Caregivers' physiological responses during toddler vaccinations: associations with psychological and behavioral responses

被引:1
|
作者
Badovinac, Shaylea D. [1 ]
Flora, David B. [1 ]
Edgell, Heather [2 ]
Flanders, Dan [3 ]
Garfield, Hartley [3 ,4 ]
Weinberg, Eitan [3 ]
Savlov, Deena [3 ]
Riddell, Rebecca R. Pillai [1 ,3 ,4 ]
机构
[1] York Univ, Dept Psychol, Toronto, ON, Canada
[2] York Univ, Sch Kinesiol & Hlth Sci, Toronto, ON, Canada
[3] Univ Toronto, Dept Pediat, Toronto, ON, Canada
[4] Hosp Sick Children, Toronto, ON, Canada
基金
加拿大健康研究院; 加拿大自然科学与工程研究理事会;
关键词
acute pain; caregiver functioning; infancy and early childhood; parent psychosocial functioning; stress; EMOTION; MOTHERS; CHILD; ATTACHMENT; INFANTS; PAIN;
D O I
10.1093/jpepsy/jsae095
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: This study investigated biological, psychological, and behavioral aspects of caregivers' responses to toddlers' pain-related distress by measuring caregivers' high-frequency heart rate variability (HRV) responses during toddler vaccination pain and examining associations with caregivers' behavioral responses and psychological stress. Methods: Participants included caregiver-toddler dyads (N = 194) from a longitudinal cohort-sequential study who were observed during toddlers' 12-, 18-, or 24-month routine vaccinations. Changes in caregiver HRV were analyzed using growth curve modeling. Conditional growth curve models examined associations between caregiver HRV and caregivers' concurrent behavior and psychological stress. Results: The unconditional growth curve model indicated a slight linear decrease in caregiver HRV (i.e., vagal withdrawal) across the 3 min post-needle (unstandardized B = -0.06, p = .049). In conditional growth curve models, higher levels of parenting stress were associated with less vagal withdrawal during the post-needle period (standardized B = 0.47, unstandardized B = 0.02, p = .003). Caregivers' behavioral responses (i.e., use of soothing and distress-promoting behaviors), state anxiety, and general anxiety symptomology were not significantly associated with HRV responses. Conclusions: Caregiver parasympathetic nervous system activity levels changed minimally from baseline to post-needle and decreased slightly across the post-needle period. Caregivers' self-reported parenting stress was associated with their parasympathetic responses to the procedure. Findings support an improved understanding of the mechanisms underlying caregivers' responses to children's pain-related distress in a naturalistic setting.
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页数:10
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