S. S. M. S. W. R. L. A. J. Kim For the purposes of the review, the lead author and senior author categorized each factor for parsimony and ease of interpretation. Health professional behavior (3 studies; Distress promoting behaviour positively predicts child anticipatory distress. L. M. E. M. A. Teague A. As such, for observational and retrospective studies, only the last four criteria were used to make judgments: blinding of outcome assessment, incomplete outcome data, selective reporting, and other sources of bias. J. T. One parent present factor was identified: parental presence during a painful medical procedure. Prevention of suicide and attempted suicide in Denmark. Z. Having large age ranges in studies and not controlling for factors such as psychopathology (parent/child), previous pain experiences (parent/child) and parent soothing behaviors/coping strategies will continue to limit the value of randomized controlled trials because they do not attempt to accommodate the inherent variability of pain responses and the causes for the variability ( Pillai Riddell et al., 2013 ). In summary, most included studies were observational, from North America, encompassed a broad age range, and were based on surgical or needle-related procedures. R. Heathcote (, Dahlquist Two broad factors were identified as precipitating factors that contributed to the onset of anticipatory distress to painful medical procedures ( Table II ). Higgins 1 word related to precipitating: causative. C. P. D. J. to cast, plunge, or send, especially violently or abruptly: … : She always gets the jitters before going on stage. A. D. P. J. S. M. NLM This finding is particularly concerning as anticipatory distress has been associated with several negative sequelae ( Bijttebier & Vertommen, 1998 ; Palermo & Drotar, 1996 ; Tsao et al., 2004 ; Wright, Yelland, Heathcote, Ng, & Wright, 2009 ). For child cognitions (three studies), overall results suggest that child cognitions including high threat appraisal, lower perceived control, and high aversion to the procedure were all associated with higher child anticipatory distress, based on studies with unclear risk of bias. C. Moretti This site uses cookies. P. J. Greenberg The majority of outcome measures were self-report (35), while the remaining outcome measures were behavioral (11) or observer reported (31). become very nervous or anxious especially before an important event or before having to do something difficult [informal] Ex. The most common health-related Stressor involved personal injury or illness. Consider how you can help people with events leading up to a sense of crisis. Wang H. As shown in Figure 2 , factors that are depicted with a question mark have inconclusive evidence. (, Lilley Wollan Separate search strategies and terms were developed for each of the databases. Oliverira Precipitating factors In approx 40% of both minimal and extensive avoiders no apparent Stressor or event preceding the initial panic attack could be identified. Lindh (, Moher Stewart Barnard Ollendick (, Down R. J. V. B. C. L. L. N. Flora Few predisposing contextual factors have been examined and more research is needed. D. M. Ipp Katz Overall, children who perceived less control expected an aversive experience and appraised procedures as more threatening were more inclined to be distressed prior to those procedures. (, Bearden Studies examining factors that are related to or predict anticipatory distress (anxiety, fear, distress) to painful medical procedures that were published in peer-reviewed journals were considered for inclusion. To be considered in the review, the study had to examine a painful procedure in children from birth through 18 years of age.  |  Although parent presence during child hospital stays have been associated with positive outcomes ( Wright, Stewart, & Finley, 2010 ), parent presence during a painful medical procedure in this review had inconclusive results. R. M. M. (, Melamed T. D. Although the studies that did not find an effect of age were more likely to have a low risk of bias, it is difficult to make conclusions based on this. Z. N. Kooragayalu (, Ericsson C. to hasten the occurrence of; bring about prematurely, hastily, or suddenly: to precipitate an international crisis. However, assessment of risk of bias within observational studies was deemed necessary despite the lack of randomization. P. Tabah Shah Senders R. L. M. Fifteen studies investigated the effects of various contextual factors on child anticipatory distress during the painful medical procedure (e.g., type of admission and severity of procedure). (, Popay Altman S. H. J. C. S.A. Åman No/irregular dental visits positively predict. C. Carlin The list of factors that predict anticipatory distress to painful medical procedures can be found in the left-most column of Tables I–IV . M. Laubreaux Weisman D. Craske Richardson Meyer (, Bradley Hearst Clipboard, Search History, and several other advanced features are temporarily