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The Facial Affective Scale as a Predictor for Pain Unpleasantness When Children Undergo Immunizations
University of Borås, Sweden.
University West, Trollhättan, Sweden.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Arts and Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Paediatrics in Linköping.ORCID iD: 0000-0002-3256-5407
Dalarna University, Falun, Sweden.
2014 (English)In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, no 628198Article in journal (Refereed) Published
Abstract [en]

Needle fear is a common problem in children undergoing immunization. To ensure that the individual child's needs are met during a painful procedure it would be beneficial to be able to predict whether there is a need for extra support. The self-reporting instrument facial affective scale (FAS) could have potential for this purpose. The aim of this study was to evaluate whether the FAS can predict pain unpleasantness in girls undergoing immunization. Girls, aged 11-12 years, reported their expected pain unpleasantness on the FAS at least two weeks before and then experienced pain unpleasantness immediately before each vaccination. The experienced pain unpleasantness during the vaccination was also reported immediately after each immunization. The level of anxiety was similarly assessed during each vaccination and supplemented with stress measures in relation to the procedure in order to assess and evaluate concurrent validity. The results show that the FAS is valid to predict pain unpleasantness in 11-12-year-old girls who undergo immunizations and that it has the potential to be a feasible instrument to identify children who are in need of extra support to cope with immunization. In conclusion, the FAS measurement can facilitate caring interventions.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2014. no 628198
National Category
URN: urn:nbn:se:liu:diva-107423DOI: 10.1155/2014/628198PubMedID: 24734174OAI: diva2:724112
Available from: 2014-06-12 Created: 2014-06-12 Last updated: 2016-05-04

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Mörelius, Evalotte
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Division of Health, Activity and CareFaculty of Arts and SciencesDepartment of Paediatrics in Linköping
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