Establishment of a new rating scale for the evaluation of pain in young children (2–6 years) with cancer

Pain ◽  
1984 ◽  
Vol 18 ◽  
pp. S25 ◽  
Author(s):  
A. Piquard-Gauvain ◽  
C. Rodary ◽  
A. Rezvani ◽  
J. Lemerle
Keyword(s):  
Assessment ◽  
2021 ◽  
pp. 107319112110386
Author(s):  
Eva R. Kimonis ◽  
Natasha Jain ◽  
Bryan Neo ◽  
Georgette E. Fleming ◽  
Nancy Briggs

Empathy is critical to young children’s socioemotional development and deficient levels characterize a severe and pervasive type of Conduct Disorder (i.e., with limited prosocial emotions). With the emergence of novel, targeted early interventions to treat this psychopathology, the critical limitations of existing parent-report empathy measures reveal their unsuitability for assessing empathy levels and outcomes in young children. The present study aimed to develop a reliable and comprehensive parent-rated empathy scale for young children. This was accomplished by first generating a large list of empathy items sourced from both preexisting empathy measures and from statements made by parents during a clinical interview about their young child’s empathy. Second, this item set was refined using exploratory factor analysis of item scores from parents of children aged 2 to 8 years (56.6% male), recruited online using Amazon’s Mechanical Turk. A five-factor solution provided the best fit to the data: Attention to Others’ Emotions, Personal Distress (i.e., Emotional Contagion/Affective Empathy), Personal Distress–Fictional Characters, Prosocial Behavior, and Sympathy. Total and subscale scores on the new “Measure of Empathy in Early Childhood” (MEEC) were internally consistent. Finally, this five-factor structure was tested using confirmatory factor analysis and model fit was adequate. With further research into the validity of MEEC scores, this new rater-based empathy measure for young children may hold promise for assessing empathy in early childhood and advancing research into the origins of empathy and empathy-related disorders.


2018 ◽  
Vol 29 (4) ◽  
pp. 374-380 ◽  
Author(s):  
Stefania Martignon ◽  
Andrea Cortes ◽  
Soledad Isabel Gómez ◽  
Gina Alejandra Castiblanco ◽  
Ximena Baquero ◽  
...  

Abstract A caries-epidemiological study using the ICDASepi-merged system was conducted in Colombian young children. This study aimed at associating the time needed for the clinical examination of caries and caries risk in 1 to 5-year-old children according to age and caries risk, and to assess behavior and child pain self-perception during examination according to age. After IRB approval and given parents/caregivers’ informed consent, seven trained examiners assessed 1 to 5-year olds in kindergartens under local field conditions. ICDASepi-merged caries experience (depiMEmf) was assessed as follows: Initial-depi (ICDAS 1/2 without air-drying); Moderate-dM (ICDAS 3,4); Extensive-dE (ICDAS 5,6) lesions; due-to-caries fillings-f and missing-m surfaces/teeth. Caries risk was assessed with Cariogram®. Child’s behavior (Frankl-Behavior-Rating-Scale) and self-perceived pain (Visual-Analogue-Scale-of-Faces) during examination were evaluated. Clinical examination time was recorded with a stopwatch. A total of 592 children participated (1-yr.: n=31; 2-yrs.: n=96; 3-yrs.: n=155; 4-yrs.: n=209, 5-yrs.: n=101). The depiMEmfs prevalence was of 79.9% and the mean 8.4±10.4. Most were high-caries-risk children (68.9%). The majority (58.9%) showed ≥ positive-behavior and ≤ light-pain self-perception (88.4%). Mean clinical examination time was around 3.5 minutes (216.9±133.9 seconds). For 5-yr. olds it corresponded to 4 minutes (240.4±145.0 seconds) vs. 2 minutes (122.8±80.1 seconds) for 1-yr. olds (Kruskal-Wallis; p=0.00). For high- and low-caries risk children it was around 4.3 minutes (255.7±118.5 seconds) and 3.3 minutes (201.3±129.4 seconds), respectively (ANOVA; p=0.01). This study demonstrates using the ICDAS system in young children is feasible, taking less than 4 minutes for the clinical examination without children behavior/pain self-perception issues.


