An information seeking disposition in child surgery patients

Several studies in the last decade have demonstrated the importance of considering an information seeking versus information avoiding coping dimension in adult medical patients. However, there have been few empirical demonstrations of such a dimension in children. The present study utilized the Coping Strategies Interview to assign an information seeking score to child elective surgery patients. This information seeking score was related to several parent-rated variables, including the child's historical success in coping with medical procedures, the child's typical preference for information acquisition, and the child's typically emitted coping behaviors. In addition, the information seeking score was related to question asking and discussion of medical procedures as rated by an objective observer during the blood test, by the nurse during anesthesia induction, and by the parent during recovery from surgery. It was strongly related to the information acquired prior to hospitalization. Information seeking was also related to stress responses, such that high information seeking scores predicted more adaptive behaviors prior to the blood test. This cross-rater and cross-situation validation suggests the existence of an information seeking dimension in children and the utility of considering this dimension in future research.     

Modification of preschool isolate behavior: a case study

A 5-yr-old preschool boy with a low rate of interaction with his nursery school classmates was induced to pass out candy as a tactic to increase his rate of interaction with them. Interaction with classmates increased markedly during the periods he passed out choices of candy. These changes may have been due to increases in both his rate of initiating activities with his classmates and to increases in his classmates' rate of initiating activities with him. A total time of less than 1 hr was required of the teacher during the experiment.