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Journal of Pediatric Psychology 21(5) pp. 683-698, 1996
© 1996 Society of Pediatric Psychology

other

Prediction of Children's Postoperative Pain: The Role of Presurgical Expectations and Anticipatory Emotions1

Tonya Mizell Palermo2 and Dennis Drotar

Case Western Reserve University, Case Western Reserve University School of Medicine

2All correspondence should be sent to Tonya Mizell Palermo, Department of Psychology, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, Ohio 44106-7123

Examined predictors of children s ratings of postoperative pain intensity based on a model of children's expectations for surgery developed from the Children's Health Belief Model (Bush & Iannotti, 1990) and McGroth's (1990) model of children s pain experiences. Prior to their inpatient surgeries, 28 children (ages 7–17 years) and their parents completed ratings of children's expected surgery pain, anticipatory anxiety, and expected helpfulness of pain medicine. Following surgery, children completed ratings of their postoperative pain intensity. Age, total analgesics administered, and anticipatory anxiety emerged as significant predictors of children's postoperative pain ratings. Methodological issues concerning the measurement of children's expectations for surgery are discussed.

Key words: children; surgery; pain intensity; expectations; anxiety.


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