OBJECTIVE To investigate the relative contributions of effortful control (reflecting the child's ability to shift and refocus attention) and parental coping- and distress-promoting behaviors to children's coping and distress during the voiding cystourethrogram (VCUG, X-ray of the kidneys). METHOD Thirty-two children between ages 2 and 7 years were videotaped undergoing the VCUG. Parent and ch...

The present study assessed behavioral distress during noninvasive outpatient procedures in children ages 4-10 years using a multimethod approach. Factors hypothesized to exacerbate children's distress included parents' and children's attitudes toward healthcare, children's knowledge of medical settings, and parental anxiety. A total of 53 parent-child dyads were recruited from outpatient clinic...

OBJECTIVE Little is known about inpatient psychiatry settings and the services they provide for children and adolescents in Ontario. This paper provides the first broad description of unit characteristics, services provided, and patient characteristics in these settings. METHOD Nominated representatives from Ontario hospitals with generic mental health beds (i.e., providing inpatient care acr...

BACKGROUND Immunizations are a common source of pain and distress for children. Psychological interventions consist of a variety of techniques for relaxing and distracting children during immunization with the goal of reducing pain and distress. OBJECTIVE We conducted a systematic review to determine the efficacy of various psychological strategies for reducing pain and distress in children d...

OBJECTIVE To strengthen trauma-informed health care by exploring parents' experiences of assisting their child after single-incident trauma (eg, violence, accidents, and sudden loss). METHOD Semistructured interviews with parents (N = 33) of 25 exposed children (8-12 years). RESULTS Responsive parenting after trauma emerged as a core theme, consisting of (a) being aware of a child's needs a...

AIM Currently, there is some controversy that the medical examination following allegations of child sexual abuse may further traumatise the child. Access for children to appropriate care may be hindered if decisions about referral are influenced by personal beliefs, rather than by recognition of the potential health and psychological benefits of the assessment. We aimed to study the expectatio...

A 3-day-old male child was referred to us with the diagnosis of esophageal atresia (EA) and trachea-esophageal fistula (TEF). The baby was first child of the parents, born at term by caesarean section. Baby cried immediately after birth and there was no respiratory distress. As the child regurgitated the first feed, x-ray was taken with an infant feeding tube in situ and subsequently the child ...

PURPOSE/OBJECTIVES To describe the prevalence, frequency, severity, and distress of multiple symptoms in hospitalized children with cancer and to examine the overall symptom scores and global distress in patients reporting nausea, pain, and fatigue. DESIGN Descriptive design with repeated measures. SETTING Inpatient pediatric hematology-oncology unit. SAMPLE 39 inpatients (ages 10-17) dia...

BACKGROUND The impact of psychosocial research participation has not been examined systematically in palliative care settings. Concerns are often raised regarding the potential for distress among terminally ill patients. This is particularly true when death and dying are the focus of research. Therefore, it is important to understand the specific ways psychosocial research could potentially har...

Caring for an individual with an eating disorder is associated with significant burden. Treasure and associates’ Collaborative Care Skills Workshops reduce carer burden and distress through altering maladaptive expressed emotion communication patterns and teaching basic motivational interviewing skills which assist in boosting readiness to change in their loved one. However, due to time or dist...