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Caregiver accuracy in detecting deception in facial expressions of pain in children

dc.contributor.authorBoerner, Katelynn
dc.contributor.authorChambers, Christine
dc.contributor.authorCraig, Kenneth
dc.contributor.authorPillai Riddell, Rebecca
dc.contributor.authorParker, Jennifer
dc.date.accessioned2017-09-29T17:31:56Z
dc.date.available2017-09-29T17:31:56Z
dc.date.issued2013
dc.description.abstractFacial expressions provide a primary source of inference about a child’s pain. Although facial expressions typically appear spontaneous, children have some capacity to fake or suppress displays of pain, thereby potentially misleading caregiver judgments. The present study was designed to compare accuracy of different groups of caregivers in detecting deception in children’s facial expressions of pain when voluntarily controlled. Caregivers (15 pediatricians, 15 pediatric nurses, and 15 parents) viewed 48 video clips of children, 12 in each of 4 conditions (genuine pain, faked pain, suppressed pain, neutral baseline), and judged which condition was apparent to them. A 3 (group: pediatrician vs pediatric nurse vs parent) × 4 (condition: genuine vs faked vs suppressed vs neutral) mixed analysis of variance (ANOVA) of judgment accuracies revealed a significant main effect of group, with nurses demonstrating higher overall accuracy scores than parents, and pediatricians not differing from either group. As well, all caregivers, regardless of group, demonstrated the lowest accuracy when viewing the genuine condition, relative to the faked and suppressed conditions, with accuracy for the neutral condition not differing significantly from the other conditions. Overall, caregivers were more successful at identifying faked and suppressed than genuine expressions of pain in children, and pediatric nurses fared better overall in judgment accuracy than parents.en_US
dc.description.sponsorshipK.E. Boerner was supported by a Master’s Award from the Canadian Institutes of Health Research (CIHR), a doctoral fellowship from the CIHR Team in Children’s Pain, an IWK Graduate Student Award, and the McCarlie Graduate Student Award. K.E. Boerner is a trainee member of Pain in Child Health: A CIHR Strategic Training Initiative. C.T. Chambers holds a Canada Research Chair and her research is supported by CIHR and the Canada Foundation for Innovation. K.D. Craig’s research is supported by CIHR and the Social Sciences and Humanities Research Council of Canada. R.R. Pillai Riddell is supported by a CIHR New Investigator Award.en_US
dc.identifier.citationBoerner, K.E., Chambers, C.T., Craig, K.D., Pillai Riddell, R.R., & Parker, J.A. (2013). Caregiver accuracy in detecting deception in facial expressions of pain in children. Pain, 154(4), 525-533.en_US
dc.identifier.urihttp://hdl.handle.net/10222/73349
dc.identifier.urihttps://dx.doi.org/10.1016/j.pain.2012.12.015
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofPainen_US
dc.subjectchildrenen_US
dc.subjectpainen_US
dc.subjectfacial expressionsen_US
dc.subjectcaregiver assessmenten_US
dc.titleCaregiver accuracy in detecting deception in facial expressions of pain in childrenen_US
dc.typeArticleen_US

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