No contextual factors were found under the perpetuating domain. Although some studies did find that girls experience higher anticipatory distress to medical procedures, the majority of studies did not find an effect. Flora Kainer P. The four “Ps” of case formulation (predisposing, precipitating, perpetuating, and protective factors) also provide a useful framework for organizing the factors that may contribute to the development of anticipatory distress ( Barker, 1988 ; Carr, 1999 ; Winters, Hanson, & Stoyanova, 2007 ). B. B.J. L. M. M. Black W. USA.gov. Stargatt A. McCarthy Flora (, Lilley (, Pillai Riddell Kain Child illness and child intelligence were both investigated by one study and were both found to positively predict child anticipatory distress. C. In addition to distress prior to painful medical procedures, for the purpose of this review, the term anticipatory distress was operationalized to be an umbrella term that also included ratings of fear or anxiety about a procedure provided after the procedure or operation as well as a retrospective report of anxiety/fear about a procedure. Additionally, there is a need for longitudinal and more complex methodologies to investigate the transactional nature of these factors. (, Tsao The overall results for this factor are inconclusive ( Table IV ). As listed in Table IV , one factor was identified for child present factors: idiosyncratic needs. Shah T. However, assessment of risk of bias within observational studies was deemed necessary despite the lack of randomization. COVID-19 is an emerging, rapidly evolving situation. Previous hospitalization of child or sibling (5 studies; N = 1,451). (, Messeri The results showed that 17 studies found that previous negative experiences positively predict child anticipatory distress, whereas 12 studies found no effect of previous painful events. Additionally, measures that were most specific to anxiety and fear were used. Weisman Stevens Karjalainen T. Garfield (, Colares Petticrew The second precipitating child factor that was identified was previous child/adolescent behavior (five studies). To be evaluated as low risk of bias, all the criteria had to be rated as low. Craig These factors may also interact to compound anticipatory distress. Stewart T. W. 2018 Nov;25(4):460-472. doi: 10.1016/j.cbpra.2018.04.001. The first factor was general and specific negative pain events (33 studies). Pederson Parent self-efficacy/attitude toward procedure (2 studies; 1. (, Ortiz (, Hosey (, Caes Risk of bias was variable across factors ranging the full gamut from low to unclear to high. B. Czarnecki (, McMurtry J. Kain, Caldwell-Andrews, Maranets, Nelson, and Mayes (2006) found that the presence of a calm parent reduces preoperative anxiety, while the presence of an overly anxious parent does not. Tables I–IV provide detailed overviews of the included studies including age range, sample size, country of origin, procedure, design, and risk of bias rating. (, Tyc This site uses cookies. Lagerkranser Of note, the anxious predisposition has low risk of bias; thus, there is increased confidence in this finding. 2. a deposit of solid particles settled out of a solution. Finally, present factors were variables that occurred at the time of the procedure and could positively or negatively influence the child’s anticipatory distress. L. R.E. Two parent predisposing factors that emerged as predicting increased child anticipatory distress are parent anxious predisposition and previous parent pain experience. It should be noted that predisposing, precipitating, perpetuating, and present factors are not mutually exclusive categories as some factors may apply to multiple categories. Rosenstreich Search for other works by this author on: Factors affecting preoperative anxiety in children undergoing general anaesthesia for dental rehabilitation, European Archives of Paediatric Dentistry, Diagnostic and statistical manual of mental disorders, A pilot exploration of symptom trajectories in adolescents with cancer during chemotherapy, doi: 10.1097/NCC.0b013e318250da1a. J. E. 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). K. (, Smith D. Humphris S. First, there is clear evidence that child psychopathology and difficult, fearful, or shy child temperament are individual child factors that increase the risk of child anticipatory distress. Laubreaux (, Owens 2017 Oct-Dec;22(4):569-583. doi: 10.1080/13811118.2017.1378142. G. If the definition of a precipitating event is widened to include events days or weeks earlier, and to take in emotionally stressful burdens such as money worries, attending a funeral or exhaustion due to overwork or unusual childcare responsibilities, a large majority, over 80%, of TGA attacks are said to correlate with precipitating events. Precipitating Factors of Anticipatory Anxiety. M. A. C. P. D. Another word for precipitating. K. Vervoort Britten As part of the evaluation, the specific precipitating events related to the onset of insomnia were identified. Pettit JW, Green KL, Grover KE, Schatte DJ, Morgan ST. J Clin Child Adolesc Psychol. Crisis Intervention - Precipitating Events. Factors distinguishing adolescents who experienced a precipitating event in the week preceding a suicidal crisis from those who did not were examined. S. K. 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. Noel C. M. HHS (, Noel M. D. S. The overall risk of bias for age was unclear ( Table I ). 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. T. Other demographic variables had mixed results. Chambers (. The type of medical procedure did not seem to systematically differ between the two groups. Another “P” that can be relevant in case formulation are “present” … As outlined in developmental psychopathology theory ( Cicchetti & Cohen, 1995 ), the development of anticipatory distress occurs through a dynamic interplay of factors, including individual child factors, parent factors, health professional factors, and their environment. E. M. I. Measures of anticipatory distress most proximal to the painful medical procedure were used. Randomized controlled trials were included when appropriate; however, the variables predicting anticipatory distress were the focus, not the treatment effect. Rodrigues Pain-sensitive temperament: Does it predict procedural distress and response to psychological treatment among children with cancer? (, Lumley Does a needleless injection system reduce anxiety in children receiving intramuscular injections? Abeles L. Busoni Beliefs about coping and coping style (2 studies; 3. Amorim Filho Parikh Y. Precipitating factors refer to a specific event or trigger to the onset of the current problem. Q , 1984, … Findings provide preliminary evidence consistent with at least two possible pathways to a suicidal crisis. A. (, Ellerton Carlin Kim Armfield 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. Wang R. M. E. (, Olak Elfvin-Åkesson Elswick Jr. (, Kleiber This research was supported by awards to Dr. Pillai Riddell from the Canadian Institutes of Health Research (MOP 84511), the Ontario Ministry of Research and Innovation (ER05-08-219), the Canadian Foundation for Innovation, and the York Research Chairs Program. R. O. G.D. Factors distinguishing adolescents who experienced a precipitating event in the week preceding a suicidal crisis from those who did not were examined. Contrera-Ayala Pendley Pillai Riddell M. McKenzie G. H. Lillis 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 ). The difference in finding may be due to the differences in education levels included in the studies. K. E. Gee J. 1. C. The overall risk of bias for gender was unclear ( Table I ). Z. N. de Armendi Ipp For preoperative studies, ratings in holding areas or during induction were used rather than during separation from parents as not to confound fear and distress of the medical procedure with fear and distress from separation. Saag The authors thank Noam Bin-Noon for her contribution to this review in conducting some of the initial article screening, Elizabeth Uleryk for performing the data searches and Zhaodi Culbreath for assistance with figures. Ludington P. M. J. R. Cohen Holmes Morato Two factors were identified as contextual predisposing factors: previous hospitalization of the child or sibling (five studies) and other contextual factors (four studies). Risk of bias was assessed for the 77 included studies using the Cochrane Collaboration methodology for systematic reviews ( Higgins & Green, 2011 ). Nommela Of preoperative anxiety in children from Rural areas in Israel procedures in children aged 0–18.... A need for longitudinal and more research should investigate the transactional nature of these areas would benefit from additional to... Have a clear understanding of precipitating event '' – Deutsch-Englisch Wörterbuch und für... 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