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Biomedical subjects

A D Blotcky

Publications and source records attributed to A D Blotcky.

13 recordsLinked to original sources

Reducing distress during invasive medical procedures: relating behavioral interventions to preferred coping style in pediatric cancer patients.

The hypothesis that matching childrens' preferred coping styles (repression, sensitization) with behavioral interventions (distraction, sensory information) during invasive medical procedures will reduce self-reports of fear and pain, anticipatory heart rate, and observable signs of distress was tested in 28 children with cancer. A significant coping style by intervention interaction for the self-report of experienced pain was found. However, those groups using an intervention that matched their preferred coping style actually reported higher experienced pain ratings. Trends for differences between coping style on factors indicative of the chronicity of the disease were found. Chronicity, which reflects the degree of past experience with invasive medical procedures, may be a more important factor than preferred coping style in pain management of these patients.

Adaptation, Psychological↗

A framework for assessing the psychologic functioning of adolescents.

Pediatricians are often the first professionals consulted by families concerned that their teenagers may be experiencing emotional distress. Assessing the meaning of psychologic symptoms in adolescents can be a difficult task. The physician is frequently called upon to determine if an adolescent's difficulties fall within the spectrum of normative behavior or whether psychopathology is present which demands therapeutic intervention. In making this decision, the pediatrician must conduct an evaluation which considers multiple clinical factors. This report presents a framework for the pediatrician in evaluating the psychologic functioning of adolescent patients.

Adolescent↗

The double-blind situation in families of disturbed children.

The interpersonal conditions of the double-blind situation were examined in the interaction of 15 families containing a symptom-bearing child. It was found that the greatest prevalence of conflicting communication occurred between the symptomatic children and their mothers, that the symptomatic children responded to incongruous communication with more avoidance behavior than their siblings, and that extreme interpersonal closeness or distance between mother and symptomatic child was associated with greater occurrence of conflicting communication.

Adolescent↗