Skip to main content

Advertisement

Log in

Parents’ Interpersonal Distance and Touch Behavior and Child Pain and Distress during Painful Pediatric Oncology Procedures

  • Original Paper
  • Published:
Journal of Nonverbal Behavior Aims and scope Submit manuscript

Abstract

Children with cancer and their parents report that treatment-related procedures are more traumatic and painful than cancer itself. Competing hypotheses have emerged regarding relations between parents’ social support and child pain and distress. Little is known about caregivers’ use of nonverbal immediacy behaviors that may function as social support messages. This study describes caregivers’ interpersonal distance and touch behaviors during painful pediatric oncology procedures and examines relations between those behaviors and children’s pain and distress. Caregivers’ total touch time and instrumental (task-oriented) touch time, but not supportive touch time, during the actual procedure covaried with children’s procedural pain and distress.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Adams, R., & Parrott, R. (1994). Pediatric nurses’ communication of role expectations to parents of hospitalized children. Journal of Applied Communication Research, 22, 36–47.

    Article  Google Scholar 

  • Albrecht, T. L., & Adelman, M. B. (1987). Communicating social support: A theoretical perspective. In: T. L. Albrecht, M. B. Adelman, & Associates (Eds.), Communicating social support (pp. 18–39). Newbury Park, CA: Sage.

  • Albrecht, T. L., & Goldsmith, D. J. (2003). Social support, social networks, and health. In: T. L. Thompson, A. M. Dorsey, K. I. Miller, & R. Parrott (Eds.), Handbook of health communication. (pp. 263–284). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Albrecht, T. L., Ruckdeschel, J. C., Ray, F. L., Pethe, B. J., Riddle, D. L., Strohm, J., et al. (2005). A portable, unobtrusive device for video recording clinical interactions. Behavior Research Methods, Instruments, & Computers, 37, 165–169.

    Google Scholar 

  • Andersen, P. A. (1985). Nonverbal immediacy in interpersonal communication. In: A. W. Siegman & S. Feldstein (Eds.), Multichannel integrations of nonverbal behavior (pp. 1–36). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Andersen, P. A., & Andersen, J. F. (2005). Measurements of perceived nonverbal immediacy. In: V. L. Manusov (Ed.), The sourcebook of nonverbal measures (pp. 113–126). Mahwah, NJ: Erlbaum.

  • Blount, R. L., Corbin, S. M., Sturges, J. W., Wolfe, V. V., Prater, J. M., & James, L. D. (1989). The relationship between adults’ behavior and child coping and distress during BMA/LP procedures: A sequential analysis. Behavior Therapy, 20, 585–601.

    Article  Google Scholar 

  • Blount, R. L., Landolf-Fritsche, B., Powers, S. W., & Sturges, J. W. (1991). Differences between high and low coping children and between parent and staff behaviors during painful medical procedures. Journal of Pediatric Psychology, 16, 795–809.

    Article  PubMed  Google Scholar 

  • Blount, R. L., Sturges, J. W., & Powers, S. W. (1990). Analysis of child and adult behavioral variations by phase of medical procedure. Behavior Therapy, 21, 33–48.

    Article  Google Scholar 

  • Bowlby, J. (1982). Attachment and loss: Attachment (Vol. 1, 2nd ed.). New York: Basic Books.

  • Bush, J. P., Melamed, B. G., Sheras, P. L., & Greenbaum, P. E. (1986). Mother-child patterns of coping with anticipatory medical stress. Health Psychology, 5, 137–157.

    Article  PubMed  Google Scholar 

  • Cline, R. J. W., Harper, F. K., Penner, L. A., Peterson, A. M., Taub, J. W., & Albrecht, T. L. (2006). Parents’ communication and child pain and distress during painful pediatric cancer treatments. Social Science and Medicine, 63, 883–878.

