric Association.

Bakker, A., Maertens, K. J., Van Son, M. J., & Van Loey, N. E. E. (2013). Psychological consequences of pediatric burns from a child and family perspective: A review of the empirical literature. Clinical Psychology Review, 33, 361–371. https://doi.org/10.1016/j.cpr.2012.12.006.CrossRefPubMed

Bakker, A., Van Loey, N. E. E., Van der Heijden, P. G., & Van Son, M. J. (2012). Acute stress reactions in couples after a burn event to their young child. Journal of Pediatric Psychology, 37, 1127–1135. https://doi.org/10.1093/jpepsy/jss083.CrossRefPubMed

Bakker, A., Van Loey, N. E. E., Van Son, M. J., & Van der Heijden, P. G. (2010). Mothers’ long-term posttraumatic stress symptoms following a burn event of their child. Journal of Pediatric Psychology, 35, 656–661. https://doi.org/10.1093/jpepsy/jsp090.CrossRefPubMed

Bearden, D., Feinstein, A., & Cohen, L. (2012). The influence of parent preprocedural anxiety on child procedural pain: Mediation by child procedural anxiety. Journal of Pediatric Psychology, 37, 680–686. https://doi.org/10.1093/jpepsy/jss041.CrossRefPubMedPubMedCentral

Bernard, R. S. (2001). Parent distress, parent behavior, and infant distress during pediatric immunizations. (Dissertation/Thesis), West Virginia University, Morgantown, WV. Retrieved from https://libwvu.on.worldcat.org/oclc/49054825.

Bernard, R. S., & Cohen, L. L. (2006). Parent anxiety and infant pain during pediatric immunizations. Journal of Clinical Psychology in Medical Settings, 13, 285–290. https://doi.org/10.1007/s10880-006-9027-6.CrossRef

Blount, R. L., Bunke, V., Cohen, L., & Forbes, C. (2001). The Child-Adult Medical Procedure Interaction Scale-Short Form (CAMPIS-SF): Validation of a rating scale for children’s and adults’ behaviors during painful medical procedures. Journal of Pain and Symptom Management, 22, 591–599. https://doi.org/10.1016/s0885-3924(01)00303-7.CrossRefPubMed

Blount, R. L., Cohen, L., Frank, N., Bachanas, P., Smith, A., Manimala, M., & Pate, J. (1997). The Child-Adult Medical Procedure Interaction Scale-Revised: An assessment of validity. Journal of Pediatric Psychology, 22, 73–88. https://doi.org/10.1093/jpepsy/22.1.73.CrossRefPubMed

Blount, R. L., Corbin, S., Sturges, J., Wolfe, V., Prater, J., & James, L. (1989). The relationship between adults’ behavior and child coping and distress during BMA/LP procedures: A sequential analysis. Behavior Therapy, 20, 585–601. https://doi.org/10.1016/S0005-7894(89)80136-4.CrossRef

Brown, E. A., De Young, A. C., Kimble, R., & Kenardy, J. (2018a). Review of a parent’s influence on pediatric procedural distress and recovery. Clinical Child and Family Psychology Review, 21, 224–245. https://doi.org/10.1007/s10567-017-0252-3.CrossRefPubMed

Brown, E. A., De Young, A. C., Kimble, R., & Kenardy, J. (2018b). Development and validity of the Burns-Child Adult Medical Procedure Interaction Scale (B-CAMPIS) for young children. Burns. https://doi.org/10.1016/j.burns.2018.08.027.CrossRefPubMed

Buskila, D., Neumann, L., Zmora, E., Feldman, M., Bolotin, A., & Press, J. (2003). Pain sensitivity in prematurely born adolescents. Archives of Pediatrics and Adolescent Medicine, 157, 1079–1082. https://doi.org/10.1001/archpedi.157.11.1079.CrossRefPubMed

Caldwell-Andrews, A. A., Blount, R. L., Mayes, L. C., & Kain, Z. N. (2005). Behavioral interactions in the perioperative environment: A new conceptual framework and the development of the Perioperative Child-Adult Medical Procedure Interaction Scale. Anesthesiology, 103, 1130–1135. https://doi.org/10.1097/00000542-200512000-00005.CrossRefPubMed

