Affiliation:
1. Department of Psychology, University of Guelph , Canada
2. Pediatric Chronic Pain Program, McMaster Children’s Hospital , Canada
3. Department of Paediatrics, Schulich School of Medicine & Dentistry, Western University , Canada
Abstract
Abstract
Objectives
Medical needle procedures are a common source of pain, distress, and fear for children, which can worsen over time and lead to needle noncompliance and avoidance, if unaddressed. Children’s pain experience is multiply determined by external (e.g., parent behaviors) and internal (e.g., cognitive and affective) factors. Some parent behaviors (e.g., reassurance, giving control to child, empathy, apologies, criticism) have related to poor child pain experiences. No research has examined how children’s internal emotion regulation, commonly measured via heart rate variability (HRV), may buffer, or strengthen this association. This study is the first to examine child HRV in relation to pain experiences, and as a moderator between a constellation of parent behaviors (reassurance, giving control, empathy) and child pain, fear, and distress.
Methods
Sixty-one children aged 7–12 years undergoing venipuncture and a parent participated. Child HRV was measured before the procedure. After venipuncture, children rated their pain and fear. Parent and child behaviors during venipuncture were coded using the “distress promoting” and “distress” composites of the Child-Adult Medical Procedure Interaction Scale-Revised.
Results
Children with lower HRV displayed greater distress. Child HRV moderated the positive association between parent behaviors (reassurance, giving control, empathy) and child distress such that the association was strongest among children with low HRV.
Conclusions
Findings suggest children with lower HRV, indicative of lower emotion regulation capacity, may be at risk of experiencing higher levels of distress and may be more vulnerable to distress when facing parent reassurance, giving control, and empathy verbalizations during venipuncture.
Funder
Vanier Canada Graduate Scholarship
Social Sciences and Humanities Research Council
Canadian Foundation for Innovation
Ministry of Research Innovation
Publisher
Oxford University Press (OUP)
Subject
Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health
Reference48 articles.
1. The role of heart rate variability in mindfulness-based pain relief;Adler-Neal;The Journal of Pain,2020
2. Heart rate variability as an index of regulated emotional responding;Appelhans;Review of General Psychology,2006
3. Heart rate variability and pain: Associations of two interrelated homeostatic processes;Appelhans;Biological Psychology,2008
4. Understanding the relative contributions of sensitive and insensitive parent behaviors on infant vaccination pain;Badovinac;Children,2018
5. The child-adult medical procedure interaction scale-revised: An assessment of validity;Blount;Journal of Pediatric Psychology,1997
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