Distress Responses in a Routine Vaccination Context
Relationships to Early Childhood Mental Health
Bibliographic Data
| ID | 15716041 |
|---|---|
| Authors | Nicole Racine (0000-0002-6371-6570, Alberta Children's Hospital Research Institute), Nicole M Racine (Department of Psychology, University of Calgary & Alberta Children’s Hospital Research Institute, Calgary AB T2N 1N4, Canada), Hannah Gennis (York University), Hannah G Gennis (York University), Rebecca Pillai Riddell (0000-0003-3990-3680, University of Toronto, corresponding author), Saul Greenberg (0000-0003-0174-9665, Hospital for Sick Children), Hartley Garfield (Hospital for Sick Children) |
| Year | 2018 |
| Volume | 5 |
| Issue | 2 |
| Pages | 29-29 |
| Publication date | 2018-02-21 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children5020029 |
| PMID | 29466307 |
| OpenAlex | W2790923610 |
| Language | EN |
| References cited | 34 |
Social and emotional competencies, such as distress regulation, are established in early childhood and are critical for the development of children's mental health and wellbeing. Routine vaccinations in primary care provide a unique opportunity to relate responses to a universal, relatively standardized, distress regulation paradigm (i.e., pain-related distress) to key developmental outcomes. The current study sought to examine distress regulation during routine vaccination in infancy and preschool as predictors of outcomes related to socioemotional competence in preschool. It was hypothesized that children with poorer distress regulation abilities post-vaccination would have lower socioemotional development. Furthermore, it was hypothesized that insensitive parenting would exacerbate this relationship for children with poor distress regulation abilities. As part of an ongoing longitudinal cohort, 172 parent-child dyads were videotaped during vaccinations in infancy and preschool, and subsequently participated in a full-day psychological assessment in a university lab. Videotapes were coded for child pre-needle distress (baseline distress), immediate post-needle pain-related distress reactivity (immediate distress reactivity), and pain-related distress regulation (distress regulation). Parent sensitivity during the preschool vaccination was also coded. Baseline distress prior to vaccination predicted greater externalizing problems and behavioral symptoms. Parent sensitivity did not moderate the association between any child distress behaviors and socioemotional development indicators. Child distress behaviors prior to injection, regardless of parent behavior, during the vaccination context may provide valuable information to health care professionals about child socioemotional functioning in the behavioral and emotional domains
Context (archaeology · Developmental psychology · Distress · Early childhood · Mental health · Psychiatry · Socioemotional selectivity theory · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Infant Health and Development · Medicine · Pediatric Pain Management Techniques · Psychology
School Readiness and Self-Regulation
Unresolved states of mind, anomalous parental behavior, and disorganized attachment
Stress and the Development of Self-Regulation in Context
Parental Contributions to Preschoolers' Emotional Competence
Social-Emotional Competence as Support for School Readiness
Missing Data Analysis
Statistical power analyses using G*Power 3.1
Children's school readiness in the ECLS-K
Recognizing young children in need of mental health assessment
Three Likelihood-Based Methods for Mean and Covariance Structure Analysis with Nonnormal Missing Data
Regulation of distress and negative emotions
Child/adolescent behavioral and emotional problems
Statistical difficulties of detecting interactions and moderator effects
| Highly cited | No |
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