Campbell, L., DiLorenzo, M., Atkinson, N., & Pillai Riddell, R. (2017). A systematic review of the interrelationships among children’s coping responses, children’s coping outcomes, and parent cognitive-affective, behavioral, and contextual variables in the needle-related procedures context. Journal of Pediatric Psychology, 42, 611–621. https://doi.org/10.1093/jpepsy/jsx054.CrossRefPubMedPubMedCentral

Chambers, C., Craig, K., & Bennett, S. (2002). The impact of maternal behavior on children’s pain experiences: An experimental analysis. Journal of Pediatric Psychology, 27, 293–301. https://doi.org/10.1093/jpepsy/27.3.293.CrossRefPubMed

Choiniere, M., Melzack, R., Rondeau, J., Girard, N., & Paquin, M.-J. (1989). The pain of burns: Characteristics and correlates. The Journal of Trauma, 29, 1531–1539. https://doi.org/10.1097/00005373-198911000-00013.CrossRefPubMed

Cohen, L., Bernard, R. S., McClelland, C. B., & MacLaren, J. E. (2005). Assessing medical room behavior during infants’ painful procedures: The Measure of Adult and Infant Soothing and Distress (MAISD). Children’s Health Care, 34, 81–94. https://doi.org/10.1207/s15326888chc3402_1.CrossRef

Cohen, L., Manimala, R., & Blount, R. L. (2000). Easier said than done: What parents say they do and what they do during children’s immunizations. Children’s Health Care, 29, 79–86. https://doi.org/10.1207/S15326888CHC2902_1.CrossRef

Connor-Ballard, P. A. (2009). Understanding and managing burn pain: Part 1. The American Journal of Nursing, 109, 48–56. https://doi.org/10.1097/01.naj.0000348604.47231.68.CrossRefPubMed

Cooper, J., & Pavlin, E. (1990). Altered pharmacology in thermal injury. Critical Care Report, 2, 78–84.

Dahlquist, L. M., Power, T. G., Cox, C. N., & Fernbach, D. J. (1994). Parenting and child distress during cancer procedures: A multidimensional assessment. Children’s Health Care, 23, 149–166. https://doi.org/10.1207/s15326888chc2303_1.CrossRefPubMed

De Young, A. C., Hendrikz, J., Kenardy, J. A., Cobham, V. E., & Kimble, R. M. (2014). Prospective evaluation of parent distress following pediatric burns and identification of risk factors for young child and parent posttraumatic stress disorder. Journal of Child and Adolescent Psychopharmacology, 24, 9–17. https://doi.org/10.1089/cap.2013.0066.CrossRefPubMed

Duke, J., Wood, F., Semmens, J., Edgar, D. W., Spilsbury, K., Hendrie, D., & Rea, S. (2011). A study of burn hospitalizations for children younger than 5 years of age: 1983–2008. Pediatrics, 127, e971–e977. https://doi.org/10.1542/peds.2010-3136.CrossRefPubMed

Egberts, M. R., de Jong, A. E. E., Hofland, H. W. C., Geenen, R., & Van Loey, N. E. E. (2018). Parental presence or absence during child burn wound care procedures. Burns, 44, 850–860. https://doi.org/10.1016/j.burns.2017.11.016.CrossRefPubMed

European Burns Association. (2017). EBA Practice Guidelines for Burn Care. Retrieved from http://euroburn.org/wp-content/uploads/2014/09/EBA-Guidelines-Version-4-2017-1.pdf.

Frank, N. C., Blount, R. L., Smith, A. J., Manimala, M. R., & Martin, J. K. (1995). Parent and staff behavior, previous child medical experience, and maternal anxiety as they relate to child procedural distress and coping. Journal of Pediatric Psychology, 20, 277–289. https://doi.org/10.1093/jpepsy/20.3.277.CrossRefPubMed

Gee Kee, E., Kimble, R., Cuttle, L., Khan, A., & Stockton, K. (2015). Randomized controlled trial of three burns dressings for partial thickness burns in children. Burns, 41(5), 946–955. https://doi.org/10.1016/j.burns.2014.11.005.CrossRef

Gee Kee, E., Stockton, K., Kimble, R., Cuttle, L., & McPhail, S. (2017). Cost-effectiveness of silver dressings for paediatric partial thickness burns: An economic evaluation from a randomized controlled trial. Burns, 43(4), 724–732. https://doi.org/10.1016/j.burns.2016.09.018.CrossRef

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.

