Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23888
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Personal distress and sympathy differentially influence health care professional and parents’ estimation of child procedure-related pain (Forthcoming/Available Online)
Authors: Caes, Line
Goubert, Liesbet
Devos, Patricia
Verlooy, Joris
Benoit, Yves
Vervoort, Tine
Contact Email: line.caes@stir.ac.uk
Keywords: Distress
Sympathy
Child
Parents
Health Care Professionals
Pain Estimates
Issue Date: 28-Apr-2016
Publisher: Oxford University Press
Citation: Caes L, Goubert L, Devos P, Verlooy J, Benoit Y & Vervoort T Personal distress and sympathy differentially influence health care professional and parents’ estimation of child procedure-related pain (Forthcoming/Available Online), Pain Medicine.
Abstract: Objective. Caregivers’ pain estimations may have important implications for pediatric pain management decisions. Affective responses elicited by facing the child in pain are considered key in understanding caregivers’ estimations of pediatric pain experiences. Theory suggests differential influences of sympathy versus personal distress on pain estimations; yet empirical evidence on the impact of caregivers’ feelings of sympathy versus distress upon estimations of pediatric pain experiences is lacking. The current study explored the role of caregiver distress versus sympathy in understanding caregivers’ pain estimates of the child’s pain experience.  Design, Setting, Subjects and Methods. Using a prospective design in 31 children undergoing consecutive lumbar punctures and/or bone marrow aspirations at Ghent University Hospital, caregivers’ (i.e., parents, physicians, nurses, and child life specialists) distress and sympathy were assessed before each procedure; estimates of child pain were obtained immediately following each procedure.  Results. Results indicated that the child’s level of pain behavior in anticipation of the procedure had a strong influence on all caregivers’ pain estimations. Beyond the impact of child pain behavior, personal distress explained parental and physician’s estimates of child pain, but not pain estimates of nurses and child life specialists. Specifically, higher level of parental and physician’s distress was related to higher child pain estimates. Caregiver sympathy was not associated with pain estimations.  Conclusions. The current findings highlight the important role of caregivers’ felt personal distress when faced with child pain, rather than sympathy, in influencing their pain estimates. Potential implications for pain management are discussed.
Type: Journal Article
URI: http://hdl.handle.net/1893/23888
DOI Link: http://dx.doi.org/10.1093/pm/pnw083
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Pain Medicine following peer review. The version of record [insert complete citation information here] is available online at: http://painmedicine.oxfordjournals.org/content/early/2016/04/28/pm.pnw083
Affiliation: Psychology
Ghent University
Ghent University
Ghent University
Ghent University
Ghent University

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