Patterns of children's coping with an aversive dental treatment

Children's disposition to monitor for threat-relevant cues predicted their coping strategies and levels of distress when dealing with invasive dental work. High monitors reported that they had engaged in greater sensory vigilance and avoidance strategies during treatment. Neither the tendency to monitor nor children's sensory vigilance was related to videotape observations of their attention deployment. High monitors reported increased anxiety and were rated as more anxious, particularly when they also engaged in high avoidance. Children's reports of question asking were related to videotape observations of question asking. In addition, children who asked more questions were rated as more anxious and disruptive during treatment. Individual differences in how children deal with a familiar--but largely uncontrollable--stressor are discussed, particularly with respect to the encounter phase of coping.