Hornik, R., & Gunnar, M. R. (1988). A descriptive analysis of infant social referencing. Child Development, 59, 626–634. https://doi.org/10.2307/1130562.CrossRefPubMed

Hudson, J., & Rapee, R. (2001). Parent–child interactions and anxiety disorders: An observational study. Behaviour Research and Therapy, 39, 1411–1427. https://doi.org/10.1016/S0005-7967(00)00107-8.CrossRefPubMed

Jacobsen, P. B., Manne, S. L., Gorfinkle, K., Schorr, O., Rapkin, B., & Redd, W. H. (1990). Analysis of child and parent behavior during painful medical procedures. Health Psychology, 9, 559. https://doi.org/10.1037/0278-6133.9.5.559.CrossRefPubMed

Jay, S. M., Ozolins, M., Elliott, C. H., & Caldwell, S. (1983). Assessment of children’s distress during painful medical procedures. Health Psychology, 2, 133–147. https://doi.org/10.1037/0278-6133.2.2.133.CrossRef

Jaycox, L. H., Stein, B. D., Paddock, S., Miles, J. N., Chandra, A., Meredith, L. S., … Burnam, M. A. (2009). Impact of teen depression on academic, social, and physical functioning. Pediatrics, 124, e596–e605. https://doi.org/10.1542/peds.2008-3348.CrossRefPubMed

Kehlet, H., Jensen, T. S., & Woolf, C. J. (2006). Persistent postsurgical pain: Risk factors and prevention. Lancet, 367, 1618–1625. https://doi.org/10.1016/S0140-6736(06)68700-X.CrossRefPubMed

Kroenke, K., Spitzer, R. L., Williams, J. B., & Lowe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics, 50, 613–621. https://doi.org/10.1176/appi.psy.50.6.613.CrossRefPubMed

Kubany, E. S., Haynes, S. N., Abueg, F. R., Manke, F. P., Brennan, J. M., & Stahura, C. (1996). Development and validation of the Trauma-Related Guilt Inventory (TRGI). Psychological Assessment, 8, 428–444. https://doi.org/10.1037/1040-3590.8.4.428.CrossRef

Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561–592. https://doi.org/10.1016/S0272-7358(98)00100-7.CrossRef

MacLaren Chorney, J., Torrey, C., Blount, R. L., McLaren, C., Chen, W.-P., & Kain, Z. N. (2009). Healthcare provider and parent behavior and children’s coping and distress at anesthesia induction. Anesthesiology, 111, 1290–1296. https://doi.org/10.1097/ALN.0b013e3181c14be5.CrossRef

Manimala, M., Blount, R., & Cohen, L. (2000). The effects of parental reassurance versus distraction on child distress and coping during immunizations. Children’s Health Care, 29, 161–177. https://doi.org/10.1207/S15326888CHC2903_2.CrossRef

Mason, S. (1993). Young, scarred children and their mothers: A short-term investigation into the practical, psychological and social implications of thermal injury to the preschool child. Part I: Implications for the mother. Burns, 19, 495–500. https://doi.org/10.1016/0305-4179(93)90006-T.CrossRefPubMed

McGarry, S., Elliott, C., McDonald, A., Valentine, J., Wood, F., & Girdler, S. (2014). Paediatric burns: From the voice of the child. Burns, 40, 606–615. https://doi.org/10.1016/j.burns.2013.08.031.CrossRefPubMed

McGarry, S., Elliott, C., McDonald, A., Valentine, J., Wood, F., & Girdler, S. (2015). “This is not just a little accident”: A qualitative understanding of paediatric burns from the perspective of parents. Disability and Rehabilitation, 37, 41–50. https://doi.org/10.3109/09638288.2014.892640.CrossRefPubMed

