Distraction for Pediatric Immunization Pain: A Critical Review

The paper provides a critical review of distraction for pediatric immunizations in order to determine clinical practicality and efficacy of this commonly employed intervention. The MEDLINE and PsycINFO databases were searched to identify papers that included an evaluation of a distraction intervention as a method of pediatric immunization pain management. Fifteen papers were included in this review. Effect sizes were calculated to estimate the clinical significance of findings. In order to examine possible differences in effect sizes related to distraction characteristics, chi square analyses were conducted. Results indicate that distraction is clinically effective in the reduction of pain during pediatric immunizations. Support is found for behavioral and cognitive explanations of distraction mechanisms. Further, various distraction stimulus characteristics were found to be associated with the clinical significance of findings. This article is based on the preliminary examination paper of the first author under the direction of the second, at West Virginia University.     

Involuntary commitments to public mental institutions: issues involving the overrepresentation of blacks and assessment of relevant functioning

This article contributes to the debate in the mental health and legal systems concerning involuntary commitments to mental hospitals. The focus is on issues involving the overrepresentation of Black people among adults committed to U.S. public mental institutions and issues involving the assessment of relevant behavioral functioning in particular. Empirical findings, legal principles and procedures, and methodological limitations are reviewed to identify problems in current practice and relevant evidence bearing on those problems. Special emphasis is placed on the possible explanations for the overrepresentation of Blacks and on dependable assessments of relevant functioning that are needed to justify the state's coercive power to involuntarily confine people, regardless of race. The article concludes with a summary and recommendations for research and practice.     

Conflict Intensity,Family History,and Physiological Stress Reactions to Conflict Within Romantic Relationships

This study drew upon the physiological model of stress and desensitization processes to deduce hypotheses linking the intensity of conflict communication and exposure to familial verbal aggression in childhood to experiences of conflict within romantic relationships. One hundred college‐aged students (50 dating couples) participated in a dyadic interaction in which partners discussed a source of conflict in their romantic relationship. Participants reported childhood exposure to familial verbal aggression, third‐party observers rated the intensity of conflict communication, and salivary cortisol indexed physiological stress responses to the conflict interactions. As predicted, results showed a positive association between conflict intensity and cortisol reactivity, and this association was attenuated for individuals who reported higher, rather than lower, levels of childhood exposure to familial verbal aggression.     

Conciliatory gestures facilitate forgiveness and feelings of friendship by making transgressors appear more agreeable

The authors examined how conciliatory gestures exhibited in response to interpersonal transgressions influence forgiveness and feelings of friendship with the transgressor. In Study 1, 163 undergraduates who had recently been harmed were examined longitudinally. Conciliatory gestures exhibited by transgressors predicted higher rates of forgiveness over 21 days, and this relationship was mediated by victims' perceptions of their transgressors' Agreeableness. Study 2 was an experiment including 145 undergraduates who experienced a breach in trust from an anonymous partner during an iterated prisoner's dilemma. When transgressors apologized and offered financial compensation, participants reported higher levels of forgiveness and feelings of friendship when compared to a control condition and an aggravating condition. The effects of apology/compensation on forgiveness and perceived friendship were mediated by victims' perceptions of their transgressors' Agreeableness. Results suggest that conciliatory gestures promote forgiveness in part by depicting transgressors as more sympathetic, considerate, fair, and just (i.e., agreeable).     

The effect of presenting multiple images on prospective and retrospective person memory for missing children

The National Center for Missing and Exploited Children sometimes present multiple images of the same child on missing-child posters. In the present research, we examined the effect of including multiple pictures of missing children on posters in the context of both prospective and retrospective person memory. Improvements in both prospective person memory and retrospective person memory were obtained in the multiple-image condition. Additionally, in retrospective person memory, participants who were presented with multiple-image posters showed an increased tendency to indicate that a child was previously seen regardless of whether the child actually was previously seen. We discuss these findings as well as policy implications of these results.     

Biopsychosocial Factors Associated with Parenting Stress in Pediatric Sickle Cell Disease

Caregivers of children with sickle cell disease (SCD) experience significant physical and emotional hardship with their child’s disease management. Little is known about the potential contributors to parenting stress in pediatric SCD. The present study aimed to identify child and caregiver biopsychosocial factors associated with disease-related parenting stress in pediatric SCD. Participants included 74 caregiver-youth dyads. Parenting stress was associated with increased child pain frequency, more missed school days, and increased healthcare utilization, and inversely correlated with caregiver mental health and social-emotional functioning. Parenting stress also partially explained the relationship between child pain frequency and healthcare utilization after controlling for parent depression and anxiety. Parenting stress may play a unique and critical role in pediatric SCD and underscore the impact parenting stress may have on youth in medical and academic settings. Further research is warranted to determine risk factors and appropriate interventions for parenting stress to improve comprehensive patient care.