Everyday Pain in Three- to Five-Year-Old Children in Day Care

A new event sampling instrument, the Dalhousie Everyday Pain Scale, was used to observe 50 children in six day care centres in Saskatoon for an average of 2.24 h each. The nature of minor painful incidents (eg, collisions and falls) was recorded, including distress behaviours and responses from peer...

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Main Authors: Carl L von Baeyer, Shannon Baskerville, Patrick J McGrath
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/1998/198043
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author Carl L von Baeyer
Shannon Baskerville
Patrick J McGrath
author_facet Carl L von Baeyer
Shannon Baskerville
Patrick J McGrath
author_sort Carl L von Baeyer
collection DOAJ
description A new event sampling instrument, the Dalhousie Everyday Pain Scale, was used to observe 50 children in six day care centres in Saskatoon for an average of 2.24 h each. The nature of minor painful incidents (eg, collisions and falls) was recorded, including distress behaviours and responses from peers and adults. Twenty-nine children (58%) were observed to experience one or more painful incidents, producing a total of 51 incidents and yielding a median rate of incidents of 0.31 per child per hour, a rate similar to that reported in another Canadian sample. Seven of nine child response items met criteria for reliability in a subsample of incidents observed simultaneously by two observers. Rubbing the affected body part, crying and making verbal statements about the injury were the most common responses to painful incidents. Intervention by day care staff was strongly associated with children's facial expression of distress: physical and first aid interventions were offered most frequently to children who displayed the greatest facial distress. Content analysis of observers' records produced a classification scheme for causes of painful incidents. Twenty per cent of painful incidents were judged to be the result of deliberate actions by other children. The classification of causes may be a useful addition to the scale for application in future studies of everyday pain and injury prevention.
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spelling doaj-art-a6a671eaa41d4f1f84ad91dd871c119c2025-02-03T06:01:26ZengWileyPain Research and Management1203-67651998-01-013211111610.1155/1998/198043Everyday Pain in Three- to Five-Year-Old Children in Day CareCarl L von Baeyer0Shannon Baskerville1Patrick J McGrath2Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaDepartment of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaDepartment of Psychology, Dalhousie University, Halifax, Nova Scotia, CanadaA new event sampling instrument, the Dalhousie Everyday Pain Scale, was used to observe 50 children in six day care centres in Saskatoon for an average of 2.24 h each. The nature of minor painful incidents (eg, collisions and falls) was recorded, including distress behaviours and responses from peers and adults. Twenty-nine children (58%) were observed to experience one or more painful incidents, producing a total of 51 incidents and yielding a median rate of incidents of 0.31 per child per hour, a rate similar to that reported in another Canadian sample. Seven of nine child response items met criteria for reliability in a subsample of incidents observed simultaneously by two observers. Rubbing the affected body part, crying and making verbal statements about the injury were the most common responses to painful incidents. Intervention by day care staff was strongly associated with children's facial expression of distress: physical and first aid interventions were offered most frequently to children who displayed the greatest facial distress. Content analysis of observers' records produced a classification scheme for causes of painful incidents. Twenty per cent of painful incidents were judged to be the result of deliberate actions by other children. The classification of causes may be a useful addition to the scale for application in future studies of everyday pain and injury prevention.http://dx.doi.org/10.1155/1998/198043
spellingShingle Carl L von Baeyer
Shannon Baskerville
Patrick J McGrath
Everyday Pain in Three- to Five-Year-Old Children in Day Care
Pain Research and Management
title Everyday Pain in Three- to Five-Year-Old Children in Day Care
title_full Everyday Pain in Three- to Five-Year-Old Children in Day Care
title_fullStr Everyday Pain in Three- to Five-Year-Old Children in Day Care
title_full_unstemmed Everyday Pain in Three- to Five-Year-Old Children in Day Care
title_short Everyday Pain in Three- to Five-Year-Old Children in Day Care
title_sort everyday pain in three to five year old children in day care
url http://dx.doi.org/10.1155/1998/198043
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