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Systematic Review: Predisposing, Precipitating, Perpetuating, and Present Factors Predicting Anticipatory Distress to Painful Medical Procedures in Children
Open accessAbstract
OBJECTIVE: To conduct a systematic review of the factors predicting anticipatory distress to painful medical procedures in children. METHODS: A systematic search was conducted to identify studies with factors related to anticipatory distress to painful medical procedures in children aged 0-18 years. The search retrieved 7,088 articles to review against inclusion criteria. A total of 77 studies were included in the review. RESULTS: 31 factors were found to predict anticipatory distress to painful medical procedures in children. A narrative synthesis of the evidence was conducted, and a summary figure is presented. CONCLUSIONS: Many factors were elucidated that contribute to the occurrence of anticipatory distress to painful medical procedures. The factors that appear to increase anticipatory distress are child psychopathology, difficult child temperament, parent distress promoting behaviors, parent situational distress, previous pain events, parent anticipation of distress, and parent anxious predisposition. Longitudinal and experimental research is needed to further elucidate these factors.
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Research has identified coping mechanisms that either maintain or exacerbate CRF (perpetuating factors) or promote adaptive functioning and counteract perpetuating factors (protective factors).
“Research has identified several coping mechanisms which either maintain or exacerbate CRF (i.e.perpetuating factors) or which promote adaptive functioning in the face of CRF and can counteract perpetuating factors (i.e.protective factors).12”
From Exploring the dynamic interconnectedness of protective and perpetuating factors of cancer-related fatigue (2023) · cites this paper as [12]
The paper defines perpetuating factors as maintaining a problem and protective factors as promoting adaptive functioning (Abstract; page not provided). In “Perpetuating Factors Child,” it discusses coping in relation to children’s anticipatory distress before painful procedures, but calls the evidence for coping style inconclusive. It does not establish that coping mechanisms maintain, exacerbate, or counteract CRF. (LLM, conf=0.86)
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“12 To provide patients with the best possible care, we need to gain insight into how these perpetuating and protective factors are related to CRF and one another.”
Background
Metadata
- Authors
- Racine, N. M., Pillai Riddell, R. R., Khan, M., Calic, M., Taddio, A., & Tablon, P.
- Affiliations
- York University (CA)
- University of Toronto (CA)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-09-03
- Volume
- 41
- Issue
- 2
- Pages
- 159-181
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC4884904
- OpenAlex
- W1935021873
- Cited by
- 96
- References
- 110
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 10 · 2023: 4 · 2022: 13 · 2021: 9 · 2020: 8 · 2019: 10 · 2018: 9 · 2017: 10 · 2016: 4 · 2015: 1
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- YorkSpace (York University) (submittedVersion)
- Funders
- Government of Ontario
- Canadian Pain Society
- Canadian Institutes of Health Research (MOP84511, ER05-08-219, 84511)
- Ontario Ministry of Research and Innovation
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- pain anticipation, painful medical procedures, children, risk factors, child psychopathology, difficult temperament, parental distress, parental anxiety
- MeSH terms
- Adolescent, Anxiety, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Pain, Parent-Child Relations, Parents, Psychopathology, Mental Recall, Risk Factors, Temperament, Anticipation, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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