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Journal of Pediatric Psychology 20(4) pp. 477-490, 1995
© 1995 Society of Pediatric Psychology

other

Physician and Parent Behavior During Invasive Pediatric Cancer Procedures: Relationships to Child Behavioral Distress1

Lynnda M. Dahlquist2,, Thomas G. Power and Leanne Carlson

Baylor College of Medicine, University of Houston

2All correspondence should be addressed to Lynnda M. Dahlquist, Texas Children's Hospital, 6621 Fannin (MC3-3301), Houston, Texas 77030

Observed 51 children with cancer, their parents, and their physicians during routine bone marrow aspirations and lumbar punctures. Child distress was measured via the Observational Scale of Behavioral Distress (OSBD); adult behaviors were coded via the Child Adult Medical Procedure Interaction Scale (CAMPIS). In general, physicians were less verbally interactive than parents both before and during the procedure. As expected, several parent behaviors were positively related to child distress. However, physician behaviors were uniformly negatively related to child distress. Findings are discussed in terms of the physician-patient relationship and the possible role of physicians as change agents in reducing child distress during invasive procedures.

Key words: cancer; children; distress; medical procedures; parent-child interaction; physician-patient interaction.


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