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Updated: May 29, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Children's expressions of negative emotions and adults' responses during routine cardiac consultations
Torun M Vatne1, Cornelia M Ruland, Knut Ørnes
1Centre for Shared Decision Making and Nursing Research, Oslo University Hospital, Forskningsveien 2b, 0027 Oslo, Norway. torun.vatne@rr-research.no
Insights
Children with heart disease often subtly express negative emotions during medical visits, but adults rarely notice. Recognizing these subtle cues is crucial for providing appropriate emotional support.
Area of Science:
- Pediatric Cardiology
- Developmental Psychology
- Clinical Psychology
Background:
- Emotional expression is vital for seeking social support.
- Understanding how children with chronic conditions manage emotions is essential for their well-being.
Purpose of the Study:
- To investigate how children with heart disease express negative emotions during routine consultations.
- To analyze the interplay between children's emotional expressions and adult responses.
Main Methods:
- Seventy children (aged 7-13) with heart disease participated.
- Anxiety levels were measured, and cardiology visits were videotaped.
- Adult-child interactions were coded using the Verona Definitions of Emotional Sequences.
Main Results:
- Children primarily used subtle expressions of negative emotion.
- Adults frequently failed to recognize or respond to these expressions.
- The frequency of expressions and responses correlated with child's age, anxiety, and verbal participation.
Conclusions:
- Children with heart disease tend to express negative emotions subtly rather than openly during consultations.
- Healthcare providers should be attentive to subtle emotional cues from these children.
- Opportunities to explore children's emotional experiences should be utilized when negative emotions are expressed.
Objective:
One function of expressing emotion is to receive support. The aim of this study was to assess how children with heart disease express negative emotions during routine consultations, and examine the interaction between children's expressions and adults' responses.
Methods:
Seventy children, aged 7-13 years, completed measures of anxiety and were videotaped during cardiology visits. Adult-child interactions were analyzed using the Verona Definitions of Emotional Sequences.
Results:
Children expressed negative emotion, mainly in subtle ways; however, adults rarely recognized and responded to these expressions. The frequency of children's expressions and adults' responses were related to the child's age, level of anxiety, and verbal participation.
Conclusion:
Children do not openly express negative emotions frequently during routine cardiac consultations; they are more likely to provide subtle cues of negative emotion. When expression of negative emotions does occur, adults may consider using the opportunity to explore the child's emotional experiences.
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