Abstract
There are large numbers of children for whom the hospital experience results in transient or moderately severe behavioral distrubances (Cassell, 1965). The stress of hospitalization includes fears related to separation from the parents, the distress of unfamiliar surroundings, anxiety about painful procedures, and the discomfort of the recovery from surgery or illness. Behavioral disturbances occurring in as many as 92% of hospitalized children include regressive behaviors such as increased dependency, loss of toilet training, excessive fears, and sleep and eating disturbances (Chapman, Loeb, & Gibbons, 1956; Gellert, 1958; Goffman, Buckman, & Schade, 1957). Since there is such a wide range of reported disturbances, there is a need to identify the population at risk for emotional stress related to hospitalization. Some researchers report that only about 10% to 35% of the problems precipitated by the hospital experience lead to serious long-term disturbances (Prugh, Staub, Sands, Kirschbaum, & Lenihan, 1953).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ayer, W. A. Use of visual imagery in needle phobic children. Journal of Dentistry for Children, March–April 1973, 1–3.
Bandura, A. Principles of behavior modification. New York: Holt, Rinehart, and Winston, 1969.
Barber, J. Rapid induction analgesia: A clinical report: American Journal of Clinical Hypnosis, 1977, 19, 138–147.
Beeby, D. A., and Hughes, J. O. M. Behavior of unsedated children in the anesthetic room. British Journal of Anaesthesiology, 1980, 52, 279–281.
Bothe, A., and Galdston, R. The child’s loss of consciousness: A psychiatric view of pediatric anesthesia. Pediatrics, 1972, 50, 252–263.
Brown, B. Beyond separation. In D. Hall and M. Stacey (Eds.), Beyond separation. London: Routledge and Kegan Paul, 1979, pp. 18–53.
Burstein, S., and Meichenbaum, D. The work of worrying in children undergoing surgery. Journal of Abnormal Child Psychology, 1979, 7, 121–132.
Campbell, E. Effects of mothers’ anxiety on infants’ behavior. Unpublished doctoral dissertation, Yale University, 1957.
Campbell, J. Illness as a point of view: The development of children’s concepts of illness. Child Development, 1975, 46, 92–100.
Cassell, S. Effects of brief puppet therapy upon the emotional responses of children undergoing cardiac catheterization. Journal of Consulting Psychology, 1965, 29, 1–8.
Cataldo, M. F., Bessman, C. A., Parker, L. H., Pearson, J. E., and Rogers, M. C. Behavioral assessment for pediatric intensive care units. Journal of Applied Behavior Analysis, 1979, 12, 83–98.
Chapman, A. H., Loeb, D. G., and Gibbons, M. J. Psychiatric aspects of hospitalization of children. Archives of Pediatrics, 1956, 73, 77–88.
Chertok, S. L., and Bornstein, P. Covert modeling treatment of children’s dental fears. Child Behavior Therapy, 1979, 1, 249–255.
Dearborn, M. J., and Melamed, B. G. Lang’s self-assessment mannequin as a measure of emotion. Unpublished manuscript, 1981.
Doughty, A. G. The evaluation of premedication in children. Proceedings of the Royal Society of Medicine, 1959, 52, 823–834.
Eckenhoff, J. E. Preanesthetic sedation of children. American Medical Association, Archives of Otalaryngology,1953, 57,411–415.(a)
Eckenhoff, J. E. The relationship of anesthesia to postoperative personality changes in children. American Journal of Diseases of Children,1953, 86,587–592.(b)
Eckhardt, L. O., and Prugh, D. G. Preparing children psychologically for painful medical and surgical procedures. IN E. Gelbert (Ed.), Psychosocial aspects of pediatric care. New York: Grune and Stratton, 1978.
Escalona, S. Emotional development in the first year of life. Transactions of the Sixth Annual Conference on Problems of Infancy and Childhood. New York: Josiah Macy, Jr. Foundation, 1953.
Ferguson, B. G. Preparing young children for hospitalization: A comparison of two methods. Pediatrics, 1979, 64, 656–665.
Freeman, A., Bachman, L. An evaluation of preoperative medication. Anesthesia and Analgesia—Current Researches, 1959, 38, 429–437.
