A longitudinal examination of verbal reassurance during infant immunization: occurrence and examination of emotional availability as a potential moderator*

J Pediatr Psychol. 2012 Sep;37(8):935-44. doi: 10.1093/jpepsy/jss066. Epub 2012 May 9.

Abstract

Objective: This study investigated the associations between caregiver verbal reassurance and infant pain-related distress during immunization over the first year of life. The relationships between verbal reassurance and caregiver emotional availability (EA) were also examined. Finally, EA was investigated as a moderator of the relationship between verbal reassurance and infant pain.

Methods: A cross-sectional analysis was conducted with 606 infants (and their parents) at 4 different ages (n = 376 at 2 months, n = 455 at 4 months, n = 484 at 6 months, and n = 407 at 12 months).

Results: Verbal reassurance was positively associated with infant distress across all four ages. EA was only negatively related to verbal reassurance at 12 months of age. EA was not a significant moderator at any age.

Conclusion: Findings demonstrate consistent but small relationships between verbal reassurance and infant pain over the first year of life.

MeSH terms

  • Cross-Sectional Studies
  • Emotions*
  • Female
  • Humans
  • Infant
  • Longitudinal Studies
  • Male
  • Pain / psychology*
  • Parents / psychology
  • Stress, Psychological / psychology*
  • Vaccination / psychology*