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European Journal of Pediatrics
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13-08-2024 | Pediatric Diagnostics | REVIEW Free for a limited time

Establishing trust with children

Authors: Benjamin A. Krauss, Piet L. Leroy, Baruch S. Krauss

Published in: European Journal of Pediatrics | Issue 10/2024

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Abstract

Trust forms the bedrock of the doctor-patient relationship. While establishing trust is a foundational skill for healthcare providers who care for children, there is no systematic approach to teaching this skill set, nor is there formal training during medical school or residency. Traditionally, these skills have been taught by example, in an unstructured and ad hoc manner, with trainees picking it up along the way by observing and modeling their instructors. Here, we define and examine the elements of establishing trust and describe a methodology for establishing trust and managing a child’s emotional state during medical encounters.
Footnotes
1
For video illustrations of each engagement method, see the following: Krauss BA, Krauss BS. Managing the Frightened Child. Annals of Emergency Medicine 2019;74:30–35. https://​www.​annemergmed.​com/​article/​S0196-0644(18)31560-9/​fulltext
 
Literature
1.
2.
Cohen LL (2008) Behavioral approaches to anxiety and pain management for pediatric venous access. Pediatrics 122:S134–S139PubMedCrossRef
3.
Hearst D (2009) The Runaway Child: managing anticipatory fear, resistance and distress in children undergoing surgery. Pediatr Anesth 19:1014–1016CrossRef
4.
Krauss BS, Krauss BA, Green SM (2016) Managing procedural anxiety in children. N Engl J Med 374(16):e19PubMedCrossRef
5.
Leroy PL, Costa LR, Emmanouil D, Beukering A, Franck LS (2016) Beyond the drugs: nonpharmacologic strategies to optimize procedural care in children. Curr Opin Anaesthesiol 29(Suppl 1):S1-13PubMedCrossRef
6.
Krauss BS, Callgaris S, Green SM, Barbi E (2016) Current concepts in the management of pain in children in the emergency department. Lancet 387(10013):83–92PubMedCrossRef
7.
8.
Knapp ML, Hall JA, Horgan TG. Nonverbal communication in human interaction. 9th ed. Kendall Hunt; 2021.
9.
10.
Arnheim R. Visual thinking. Univ of California Press; 2004.
11.
12.
Darwin CR. The expression of the emotions in man and animals. John Murray; 1872
13.
Konner M. The evolution of childhood: relationships, emotion, mind. Belknap Press of Harvard University Press; 2010
14.
Little KB. Personal space. J Exp Soc Psychol-247.
15.
Hall ET. The hidden dimension 2000. Doubleday
16.
17.
Gifford R, Price J (1979) Personal space in nursery school children. Can J Behav Sci 11:318–326CrossRef
18.
Adams RB, Gordon HL, Baird AA, Ambady N, Kleck RE (2003) Effects of gaze on amygdala sensitivity to anger and fear faces. Science 300(5625):1536PubMedCrossRef
19.
20.
21.
22.
Putman P, Hermans E, Honk J (2006) Anxiety meets fear in perception of dynamic expressive gaze. Emotion 6:94–102PubMedCrossRef
23.
24.
Bernieri FJ, Rosenthal R. Interpersonal coordination: behavior matching and interactional synchrony. In: S RF, B R, eds. Fundamentals of Nonverbal Behavior. Cambridge University Press; 1991.
25.
Hatfield E, Cacioppo JT, Rapson RL. 1994 Emotional contagion. Cambridge University Press
26.
Dimberg U. Psychophysiological reactions to facial expressions. In: Segerstråle UC, Molnár P, eds. Nonverbal Communication: Where Nature Meets Culture 1997 Lawrence Erlbaum Associates. Inc.
27.
28.
Cappella JN (1981) Mutual influence in expressive behavior: adult-adult and infant-adult dyadic interaction. Psychol Bull 89:101–132PubMedCrossRef
29.
Stern D. Mother and infant at play: the dyadic interaction involving facial, vocal and gaze behaviors. In: Lewis M, Rosenblum LA, eds. The Effect of the Infant on Its Caregiver. Wiley; 1974
30.
Tronick ED, Als H, Brazelton TB (1977) Mutuality in mother–infant interaction. J Commun 27:74–79PubMedCrossRef
31.
Van Egeren LA, Barratt MS, Roach MA (2001) Mother–infant responsiveness: timing, mutual regulation, and interactional context. Dev Psychol 37:684–697PubMedCrossRef
32.
Tickle-Degnen L, Rosenthal R. Nonverbal aspects of therapeutic rapport. In: Feldman, R.S (Ed). Applications of Nonverbal Behavioral Theories and Research. 1992nd ed. Psychology Press
33.
Tickle-Degnen L, