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Reducing Parent Distress and Increasing Parent Coping-Promoting Behavior During Children's Medical Procedure

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Abstract

The study investigated whether involving parents in their child's cognitive-behavioral intervention would effectively reduce parent distress during their child's medical procedure. Parents participating with their 3- to 7-year-old children prior to a voiding cystourethrogram were randomly assigned to an intervention (N = 20) or a standard care (N = 20) condition. The intervention included provision of information, coping skills training, and parent coaching. Parents participating in the intervention had a significant reduction in anxiety following the intervention relative to parents in standard care. Trained parents displayed fewer distress-promoting and more coping-promoting behaviors during the procedure, even though parents in both conditions reported similar levels of anxiety during the procedure. Involving parents in children's interventions is crucial to reduce parent distress and prepare parents to assist their child during the medical procedure.

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REFERENCES

  • Blount, R. L., Bachanas, P. J., Powers, S. W., Cotter, M. C., Franklin, A., Chaplin, W., Mayfield, J., Henderson, M., & Blount, S. D. (1992). Training children to cope and parents to coach them during routine immunizations: Effects on child, parent, and staff behaviors. Behavior Therapy, 23, 689–705.

    Google Scholar 

  • Blount, R. L., Cohen, L. L., Frank, N. C., Bachanas, P. J., Smith, A. J., Manimala, M. R., & Pate, J. T. (1997). The Child–Adult Medical Procedure Interaction Scale–Revised: An assessment of validity. Journal of Pediatric Psychology, 21, 73–88.

    Google Scholar 

  • 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.

    Google Scholar 

  • Blount, R. L., Powers, S. W., Cotter, M. C., Swan, S. C., & Free, K. (1994). Making the system work: Training pediatric oncology patients to cope and their parents to coach them during BMA/LP procedures. Behavior Modification, 18, 6–31.

    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.

    Google Scholar 

  • Campbell, L., Clark, M., & Kirkpatrick, S. E. (1986). Stress management training for parents and their children undergoing cardiac catheterization. American Journal of Orthopsychiatry, 56, 234–243.

    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.

    Google Scholar 

  • Dahlquist, L. M., Power, T.G., Cox, C. N., & Fernbach, D. J. (1994). Parenting and child distress during cancer procedures: A multidimensional assessment. Children's Health Care, 23, 149–166.

    Google Scholar 

  • Hoekstra–Weebers, J. E. H. M., Huevel, F., Jaspers, J. P. C., Kamps, W. A., & Klip, E. C. (1998). An intervention program for parents of pediatric cancer patients: A randomized controlled trial. Journal of Pediatric Psychology, 23, 207–214.

    Google Scholar 

  • Jay, S. M., & Elliott, C. H. (1990). A stress inoculation program for parents whose children are undergoing painful medical procedures. Journal of Consulting and Clinical Psychology, 58, 799–804.

    Google Scholar 

  • Jay, S. M., Ozolins, M., Elliott, C. H., & Caldwell, S. (1983). Assessment of children's distress during painful medical procedures. Health Psychology, 2, 133–147.

    Google Scholar 

  • Manne, S. L., Redd, W. H., Jacobsen, P. B., Gorfinkle, K., Schorr, O., & Rapkin, B. (1990). Behavioral Intervention to reduce child and parent distress during venipuncture. Journal of Consulting and Clinical Psychology, 58, 565–572.

    Google Scholar 

  • McCaul, K. D., & Malott, J. M. (1984) Distraction and coping with pain. Psychological Bulletin, 95, 516–533.

    Google Scholar 

  • Peterson, L., Oliver, K. K., & Saldana, L. (1997). Children's coping with stressful medical procedures. In S. A. Wolchik & I. N. Sandler (Eds.), Handbook of children's coping: Linking theory and intervention. New York: Plenum Press.

    Google Scholar 

  • Powers, S.W., Blount, R. L., Bachanas, P. J., Cotter, M. C., & Swan, S. C. (1993). Helping preschool leukemia patients and their parents cope during injections. Journal of Pediatric Psychology, 18, 681–695.

    Google Scholar 

  • Streisand, R., Rodrigue, J. R., Houck, C., Graham–Pole, J., & Berlant, N. (2000). Parents of children undergoing bone marrow transplantation: Documenting stress and implementing a psychological intervention program. Journal of Pediatric Psychology, 25, 331–337.

    Google Scholar 

  • Wachtel, J., Rodrigue, J. R., Geffken, G. R., Graham–Pole, J., & Turner, C. (1994). Children awaiting invasive medical procedures: Do children and their mothers agree on child's level of anxiety? Journal of Pediatric Psychology, 19, 723–735.

    Google Scholar 

  • Zelikovsky, N., Rodrigue, J. R., Gidycz, C. A., & Davis, M. (2000). Cognitive–behavioral and behavioral interventions help young children cope during a voiding cystourethrogram. Journal of Pediatric Psychology, 25, 535–543.

    Google Scholar 

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Zelikovsky, N., Rodrigue, J.R. & Gidycz, C.A. Reducing Parent Distress and Increasing Parent Coping-Promoting Behavior During Children's Medical Procedure. Journal of Clinical Psychology in Medical Settings 8, 273–281 (2001). https://doi.org/10.1023/A:1011968830009

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  • DOI: https://doi.org/10.1023/A:1011968830009

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