Biopsychosocial Contributors to Parent Behaviors during Child Venipuncture

Children’s needle-related distress is strongly related to parental verbal behaviors. Yet, empirical data supporting theorized contributors to parent behaviors in this context remain limited. This is the first study to collectively measure biological (heart rate variability; HRV), psychological (cata...

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Main Authors: Kaytlin L. Constantin, Rachel L. Moline, Rebecca Pillai Riddell, Jeffrey R. Spence, C. Meghan McMurtry
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/7/1000
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author Kaytlin L. Constantin
Rachel L. Moline
Rebecca Pillai Riddell
Jeffrey R. Spence
C. Meghan McMurtry
author_facet Kaytlin L. Constantin
Rachel L. Moline
Rebecca Pillai Riddell
Jeffrey R. Spence
C. Meghan McMurtry
author_sort Kaytlin L. Constantin
collection DOAJ
description Children’s needle-related distress is strongly related to parental verbal behaviors. Yet, empirical data supporting theorized contributors to parent behaviors in this context remain limited. This is the first study to collectively measure biological (heart rate variability; HRV), psychological (catastrophizing, anxiety), and social (child behaviors) contributors to parent verbal behaviors throughout pediatric venipuncture. HRV was used as a measure of emotion regulation capacity and examined as a moderator in the associations between parent psychological factors and their behaviors, and between child and parent behaviors. Sixty-one children aged 7 to 12 years who presented at an outpatient blood lab for venipuncture and a parent participated. Parent baseline HRV, state catastrophizing, and anxiety were measured prior to venipuncture. The procedure was video-recorded for later coding of pairs’ verbal behaviors. Strong associations emerged between child behaviors and parent behaviors. Baseline HRV moderated the association between parent catastrophizing and behavior. Social factors remain a strong influence related to parent behaviors. Psychologically, parent negative cognitions differentially related to parent behaviors based on their emotion regulation capacity. Biologically, low baseline HRV may increase the risk that certain parents engage in a constellation of behaviors that simultaneously direct their child’s attention toward the procedure and inadvertently communicate parental worry, fear, or concern.
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spelling doaj.art-dabfbf2239dc48dc8d2aa29751d410572023-11-30T22:59:41ZengMDPI AGChildren2227-90672022-07-0197100010.3390/children9071000Biopsychosocial Contributors to Parent Behaviors during Child VenipunctureKaytlin L. Constantin0Rachel L. Moline1Rebecca Pillai Riddell2Jeffrey R. Spence3C. Meghan McMurtry4Department of Psychology, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Psychology, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Psychology, York University, Toronto, ON M3J 1P3, CanadaDepartment of Psychology, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Psychology, University of Guelph, Guelph, ON N1G 2W1, CanadaChildren’s needle-related distress is strongly related to parental verbal behaviors. Yet, empirical data supporting theorized contributors to parent behaviors in this context remain limited. This is the first study to collectively measure biological (heart rate variability; HRV), psychological (catastrophizing, anxiety), and social (child behaviors) contributors to parent verbal behaviors throughout pediatric venipuncture. HRV was used as a measure of emotion regulation capacity and examined as a moderator in the associations between parent psychological factors and their behaviors, and between child and parent behaviors. Sixty-one children aged 7 to 12 years who presented at an outpatient blood lab for venipuncture and a parent participated. Parent baseline HRV, state catastrophizing, and anxiety were measured prior to venipuncture. The procedure was video-recorded for later coding of pairs’ verbal behaviors. Strong associations emerged between child behaviors and parent behaviors. Baseline HRV moderated the association between parent catastrophizing and behavior. Social factors remain a strong influence related to parent behaviors. Psychologically, parent negative cognitions differentially related to parent behaviors based on their emotion regulation capacity. Biologically, low baseline HRV may increase the risk that certain parents engage in a constellation of behaviors that simultaneously direct their child’s attention toward the procedure and inadvertently communicate parental worry, fear, or concern.https://www.mdpi.com/2227-9067/9/7/1000acute pediatric painbiopsychosocialheart rate variabilityverbal behaviors
spellingShingle Kaytlin L. Constantin
Rachel L. Moline
Rebecca Pillai Riddell
Jeffrey R. Spence
C. Meghan McMurtry
Biopsychosocial Contributors to Parent Behaviors during Child Venipuncture
Children
acute pediatric pain
biopsychosocial
heart rate variability
verbal behaviors
title Biopsychosocial Contributors to Parent Behaviors during Child Venipuncture
title_full Biopsychosocial Contributors to Parent Behaviors during Child Venipuncture
title_fullStr Biopsychosocial Contributors to Parent Behaviors during Child Venipuncture
title_full_unstemmed Biopsychosocial Contributors to Parent Behaviors during Child Venipuncture
title_short Biopsychosocial Contributors to Parent Behaviors during Child Venipuncture
title_sort biopsychosocial contributors to parent behaviors during child venipuncture
topic acute pediatric pain
biopsychosocial
heart rate variability
verbal behaviors
url https://www.mdpi.com/2227-9067/9/7/1000
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