    Article  PubMed  Google Scholar 

  • Cutrona, C. E., & Suhr, J. A. (1994). Social support communication in the context of marriage: An analysis of couples’ supportive interactions. In: B. R. Burleson, T. L. Albrecht, & D. J. Goldsmith (Eds.), Communication of social support: Messages, interactions, relationships, and community (pp. 113–135). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Dahlquist, L. M., Power, T. G., & Carlson, L. (1995). Physician and parent behavior during invasive pediatric cancer procedures: Relationships to child behavioral distress. Journal of Pediatric Psychology, 20, 477–490.

    Article  PubMed  Google Scholar 

  • Dakof, G. A., & Taylor, S. E. (1990). Victims’ perceptions of social support: What is helpful from whom? Journal of Personality and Social Psychology, 53, 71–80.

    Google Scholar 

  • Dolgin, M. J., & Phipps, S. (1995). Reciprocal influences in family adjustment to childhood cancer. In: L. Baider, C. L. Cooper, & A. K. De-Nour (Eds.), Cancer and the family (pp. 73–92). Chichester, England: Wiley.

    Google Scholar 

  • Eggert, L. L. (1987). Support in family ties: Stress, coping, and adaptation. In: T. L. Albrecht, M. B. Adelman, & Associates (Eds.), Communicating social support (pp. 80–104). Newbury Park, CA: Sage.

  • Elliott, C. H., Jay, S. M., & Woody, P. (1987). An observation scale for measuring children’s distress during medical procedures. Journal of Pediatric Psychology, 12, 543–551.

    Article  PubMed  Google Scholar 

  • Gonzalez, J. C., Routh, D. K., & Armstrong, F. D. (1993). Effects of maternal distraction versus reassurance on children’s reactions to injections. Journal of Pediatric Psychology, 18, 593-604.

    Article  PubMed  Google Scholar 

  • Gonzalez, J. C., Routh, D. K., Saab, P. G., Armstrong, F. D., Shifman, L., Guerra, E., et al. (1989). Effects of parent presence on children’s reactions to injections: Behavioral, physiological and subjective aspects. Journal of Pediatric Psychology, 14, 449–462.

    Article  PubMed  Google Scholar 

  • Greenbaum, P. E., Lumley, M. A., Turner, C., & Melamed, B. G. (1993). Dentist’s reassuring touch: Effects on children’s behavior. Pediatric Dentistry, 15, 2024.

    Google Scholar 

  • Hall, E. T. (1969). The hidden dimension. Garden City, NY: Anchor Books.

    Google Scholar 

  • Hedstrom, M., Haglund, K., Skolin, I., & von Essen, L. (2003). Distressing events for children and adolescents with cancer: Child, parent, and nurse perceptions. Journal of Pediatric Oncology Nursing, 20, 120–132.

    Article  PubMed  Google Scholar 

  • 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, 559–576.

    Article  PubMed  Google Scholar 

  • Jones, S. E., & Yarbrough, A. E. (1985). A naturalistic study of the meanings of touch. Communication Monographs, 52, 19–56.

    Article  Google Scholar 

  • LaMontagne, L. L., Wells, N., Hepworth, J. T., Johnson, B. D., & Manes, R. (1999). Parent coping and child distress behaviors during invasive procedures for childhood cancer. Journal of Pediatric Oncology Nursing, 16, 3–12.

    Article  PubMed  Google Scholar 

  • LeBaron, S., & Zeltzer, L. (1984). Assessment of acute pain and anxiety in children and adolescents by self-reports, observer reports, and a behavior checklist. Journal of Consulting and Clinical Psychology, 52, 729–738.

    Article  PubMed  Google Scholar 

  • Manne, S. L., Bakeman, R., Jacobsen, P. B., Gorfinkle, K., Bernstein, D., & Redd, W. H. (1992). Adult-child interaction during invasive medical procedures. Health Psychology, 11, 241-249.

    Article  PubMed  Google Scholar 

  • Manne, S. L., Jacobsen, P. B., Gorfinkle, K., Gerstein, F., & Redd, W. H. (1993). Treatment adherence difficulties among children with cancer: The role of parenting style. Journal of Pediatric Psychology, 18, 47–62.

