The Role of Hospital Design in Reducing Anxiety for Pediatric Patients

2018 ◽  
Vol 11 (3) ◽  
pp. 66-79 ◽  
Author(s):  
Jenifer Cartland ◽  
Holly S. Ruch-Ross ◽  
Lauren Carr ◽  
Audrey Hall ◽  
Richard Olsen ◽  
...  

Objectives: To study the impact of hospital design on patient and family experiences during and after hospitalization. Background: Hospitalization can be psychologically traumatic for children. Few research studies have studied the role of the design of the hospital environment in mitigating that traumatic experience. Methods: The study employs a two-group posttest and follow-up design to compare the impact of hospitalization on child anxiety and parent stress. It compares the experiences of children (ages 3–17) hospitalized at a new facility designed to support child-centered care and with family-friendly features with an older facility that did not have these features. The new facility was a replacement of the old one, so that many challenges to comparison are addressed. Results: Controlling for the facts of hospitalization, patient demographics, and the child’s typical anxiety level, children in the new facility experienced less anxiety than in the old facility. The study does not provide evidence that the hospital design reduced the psychological sequelae of hospitalization. Parents and children found different features of the hospital to be restorative. Conclusions: The study supports the use of Ulrich’s theory of supportive design to children’s healthcare environments, though what is experienced as supportive design will vary by the developmental stage of the child.

2021 ◽  
Author(s):  
◽  
Ruth Elizabeth Armstrong

<p>The present research examines the effect of music therapy on the affect of hospitalised children. It took place on a paediatric ward of a New Zealand public hospital. This study aimed to investigate the role of music therapy in addressing patients' psychosocial needs. Literature on the impact of hospitalisation, and on the use of music therapy in hospitals and paediatrics was reviewed. The research involved an audit of the therapist's clinical notes from music therapy sessions over the course of seven months. The clinical notes included measurements of children's mood from the beginning and end of sessions, using McGrath's (1990) Affective Facial Scale. It was hypothesised that mood measures following music therapy would be higher than pre-music therapy scores. Statistical analysis of the facial scale data did not show a significant difference between 'before' and 'after' measures. These results were discussed with regard to a ceiling effect (this is, the measurements indicated patients were at the happy end of the scale before the music therapy session, so there was little room on the scale for mood to improve following music therapy). The measurement of emotion did not prove to be straightforward. The hospital environment may have influenced the patients' responses in a number of ways. These environmental influences are discussed with reference to examples from the clinical notes. The usefulness of facial scales in this context is discussed, as well as other limitations of the research. Suggestions for future research include the use of other mood measures, and the inclusion of measurements of parental mood and how this affects the child.</p>


2018 ◽  
Vol 5 (2) ◽  
pp. 159
Author(s):  
Vevy Liansari

This study aims to know how the pattern of interpersonal communication that occurs between parents and children with speech delay. While the use of this study is as a reference for parents, educators, observers and responsible of education in general in an effort to instill a good example of children and also in an effort to apply good interpersonal communication patterns between both parties. The data collection methods are in-depth interviews and observations. In the process of improving interpersonal communication patterns in parents and children found some obstacles both in the elderly and early age children. The results of this study indicate that the role of parents in establishing interpersonal communication patterns of early childhood greatly affect the behavior of young children. Therefore parents should be able to apply good interpersonal communication patterns to early childhood with speech delay and maintain an intense relationship to reduce the impact of speech delay from internal and external influences.


2019 ◽  
Vol 8 (4) ◽  
pp. 69-78 ◽  
Author(s):  
N.N. Avdeeva ◽  
B.A. Hoffman

The article is based on the materials of foreign sources and discusses the current trends in the relationship of adolescents and their parents. The following problems are discussed: influence of upbringing styles and parental attitudes on various aspects of psychological development of adolescents; contribution of relationships with parents and peers into social and personality development in adolescence; peculiarities of teenagers’ attachments to parents; child-parent conflicts. The recent studies of family education and its influence on psychological development confirm the positive role of authoritative parenting style, the negative impact of rigid parenting style on adolescent aggression and so on. It is shown that excessive parental control does not contribute to the development of self-esteem and increases self-criticism in adolescent girls. In relatively new researches devoted to "technoference" the negative impact of technical means (phone, gadgets) on interaction between parents and children is shown. The article stresses the importance of attachment to parents in adolescence; the role of the quality of attachment in formation of autonomy; capacity to solve problems and cope with difficulties associated with Internet addiction; aggression and school performance. The article also presents studies of positive and negative aspects of the impact of conflict with parents on the personality development of adolescents, gender differences in behavior during the conflict between mother and father, the contribution of marital conflicts to psychological development in adolescence.


