Details

Autor(en) / Beteiligte

• Waxman, Jordana A
• DiLorenzo, Miranda G
• Pillai Riddell, Rebecca R
• Flora, David B
• Greenberg, Saul
• Garfield, Hartley

Titel

Preschool Needle Pain Responding: Establishing ‘Normal’

Ist Teil von

• The journal of pain, 2017-06, Vol.18 (6), p.739-745

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract The current study sets forth to provide both descriptive data for preschool vaccination pain responding and examine longitudinal relationships over early childhood. Growth mixture modeling (GMM) was first used to describe stable subgroups of preschoolers based on their pain response patterns over 2-minutes post-needle. Secondly, a parallel-process growth curve model was used to assess the stability of acute pain responding from 12-months of age to preschool age. Specifically, we examined whether preschool pain-related distress or regulation could be predicted from 12-month acute pain responding. Preschool participants were part of a Canadian longitudinal cohort (The OUCH Cohort; N = 302). GMM analyses discerned 3 distinct groups of preschoolers, with an important minority not regulating to low-no pain by 2 minutes post-needle. There were no significant associations between 12-month and preschool pain responding. These results highlight the steep trajectory of development between these different stages of early childhood and the variability of pain responding at the preschool vaccination. Perspective This study provides both descriptive data for preschool vaccination pain responding and examines longitudinal relationships over early childhood. Demonstrating significantly different pain patterns from infancy, 25% of preschoolers are displaying suboptimal regulation trajectories. This considerable minority poses a significant concern, given the established trajectory of phobia onset in middle childhood.