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.
Abstract

Related Concept Videos

Therapeutic Communication01:30

Therapeutic Communication

Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
Assessment of apical pulse01:17

Assessment of apical pulse

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection