• David A Langer, Edith Chen, and Janet D Luhmann.
• UCLA Department of Psychology, 1285 Franz Hall, University of California--Los Angeles, Los Angeles, California 90095, USA. dalanger@ucla.edu
• J Pediatr Psychol. 2005 Oct 1;30(7):615-22.

ObjectiveTo examine how children's injury attributions and coping strategies relate to procedure-related distress during unplanned medical procedures (laceration repair).MethodsChildren (N = 50) with minor lacerations were assessed from emergency department admittance until discharge. Children's attributions of causes regarding their injury were assessed, and the Procedural Behavior Checklist was administered to each child (to assess coping strategies and procedure-related distress).ResultsInternally focused attributions of blame correlated with higher distress. Overall, children who reported primary-control coping, as opposed to secondary-control coping and relinquished-control coping, exhibited more pain during the procedure. Children who reported secondary-control coping, as opposed to relinquished-control coping, reported less pain after the procedure.ConclusionsInjury attributions and coping style are significant factors in children's pain experiences. These results suggest that self-blame may heighten subsequent pain experiences. In addition, similar coping strategies appear to be adaptive for unplanned medical procedures as have been found for planned medical procedures.

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