Gale, E., and Ayer, N. M. Treatment of dental phobias. Journal of the American Dental Association, 1969, 73, 1304–1307.
Gatchel, R. J. Effectiveness of two procedures for reducing dental fear: Group-administered desensitization and group education and discussion. Journal of American Dental Association, 1980, 101, 635–637.
Gellert, E. Reducing the emotional stress of hospitalization for children. American Journal of Occupational Therapy, 1958, 12, 125–129.
George, J. M., Scott, D. S., Turner, S. P., and Gregg, J. M. The effects of psychological factors and physical trauma on recovery from oral surgery. Journal of Behavioral Medicine,1980„3, 291–310.
Glennon, B., and Weisz, J. R. An observational approach to the assessment of anxiety in young children. Journal of Consulting and Clinical Psychology, 1978, 46, 1246–1257.
Gofman, H., Buckman, N., and Schade, G. The child’s emotional response to hospitalization. American Journal of Diseases of Children, 1957, 93, 157–164.
Goldfried, M. R. Systematic desensitization as training in self-control. Journal of Consulting and Clinical Psychology, 1971, 37, 228–234.
Heller, J. A. The hospitalized child and his family Baltimore: Johns Hopkins, 1967.
Hodgson, R., and Rachman, S. Desynchrony in measures of fear. Behavior Research and Therapy, 1974, 12, 319–326.
Holmes, T. H., and Masuda, M. Life change and illness susceptibility. In B. S. Dohpenwend and B. P. Dohpenwend (Eds.), Stressful life events: Their nature and effects. New York: Wiley, 1974.
Jacobs, R. The meaning of hospital: Denial of emotions. In D. Hall and M. Stacey (Eds.), Beyond separation. London: Routledge and Kegan Paul, 1979, pp. 82–108.
Janis, I. L. Psychological stress. New York: Wiley, 1958.
Johnson, J. E., and Leventhal, H. Effects of accurate expectations and behavioral instructions on reactions during a noxious medical examination. Journal of Personality and Social Psychology, 1974, 29, 710–718.
Johnson, R., and Dabbs, J. M. Enumeration of active sweat glands: A simple physiological indicator of psychological changes. Nursing Research, 1967, 16, 273–276.
Johnson, S. B., and Melamed, B. G. The assessment and treatment of children’s fears. In B. Labey and A. Kazdin (Eds.), Advances in clinical child psychology (Vol. 2 ). New York: Plenum Press, 1979, pp. 107–139.
Kanfer, F., Karoly, P., and Newman, A. Reduction of children’s fear of the dark by competence-related and situational threat-related cues. Journal of Consulting and Clinical Psychology, 1975, 43, 251–258.
Katz, R. C. Single session recovery from a hemodialysis phobia: A case study. Journal of Behavior Therapy and Experimental Psychiatry, 1974, 5, 205–206.
Kendall, P. C. On the efficacious use of verbal self-instructional procedures of children. Cognitive Therapy and Research, 1977, 1, 331–341.
Kendall, P. C. Stressful medical procedures: Cognitive-behavioral strategies for stress management and prevention. In D. Meichenbaum and M. Jaremko (Eds.), Stress reduction and prevention: A cognitive-behavioral perspective. New York: Plenum Press, in press.
Kleinknecht, R., and Bernstein, D. Comparative evaluation of three social learning approaches to the reduction of dental fear. In B. Ingersoll and R. McCutcheon (Eds.), Proceedings of second national research conference on behavioral dentistry. Morgantown: West Virginia University Press, 1979.
Klorman, R., Hilpert, P., Michael, R., LaGana, C., and Sveen, D. Effects of coping and mastery modeling on experienced and inexperienced pedodontic patients’ disruptiveness. Behavior Therapy, 1980, 11, 156–168.
Knight, R., Atkins, A., Eagle, C., Evans, N., Finkelstein, J. W., Fukushima, D., Katz, J., and Weiner, FI. Psychological stress, ego defenses, and cortisol production in children hospitalized for elective surgery. Psychosomatic Medicine, 1979, 41, 40–49.
Kozak, M. J., and Miller, G. A. Hypothetical constructs vs. intervening variables: A reappraisal of the three-systems model of anxiety assessment. Behavioral Assessment,in press.