    Article  PubMed  Google Scholar 

  • McCorkle, R. (1974). Effects of touch on seriously ill patients. Nursing Research, 23, 125–132.

    Article  PubMed  Google Scholar 

  • Mehrabian, A. (1972). Nonverbal communication. Chicago: Aldine-Atherton.

    Google Scholar 

  • Montagu, A. (1978). Touching: The human significance of the skin (2nd ed.). New York: Harper & Row.

    Google Scholar 

  • Moon, J., & Cho, K. (2001). The effects of handholding on anxiety in cataract surgery patients under local anesthesia. Journal of Advanced Nursing, 35, 407–415.

    Article  PubMed  Google Scholar 

  • Naber, S. J., Halstead, L. K., Broome, M. E., & Rehwaldt, M. (1995). Communication and control: Parent, child, and health care professional interactions during painful procedures. Issues in Comprehensive Pediatric Nursing, 18, 79–90.

    PubMed  Google Scholar 

  • National Cancer Institute. (2002). National Cancer Institute research on childhood cancers. Retrieved January 21, 2005, from http://cis.nci.nih.gov/fact/6_40.htm.

  • Noldus Information Technology. The Observer Video-Pro (2003). (Version 5.0) [Computer Software]. Wageningen, The Netherlands: Author.

  • Patenaude, A. F., & Kupst, M. J. (2005) Psychosocial functioning in pediatric cancer. Journal of Pediatric Psychology, 30, 9–27.

    Article  PubMed  Google Scholar 

  • Penner, L. A, Cline R. J. W., Jones, E. M., Taub, J. W., Ruckdeschel, J. C., & Albrecht, T. L. (2006, March). Dispositional and affective correlates of treatment-related pain among pediatric cancer patients. Presented at the annual meeting of the Society of Behavioral Medicine, San Francisco, CA.

  • Penner, L. A., Orom, H., Albrecht, T. L., Franks, M. M., Foster, T. S., & Ruckdeschel, J. C. (in this issue). Camera-related behaviors during video recorded medical interactions. Journal of Nonverbal Behavior.

  • Spitz R. A. (1945). Hospitalism: An inquiry into the genesis of psychiatric conditions in early childhood. In: O. Fenichel (Ed.), The psychoanalytic study of the child (Vol. 1, pp. 113–117). New York: International Universities Press.

    Google Scholar 

  • Vance, Y., & Eiser, C. (2004). Caring for a child with cancer – A systematic review. Pediatric Blood & Cancer, 42, 249–253.

    Article  Google Scholar 

  • Vannorsdall, T., Dahlquist, L., Pendley, J. S., & Power, T. (2004). The relation between nonessential touch and children’s distress during lumbar punctures. Children’s Health Care, 33, 299–315.

    Article  Google Scholar 

  • Weiss, S. J., Wilson, P., Seed, M. S. J., & Paul, S. M. (2001). Early tactile experience of low birth weight children: Links to later mental health and social adaptation. Infant and Child Development, 10, 93–115.

    Article  Google Scholar 

  • Wong, D., & Baker, C. (1988). Pain in children: Comparison of assessment scales. Pediatric Nursing, 14, 9–17.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amy M. Peterson.

Additional information

This research was conducted as part of a larger investigation funded by a grant from the National Cancer Institute, “Parental Role in Pediatric Cancer Pain and Survivorship” (NCI R01 CA100027), Terrance L. Albrecht, PI. The authors wish to thank Ellen Jones for her efforts.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Peterson, A.M., Cline, R.J.W., Foster, T.S. et al. Parents’ Interpersonal Distance and Touch Behavior and Child Pain and Distress during Painful Pediatric Oncology Procedures. J Nonverbal Behav 31, 79–97 (2007). https://doi.org/10.1007/s10919-007-0023-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10919-007-0023-9

Keywords

Navigation