2021 ◽  
Author(s):  
◽  
Ruth Elizabeth Armstrong

<p>The present research examines the effect of music therapy on the affect of hospitalised children. It took place on a paediatric ward of a New Zealand public hospital. This study aimed to investigate the role of music therapy in addressing patients' psychosocial needs. Literature on the impact of hospitalisation, and on the use of music therapy in hospitals and paediatrics was reviewed. The research involved an audit of the therapist's clinical notes from music therapy sessions over the course of seven months. The clinical notes included measurements of children's mood from the beginning and end of sessions, using McGrath's (1990) Affective Facial Scale. It was hypothesised that mood measures following music therapy would be higher than pre-music therapy scores. Statistical analysis of the facial scale data did not show a significant difference between 'before' and 'after' measures. These results were discussed with regard to a ceiling effect (this is, the measurements indicated patients were at the happy end of the scale before the music therapy session, so there was little room on the scale for mood to improve following music therapy). The measurement of emotion did not prove to be straightforward. The hospital environment may have influenced the patients' responses in a number of ways. These environmental influences are discussed with reference to examples from the clinical notes. The usefulness of facial scales in this context is discussed, as well as other limitations of the research. Suggestions for future research include the use of other mood measures, and the inclusion of measurements of parental mood and how this affects the child.</p>


2021 ◽  
Vol 30 (2) ◽  
pp. 13-26
Author(s):  
Ingrid González Palta ◽  
Pablo Castro-Carrasco ◽  
Enzo Cabrera ◽  
Paulina Jamet ◽  
Francisco Leal-Soto

The role of people's beliefs in their perception of disasters has been scarcely studied. In this study, we analyzed how people who experienced an earthquake and a subsequent tsunami employ subjective theories (ST) to explain their traumatic experience. This study aimed to interpret the explanations developed by a group of people about the earthquake and tsunami that took place in Chile in 2015.  Thirteen episodic interviews were conducted as part of a qualitative case study. The participants' theories were grouped into four categories: the impact of personality on one's reaction to hardships; the existence of a link between personality and coping styles; the limited influence of personality on one's way of coping with difficulties; and changes in personality after experiencing hardships. These findings are discussed analyzing whether the participants' explanations could foster personal growth and psychological well-being after the catastrophe.   How to cite: González-Palta, I., Castro-Carrasco, P. J., Cabrera, E., Jamet, P., & Leal-Soto, F. (2021). Generating Subjective Theories After a Disaster: The Role of Personality. Revista Colombiana de Psicología, 30(2), 13-26. https://doi.org/10.15446/rcp.v30n2.79061


2006 ◽  
Vol 22 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Eelco Olde ◽  
Rolf J. Kleber ◽  
Onno van der Hart ◽  
Victor J.M. Pop

Childbirth has been identified as a possible traumatic experience, leading to traumatic stress responses and even to the development of posttraumatic stress disorder (PTSD). The current study investigated the psychometric properties of the Dutch version of the Impact of Event Scale-Revised (IES-R) in a group of women who recently gave birth (N = 435). In addition, a comparison was made between the original IES and the IES-R. The scale showed high internal consistency (α = 0.88). Using confirmatory factor analysis no support was found for a three-factor structure of an intrusion, an avoidance, and a hyperarousal factor. Goodness of fit was only reasonable, even after fitting one intrusion item on the hyperarousal scale. The IES-R correlated significantly with scores on depression and anxiety self-rating scales, as well as with scores on a self-rating scale of posttraumatic stress disorder. Although the IES-R can be used for studying posttraumatic stress reactions in women who recently gave birth, the original IES proved to be a better instrument compared to the IES-R. It is concluded that adding the hyperarousal scale to the IES-R did not make the scale stronger.


2013 ◽  
Vol 44 (5) ◽  
pp. 311-319 ◽  
Author(s):  
Marco Brambilla ◽  
David A. Butz

Two studies examined the impact of macrolevel symbolic threat on intergroup attitudes. In Study 1 (N = 71), participants exposed to a macrosymbolic threat (vs. nonsymbolic threat and neutral topic) reported less support toward social policies concerning gay men, an outgroup whose stereotypes implies a threat to values, but not toward welfare recipients, a social group whose stereotypes do not imply a threat to values. Study 2 (N = 78) showed that, whereas macrolevel symbolic threat led to less favorable attitudes toward gay men, macroeconomic threat led to less favorable attitudes toward Asians, an outgroup whose stereotypes imply an economic threat. These findings are discussed in terms of their implications for understanding the role of a general climate of threat in shaping intergroup attitudes.


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