Krop, H., Jackson, E., and Mealiea, W. Effects of systematic desensitization and stress management training in reducing dental phobia. Paper presented at the meeting of the Association of the Advancement of Behavior Therapy, Washington, D.C., December 1976.
Lacey, J. 1. Somatic response patterning and stress: Some revisions of activation theory. In M. H. Appley and R. Trumbull (Eds.), Psychological stress: Issues in research. New York: Appleton—Century—Crofts, 1967.
Lang, P. J. Fear reduction and fear behavior: Problems in treating a construct. Research in Psychotherapy,1968„3, 90–102.
Lang, P. J. The mechanics of desensitization and the laboratory study of human fear. In C. M. Franks (Ed.), Behavior therapy: Appraisal and status. New York: McGraw-Hill, 1969, pp. 160–191.
Lang, P. J. The psychophysiology of anxiety. In H. Akiskal (Ed.), Psychiatric diagnosis: Exploration of biological criteria. New York: Spectrum, 1977.
Lang, P. J. Behavioral treatment and bio-behavioral assessment: Computer applications. In J. B. Sidowski, J. H. Johnson, and T. A. Williams (Eds.), Technology in mental health care delivery systems. Norwood, N.J.: Ablex, 1980.
Lazarus, R. S. Some principles of psychological stress and their relation to dentistry. Journal of Dental Research, 1966, 45, 1620–1626.
Leigh, M. D., and Belton, K. Premedication in infants and children. Anesthesiology, 1949, 7, 611–615.
Machen, J., and Johnson, R. Desensitization, model learning, and the dental behavior of children. Journal of Dental Research, 1974, 53, 83–89.
Mahaffy, P., Jr. The effects of hospitalization on children admitted for tonsillectomy and adenoidectomy. Nursing Research, 1965, 14, 12–19.
Melamed, B. G. Psychology and behavioral pediatrics. In S. J. Rachman (Ed.), Contributions of medical psychology (Vol. 2). Oxford: Pergamon, 1980.
Melamed, B. G. Reduction of medical fears: An information processing analysis. In J. Boulougouris (Ed.), Learning theories in psychiatry. New York: Wiley, in press.
Melamed, B. G., and Siegel, L. J. Reduction of anxiety in children facing hospitalization and surgery by use of filmed modeling. Journal of Consulting and Clinical Psychology, 1975, 43, 511–521.
Melamed, B. G., and Siegel, L. J. Behavioral medicine: Practical applications in health care. New York: Springer, 1980.
Melamed, B. G., Meyer, R., Gee, C., and Soule, L. The influence of time and type of preparation on children’s adjustment to hospitalization. Journal of Pediatric Psychology, 1976, 1, 31–37.
Melamed, B. G., Yurcheson, R., Fleece, E. L., Hutcherson, S., and Hawes, R. Effects of film modeling on the reduction of anxiety-related behaviors in individuals varying in level of previous experience in the stress situation. Journal of Consulting and Clinical Psychology, 1978, 46, 1357–1367.
Melamed, B. G., Bennett, C. G., Ross, S., Bush, J., Hill, C., Ronk, S., Courts, F., and Jerrell, G. The effects of dentist reinforcement strategies on pediatric patient compliance and fear. Unpublished manuscript, 1982.
Mellish, R. W. P. Preparation of a child for hospitalization and surgery. Pediatric Clinics of North America, 1969, 16, 543–553.
Meyers, E. F., and Muravchick, S. Anesthesia induction techniques in pediatric patients: A controlled study of behavioral consequences. Anesthesia and Analgesia Current Researchers, 1977, 56, 538–542.
Myers-Vando, R., Steward, M., Folkins, C., and Hines, P. The effects of congential heart disease on cognitive development, illness causality concepts, and vulnerability. American Journal of Orthopsychiatry, 1979, 49, 617–625.
Nagy, M. Children’s ideas of the origin of illness. Health Education Journal, 1951, 9, 6–12.
Nimmer, W. H., and Kapp, R. A. A multiple impact program for the treatment of an injection phobia. Journal of Behavior Therapy and Experimental Psychology, 1974, 5, 257–258.