2005 ◽  
Vol 17 (4) ◽  
pp. 345-352 ◽  
Author(s):  
David P. McKee ◽  
Colin A.G. Boreham ◽  
Marie H. Murphy ◽  
Alan M. Nevill

Activity measurement using a uniaxial pedometer was validated against behavioral observation using the Children’s Activity Rating Scale (CARS) in 30 three- to four-year-old children in a nursery school setting. Correlations were calculated for individual children, whereas the relationship for the total group was investigated using multilevel linear regression. The mean counts for boys and girls for the Digiwalker™ were 66.8 (± 64.0) and 47.4 (± 61.3; p < .01) steps per 3 minutes, respectively, whereas the mean CARS scores for boys and girls were 1.8 (± 0.6) and 1.6 (± 0.6; p < .01), respectively. Within-child correlations for CARS versus Digiwalker counts ranged from 0.64 to 0.95 with a median value of 0.86, whereas the multilevel analysis provided strong evidence of a relationship between CARS and Digiwalker (all p < .001). Data from the current study show that gender differences in physical levels exist in very young children and support the utility of the Digiwalker pedometer for assessing physical activity in this age group.


1993 ◽  
Vol 25 (12) ◽  
pp. 1415???1421 ◽  
Author(s):  
ROBERT H. DuRANT ◽  
TOM BARANOWSKI ◽  
JACQUELINE PUHL ◽  
THOMAS RHODES ◽  
HARRY DAVIS ◽  
...  

2016 ◽  
Vol 59 (5) ◽  
pp. 1087-1098 ◽  
Author(s):  
Laura J. Hahn ◽  
Nancy C. Brady ◽  
Kandace K. Fleming ◽  
Steven F. Warren

PurposeIn this study, we examine joint engagement (JE) in young children with fragile X syndrome (FXS) and its relationship to language abilities and autism spectrum disorder symptomatology at 24 to 36 months (toddler period) and 59 to 68 months (child period).MethodParticipants were 28 children with FXS (24 boys, four girls) and their mothers. Videotaped home observations were conducted during the toddler period and coded for JE. Language abilities were measured at both ages from a developmental assessment, a functional measure, and from a language sample. The Childhood Autism Rating Scale (Schopler, Reichler, & Renner, 1988) was completed at both ages.ResultsChildren with FXS spent more time in supported JE than in coordinated JE. Using a weighted JE variable, we found that children with FXS who had higher weighted JE scores also had more advanced expressive language skills at both the toddler and child periods. Weighted JE was negatively related to autism symptomatology in the toddler period.ConclusionThis study provides evidence that children with FXS who use more JE also have more advanced expressive language skills in early development. Therefore, existing early interventions that target JE behaviors may be effective for promoting language, social communication, and social interaction in this population.


2020 ◽  
Author(s):  
Hamid Reza Pouretemad ◽  
Saeid Sadeghi ◽  
Bita Shalani

AbstractobjectivesInternet-based intervention approach is one novel strategy to train. However, only a few clinical trials have compared internet-based parent training intervention with an equal center-based intervention for children with ASD. The primary aim of this study was to compare treatment outcomes of an internet-based intervention with a center-based intervention for young children with Post Digital Nanning Autism Syndrome (PDNAS). MethodsA total of 40 mother–young children with PDNAS dyads were assigned to the internet-based (n=20) and to the center-based intervention (n=20). Parents in both groups received intervention that involves 7 sessions (one session per week). Primary outcome measures were the Gilliam Autism Rating Scale - Second Edition (GARS-2), Repetitive Behavior Scale- Revised (RBS-R) and Parenting Stress Index (PSI). ResultsThe analysis yielded no significant between-group difference for any of the pre- to post-intervention measurements. At post-intervention both intervention conditions revealed significant symptoms changes compared to before the intervention. Also, the parental stress was significant related to the child’s autism symptoms and repetitive behaviors severity.Conclusion: Internet-based parent training intervention for young children with PDNAS and their parents is equally beneficial to regular center-based parent training intervention. These findings support the potential for using telehealth to provide research-based parent training interventions to any family that has access to the Internet.


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