Christiano B, Russ S W
Case Western Reserve University, USA.
J Pediatr Psychol. 1998 Feb;23(1):17-27; discussion 29-32. doi: 10.1093/jpepsy/23.1.17.
Investigate the effects of matching preparatory interventions to patient's coping styles.
Participants were 61 children, with a restricted age range of 6 through 9 years old (mean age was 7.9 years), who underwent dental restoration. Participants were randomly assigned to an information intervention, a relaxation intervention, or a control condition. Play and parent-report of sensitization/repression were indices of coping style. The first hypothesis, that play would relate to sensitization/repression, was tested using Pearson correlations. The second hypothesis, that interventions that were congruent with patients' coping styles would be more effective than incongruent interventions, was tested using MANCOVAs.
No relation was found between play and coping style. The "congruency hypothesis" was supported for self-reported distress immediately following the intervention. On behavioral distress variables, the interaction between sensitization/repression and condition was contrary to the congruency hypothesis.
Implications for future research and clinical intervention with pediatric populations were discussed.
研究将预备干预措施与患者应对方式相匹配的效果。
61名年龄在6至9岁（平均年龄7.9岁）之间接受牙齿修复的儿童参与了研究。参与者被随机分配到信息干预组、放松干预组或对照组。游戏以及家长报告的敏感/压抑情况是应对方式的指标。第一个假设，即游戏与敏感/压抑有关，采用皮尔逊相关性进行检验。第二个假设，即与患者应对方式一致的干预措施比不一致的干预措施更有效，采用协方差分析进行检验。
未发现游戏与应对方式之间存在关联。干预后立即进行的自我报告痛苦方面，“一致性假设”得到了支持。在行为痛苦变量方面，敏感/压抑与干预条件之间的相互作用与一致性假设相反。
讨论了对未来儿科人群研究和临床干预的启示。