Neuhauser, C., Amsterdam, B., Hines, P., and Steward, M. Children’s concepts of healing: Cognitive development and locus of control factors. American Journal of Orthopsychiatry, 1978, 48, 335–341.
Newswanger, A. Hospital preparation of pre-school children as related to their behavior during and immediately following hospitalization for tonsillectomy and adenoidectomy Unpublished master’s thesis, University of Delaware, May 1974.
Opton, E. M., Jr., and Lazarus, R. S. Personality determinants of psychophysiological response to stress: A theoretical analysis and an experiment. Journal of Personality and Social Psychology, 1967, 6, 291–303.
Oremland, E. K., and Oremland, J. D. The effects of hospitalization on children: Models for their care. Springfield, ILL.: Charles C Thomas, 1973.
Penticuff, J. H. The effect of filmed peer modeling, cognitive appraisal, and autonomic reactivity in changing children’s attitudes about health care procedures and personnel. Unpublished Ph.D. Dissertation, Case Western Reserve University, 1976.
Peters, B. M. School-aged children’s beliefs about causality of illness: A review of the literature. Maternal Child Nursing Journal, 1978, 7, 143–154.
Peterson, L., and Ridley-Johnson, R. Pediatric hospital response to survey on prehospital preparation for children. Journal of Pediatric Psychology, 1980, 5, 1–7.
Peterson, L., and Shigetomi, C. The use of self-control techniques to minimize anxiety in hospitalized children. Behavior Therapy, 1981, 12, 1–14.
Peterson, L., and Shigetomi, C. One year follow-up of elective surgery child patients receiving pre-operative preparation. Journal of Pediatric Psychology,in press.
Peterson, L., Schultheis, K., Ridley-Johnson, R., Miller, D. J., and Tracy K. Comparison on three modeling procedures in the presurgical preparation of children. Unpublished manuscript, 1981.
Prugh, D. G., Staub, E. M., Sands, H. H., Kirschbaum. R. M., and Leniban, E. A. A study of the emotional reactions of children and families to hospitalization and illness. American Journal of Orthopsychiatry, 1953, 23, 70–106.
Rachman, S. J. The meaning of fear. London: Penguin, 1976.
Rachman, S. J., and Phillips, C. Psychology and behavioral medicine. New York: Cambridge University Press, 1980.
Roberts, M. C., Wurtele, S. R., Boone, R. R., Ginther, L. J., and Elkins, P. D. Reduction of medical fears by use of modeling: A preventive application in a general population of children. Journal of Pediatric Psychology, 1981, 6 (3), 293–300.
Robertson, J. Young children in hospitals. New York: Basic Books, 1958.
Robertson, J. The child in hospital. South African Medical Journal, November 1976, 749–752.
Roskies, E., Bedard, P., Gauvreau-Guilbault, H., and Laforture, D. Emergency hospitaliza-tion of young children. Some neglected psychological considerations. Medical Care. 1975, 13 (7), 570–581.
Roskies, E., Mongeon, M., and Gagnon-Lefebvre, B. Increasing maternal participation in the hospitalization of young children. Medical Care, 1978, 16 (9), 767–777.
Sawtell, R., Simon, J., and Simeonsson, R. The effects of five preparatory methods upon child behavior during the first dental visit. Journal of Dentistry for Children, 1974, 41, 37–45.
Selye, H. The stress of life. New York: McGraw—Hill, 1956.
Shaw, C., and Thoreson, C. Effects of modeling and desensitization in reducing dental phobia. Journal of Counseling Psychology, 1974, 21, 415–420.
Shipley, R. H., Butt, J., Horwitz, B., and Farbry, J. Preparation for a stressful medical procedure: Effect of amount of prestimulus exposure on coping style. Journal of Consulting and Clinical Psychology, 1978, 46, 499–507.
Shipley, R. H., Butt, J. H., and Horwitz, B. A. Preparation to reexperience a stressful medical examination: Effect of repetitious videotape exposure and coping style. Journal of Consulting and Clinical Psychology, 1979, 47, 485–492.
Siegel, L. J., and Peterson, L. Stress reduction in young dental patients through coping skills and sensory information. Journal of Consulting and Clinical Psychology, 1980, 48, 785–787.
