• J Pediatr Psychol · Dec 1991

    Differences between high and low coping children and between parent and staff behaviors during painful medical procedures.

    • R L Blount, B Landolf-Fritsche, S W Powers, and J W Sturges.
    • Department of Psychology, University of Georgia, Athens 30602.
    • J Pediatr Psychol. 1991 Dec 1;16(6):795-809.

    AbstractCoded behaviors of pediatric oncology patients undergoing bone marrow aspirations and lumbar punctures, parents, and medical staff using the Child-Adult Medical Procedure Interaction Scale. Children were grouped into high and low coping groups for three analyses. Results indicated that adults with the high coping children engaged in more coping-promoting behaviors than adults with the low coping children. Further, high coping children were more likely to respond with coping to coping-promoting prompts. However, both groups of children were more likely to respond by coping following coping-promoting antecedents than following distress-promoting or adult neutral antecedents. Both groups were more likely to respond with distress following distress-promoting antecedents. When interacting with children, staff engaged in a higher proportions of giving control to the child and apologies than did parents. Also, children were more likely to display coping than distress following staff's and parents' nonprocedural talk (distraction).

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