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When “Don’t Worry” Communicates Fear: Children’s Perceptions of Parental Reassurance and Distraction during a Painful Medical Procedure

dc.contributor.authorMcMurtury, Megan
dc.contributor.authorChambers, Christine
dc.contributor.authorMcGrath, Patrick
dc.contributor.authorAsp, Elissa
dc.date.accessioned2018-10-24T15:18:23Z
dc.date.available2018-10-24T15:18:23Z
dc.date.issued2010
dc.description.abstracthildren's distress during painful medical procedures is strongly influenced by adult behavior. Adult reassurance (e.g., "it's okay") is associated with increased child distress whereas distraction is associated with increased child coping. It is unknown why reassurance shows this counterintuitive relationship with child distress. The present research investigated whether children perceive their parents as fearful when they reassure using complementary observational and experimental methodologies. One hundred children (40 boys, 60 girls) 5-10years old (M=8.02, SD=1.69) and their parents (86 mothers, 14 fathers) participated. First, spontaneous parent-child interactions during pediatric venipuncture were captured and used for a video-mediated recall task in which the children viewed instances of parental reassurance and distraction and rated their parents' fear and happiness. Second, the children were asked to rate the intensity of parental fear and happiness for 12 video vignettes showing an actor posing as a parent during venipuncture. To determine whether the children's perceptions varied with the qualities of the behavior, the vignettes manipulated: facial expression (happy vs. fearful), vocal tone (rising vs. falling), and content (informative reassurance vs. uninformative reassurance vs. distraction). For both tasks, the children provided higher ratings of fear during reassurance than distraction. In response to the vignettes, the children gave higher ratings of parental fear for a fearful facial expression, but the influence of vocal tone differed with the verbal content of the utterance. The results provide insight into the complexity of adult reassurance and highlight the important role of parental facial expression, tone, and verbal content during painful medical procedures.en_US
dc.identifier.citationMcMurtry, C.M., Chambers, C.T., McGrath, P.J., & Asp, E. (2010). When "don't worry" communicates fear: Children's perceptions of parental reassurance and distraction during a painful medical procedure. PAIN, 150, 52-58. doi: 10.1016/j.pain.2010.02.021. PMID: 20227831en_US
dc.identifier.urihttp://hdl.handle.net/10222/74861
dc.publisherWolters Kluweren_US
dc.relation.ispartofPAINen_US
dc.titleWhen “Don’t Worry” Communicates Fear: Children’s Perceptions of Parental Reassurance and Distraction during a Painful Medical Procedureen_US
dc.typeManuscripten_US

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