McGarry, S., Girdler, S., McDonald, A., Valentine, J., Wood, F., & Elliott, C. (2013). Paediatric medical trauma: The impact on parents of burn survivors. Burns, 39, 1114–1121. https://doi.org/10.1016/j.burns.2013.01.009.CrossRefPubMed

McGrath, P. J., & Frager, G. (1996). Psychological barriers to optimal pain management in infants and children. The Clinical Journal of Pain, 12, 135–141.CrossRef

Melzack, R. (1990). The tragedy of needless pain. Scientific American, 262, 27–33. https://doi.org/10.1038/scientificamerican0290-27.CrossRefPubMed

Morley, J., Holman, N., & Murray, C. D. (2017). Dressing changes in a burns unit for children under the age of five: A qualitative study of mothers’ experiences. Burns, 43, 757–765. https://doi.org/10.1016/j.burns.2016.11.015.CrossRefPubMed

National Health Service England. (2013). Specialised burn care. Retrieved from https://www.england.nhs.uk/wp-content/uploads/2014/04/d06-spec-burn-care-0414.pdf.

Pate, J. T., Blount, R. L., Cohen, L. L., & Smith, A. J. (1996). Childhood medical experience and temperament as predictors of adult functioning in medical situations. Children’s Health Care, 25, 281–298. https://doi.org/10.1207/s15326888chc2504_4.CrossRef

Perkins, M. D., Frederick, M., & Kehlet, M. D. P. D. H. (2000). Chronic pain as an outcome of surgery: A review of predictive factors. Anesthesiology, 93, 1123–1133.CrossRef

Pillai Riddell, R., Campbell, L., Flora, D. B., Racine, N., Osmun, L. D., Garfield, H., & Greenberg, S. (2011). The relationship between caregiver sensitivity and infant pain behaviors across the first year of life. Pain, 152, 2819–2826. https://doi.org/10.1016/j.pain.2011.09.011.CrossRefPubMed

Pillai Riddell, R., Gennis, H., Taddio, A., & Racine, N. (2016). Are parents really that important to managing vaccination pain during infancy? Pain Management, 6, 13–17. https://doi.org/10.2217/pmt.15.54.CrossRefPubMed

Pillai Riddell, R., & Racine, N. (2009). Assessing pain in infancy: The caregiver context. Pain Research and Management, 14, 27–32.CrossRef

Prins, A., Ouimette, P., Kimerling, R., Cameron, R., Hugelshofer, D., Shaw-Hegwer, J., … Sheikh, J. (2003). The primary care PTSD screen (PC-PTSD): Development and operating characteristics. Primary Care Psychiatry, 9, 9–14. https://doi.org/10.1185/135525703125002360.CrossRef

Racine, N. M., Riddell, P., Flora, R. R., Taddio, D. B., Garfield, A., H., & Greenberg, S. (2016). Predicting preschool pain-related anticipatory distress: The relative contribution of longitudinal and concurrent factors. Pain, 157, 1918–1932. https://doi.org/10.1097/j.pain.0000000000000590.CrossRefPubMed

Rennick, J. E., Johnston, C. C., Dougherty, G., Platt, R., & Ritchie, J. A. (2002). Children’s psychological responses after critical illness and exposure to invasive technology. Journal of Developmental and Behavioral Pediatrics, 23, 133–144. https://doi.org/10.1097/00004703-200206000-00002.CrossRefPubMed

Scheeringa, M. S., & Haslett, N. (2010). The reliability and criterion validity of the Diagnostic Infant and Preschool Assessment: a new diagnostic instrument for young children. Child Psychiatry and Human Development, 41, 299–312. https://doi.org/10.1007/s10578-009-0169-2.CrossRefPubMedPubMedCentral

Schoemann, A. M., Boulton, A. J., & Short, S. D. (2017). Determining power and sample size for simple and complex mediation models. Social Psychological and Personality Science, 8, 379–386. https://doi.org/10.1177/1948550617715068.CrossRef

Sharar, S. R., Miller, W., Teeley, A., Soltani, M., Hoffman, H. G., Jensen, M. P., & Patterson, D. R. (2008). Applications of virtual reality for pain management in burn-injured patients. Expert Review of Neurotherapeutics, 8, 1667–1674. https://doi.org/10.1586/14737175.8.11.1667.CrossRefPubMedPubMedCentral

Slade, A. (2007). Reflective parenting programs: Theory and development. Psychoanalytic Inquiry, 26, 640–657. https://doi.org/10.1080/07351690701310698.CrossRef

Spoont, M., Arbisi, P., Fu, S., Greer, N., Kehle-Forbes, S., Meis, L., & Rutks, I. (2013). Screening for post-traumatic stress disorder (PTSD) in primary care: A systematic review. Washington, D.C.: Department of Veterans Affairs.