unavailable. Kroon J. However, the precipitating events associated with the onset of pediatric chronic pain are not well studied. Shanker The risk of bias subsuming this factor was generally unclear because there were 6 low and 2 high-rated studies included. K. M. D. J. Five review authors (N.R., R.P.R., P.T., M.C., and M.K.) D. P. Racine Z. N. Some of these cookies are essential to the operation of the site, while others help to improve your experience by providing insights into how the site is being used. NIH P. P. Ward H. K.D. Johnson Liberati Bates Nicole M. Racine, MA, Rebecca R. Pillai Riddell, PhD, Maria Khan, BA, Masa Calic, BA, Anna Taddio, PhD, Paula Tablon, BA, Systematic Review: Predisposing, Precipitating, Perpetuating, and Present Factors Predicting Anticipatory Distress to Painful Medical Procedures in Children, Journal of Pediatric Psychology, Volume 41, Issue 2, March 2016, Pages 159–181, https://doi.org/10.1093/jpepsy/jsv076. Within the pediatric pain literature, some work has examined the preprocedural child factors that impact a child’s pain response ( Kleiber & McCarthy, 2006 ; Young, 2005 ); however, these models focus on pain responses rather than anxiety and anticipatory distress. A. Haig Zeltzer L. L. C. This was based on unclear evidence. The purpose of this review was to summarize the findings of studies that examine the factors that predict anticipatory distress to painful medical procedures in children. Tetzlaff Bornstein Persönlichkeitspsychologie: Persönlichkeitsunterschiede und individuelle Besonderheiten von Menschen in unterschiedlichen Teildisziplinen N. + Factor has a positive relationship with anticipatory distress; − Factor has a negative relationship with anticipatory distress; ∅, no effect or significant relationship; O = observational study; E = experimental study; R = retrospective study; RCT = randomized controlled trial; Preop = preoperative; LP = lumbar puncture; BMA = bone marrow aspiration; EGD = esophagogastroduodenoscopy. M. M. W. No health professional factors were found under the perpetuating domain. C. M. L. The majority of the studies included in the review (70 studies) were not randomized controlled trials. R. L. A. Seventy-two patients with anorexia nervosa (AN) and 29 with bulimia nervosa (BN) were assessed with the life events and difficulties schedule (Brown & Harris, 1978), the year before onset was studied. (, Mekarski C. J. E. M. I. M. Kampel Finally, the risk of bias and overall findings synthesis have been presented in Tables I–IV as well as in Figure 2 . A trend toward family-centered care has led to the increase of parental presence within pediatric healthcare settings. Finally, clinical implications, areas for future research based on the summary figure and limitations of the review will be highlighted. J. C. I. Two parent predisposing factors that emerged as predicting increased child anticipatory distress are parent anxious predisposition and previous parent pain experience. (, Cropper Flora Measures of anticipatory distress most proximal to the painful medical procedure were used. (, Sterne These are the areas Budman & Gurman (1988, p.36) call the developmental, the interpersonal, and the … J. M. Longitudinal and experimental research is needed to further elucidate these factors. S. Do the nurse and patient have a clear understanding of precipitating event? The second precipitating child factor that was identified was previous child/adolescent behavior (five studies). Verlooy Klosky Greenberg Parent self-efficacy/attitude toward procedure (2 studies; 1. The goal of the summary figure ( Figure 2 ) is to provide an overview for researchers and clinicians of the current literature as well as highlight gaps in the literature. C. T. D. Karjalainen Shah D. Ratcliffe A nuanced approach was necessary as the purpose of this review was not to evaluate treatment outcomes or to make recommendations about practice. There was inconclusive evidence for child coping style with unclear risk of bias, reducing confidence in these findings. J. Shroff Pendley Amorim Filho Perpetuating factors are those that maintain the problem once it has become established. Abeles Maranets K. Caprilli (, Bevan R. J. (, Wright Berggren Fifteen studies investigated the effects of various contextual factors on child anticipatory distress during the painful medical procedure. A. Roberts J. L. It may also be the case that the relationship between age and anticipatory distress is nonlinear or co-varies with other factors. J. J. D. V. (, Claar 4. COVID-19 is an emerging, rapidly evolving situation. The method, type of information, and developmental level of the knowledge provided may be important variables in whether the knowledge presented works. J. Q , 1984, … C. M. A. Positively predicts anticipatory distress. (, Pillai Riddell P. R. C. Review is a qualitative synthesis and summarizes the findings from the search in November 2014 some studies not. 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