Silverman, W., and Melamed, B. G. Measurement of emotion in children. Unpublished manuscript, 1981.
Simeonsson, R., Buckley, L., and Monson, L. Conceptions of illness causality in hospitalized children. Journal of Pediatric Psychology, 1979, 4, 77–84.
Sipowicz, R. R. and Vernon, D. T. Children, stress and hospitalization. Journal of Health and Social Behavior, 1965, 9, 275–287.
Skipper, J., Leonard, R. C., and Rhymes, J. Child hospitalization and social interaction: An experimental study of mothers’ feelings of stress, adaptation, and satisfaction. Medical Care, 1968, 6, 496–506.
Smith, R. Anesthesia for infants and children ( 4th ed. ). St. Louis: Mosby, 1980.
Spielberger, C. D., Gorsuch, R. L., and Lushene, R. E. Manual for the state—trait anxiety inventory. Palo Alto, Calif.: Consulting Psychologists Press, 1970.
Steward, M., and Regalbutto, G. Do doctors know what children know? American Journal of Orthopsychiatry, 1975, 45, 146–149.
Strahan, R. F., Todd, J. B., and Ingolis, G. B. A palmar sweat measure particularly suited for naturalistic research. Psychophysiology, 1974, 11, 715–720.
Taylor, C. B., Ferguson, J. M., and Wermuth, B. M. Simple techniques to treat medical phobias. Postgraduate Medical Journal, 1977, 53, 28–32.
Taylor, J. A. A personality scale of manifest anxiety. Journal of Abnormal and Social Psychology, 1953, 48, 285–290.
Vanderveer, A. A psychopathology of physical illness and hospital residence. Quarterly Journal of Child Behavior, 1949, 1, 55–71.
Vardaro, J. A. R. Preadmission anxiety and mother—child relationships. Journal of the Association of Care of Children in Hospitals, 1978, 7, 8–15.
Vernon, D. T. Use of modeling to modify children’s responses to a natural potentially stressful situation. Journal of Applied Psychology, 1973, 58, 351–356.
Vernon, D. T., Foley, J. M., Sipowicz, R. R., SrSchulman, J. L. The psychological responses of children to hospitalization and illness. Springfield, Ill.: Charles C Thomas, 1965
Visintainer, M., and Wolfer, J. Psychological preparation for surgical pediatric patients: The effects on children’s and parents’ stress responses and adjustment. Pediatrics, 1975, 56, 187–202.
Waters, R. M. Pain relief for children. American Journal of Surgery, 1938, 39, 470.
White, W., and Davis, M. Vicarious extinction of phobic behavior in early childhood. Journal of Abnormal Child Psychology, 1974, 2, 25–32.
Wolfer, J. A., and Visintainer, M. A. Pediatric surgical patterns and parents’ stress responses and adjustment as a function of psychological preparation and stress-point nursing care. Nursing Research, 1975, 24, 244–255.
Wolfer, J. A. Sr Visintainer, M. A. Tonsillectomy patients: Effects on children’s and parents’ adjustment. Pediatrics, 1979, 64, 646–655.
Wolff, C. T., Friedman, S. B., Hofer, M. A., and Mason, J. W. Relationship between psychological defenses and mean urinary 17—hydroxycorticosteriod excretion rates. Psychosomatic Medicine, 1964, 26, 576–591.
Wolff, C. T., Hofer, M. A., and Mason, J. W. Relationship between psychological defenses and mean urinary 17-OHCS excretion rates: Part 1. A predictive study of parents of children with leukemia. Psychosomatic Medicine, 1964, 26, 592–609.
Zabin, M., and Melamed, B. G. The relationship between parental discipline and children’s ability to cope with stress. Journal of Behavioral Assessment, 1980, 2, 17–27.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1982 Springer Science+Business Media New York
About this chapter
Cite this chapter
Melamed, B.G., Robbins, R.L., Graves, S. (1982). Preparation for Surgery and Medical Procedures. In: Russo, D.C., Varni, J.W. (eds) Behavioral Pediatrics. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9403-8_7
Download citation
DOI: https://doi.org/10.1007/978-1-4757-9403-8_7
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-9405-2
Online ISBN: 978-1-4757-9403-8
eBook Packages: Springer Book Archive