Stockton, K. A., Harvey, J., & Kimble, R. M. (2015). A prospective observational study investigating all children presenting to a specialty paediatric burns centre. Burns, 41, 476–483. https://doi.org/10.1016/j.burns.2014.09.018.CrossRefPubMed

Stoddard, F. J., Sheridan, R. L., Saxe, G. N., King, B. S., King, B. H., Chedekel, D. S., … Martyn, J. A. (2002). Treatment of pain in acutely burned children. Journal of Burn Care and Rehabilitation, 23, 135–156. https://doi.org/10.1097/00004630-200203000-00012.CrossRefPubMed

Sweet, S. D., & McGrath, P. J. (1998). Relative importance of mothers’ versus medical staffs’ behavior in the prediction of infant immunization pain behavior. Journal of Pediatric Psychology, 23, 249–256. https://doi.org/10.1093/jpepsy/23.4.249.CrossRefPubMed

Tabachnick, B., Fidell, L., & Osterlind, S. (2001). Using multivariate statistics. Boston: Allyn and Bacon.

Taddio, A., Katz, J., Ilersich, A. L., & Koren, G. (1997). Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet, 349, 599–603. https://doi.org/10.1016/s0140-6736(96)10316-0.CrossRefPubMed

van der Kolk, B. A. (1987). Psychological Trauma. VA: American Psychiatric Association.

von Baeyer, C. L., & Spagrud, L. J. (2007). Systematic review of observational (behavioral) measures of pain for children and adolescents aged 3 to 18 years. Pain, 127, 140–150. https://doi.org/10.1016/j.pain.2006.08.014.CrossRef

Weinberg, K., Birdsall, C., Vail, D., Marano, M. A., Petrone, S. J., & Mansour, E. H. (2000). Pain and anxiety with burn dressing changes: Patient self-report. Journal of Burn Care and Rehabilitation, 21, 155–161. https://doi.org/10.1097/00004630-200021020-00013.CrossRefPubMed

Weisman, S. J., Bernstein, B., & Schechter, N. L. (1998). Consequences of inadequate analgesia during painful procedures in children. Archives of Pediatrics and Adolescent Medicine, 152, 147–149. https://doi.org/10.1001/archpedi.152.2.147.CrossRefPubMed

Young, K. D. (2005). Pediatric procedural pain. Annals of Emergency Medicine, 45, 160–171. https://doi.org/10.1016/j.annemergmed.2004.09.019.CrossRefPubMed

Zhang, Z., & Yuan, K.-H. (2018). Practical statistical power analysis using Webpower and R. Granger, IN: ISDSA Press.

Titel: Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care
verfasst von: Erin A. Brown
Alexandra De Young
Roy Kimble
Justin Kenardy
Publikationsdatum: 04.01.2019
Verlag: Springer US
Schlagwörter: Wound Care
Anxiety
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 4/2019
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-018-9596-1

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2019

Addressing Mental Health Concerns in Primary Care: Practices Among Medical Residents in a Rural Setting

Coping, Attributions, and Health Functioning Among Adolescents with Chronic Illness and Their Parents: Reciprocal Relations Over Time

Feasibility of a Single-Subject Protocol to Shift Young Children’s Sleep Schedules

Cognitive Behavioral Therapy for Treatment-Related Fatigue in Chronic Myeloid Leukemia Patients on Tyrosine Kinase Inhibitors: A Mixed-Method Study

Psychosocial Intervention Programs for Parents of Children with Cancer: A Systematic Review and Critical Comparison of Programs’ Models and Development

Child–Parent Psychotherapy with Infants Hospitalized in the Neonatal Intensive Care Unit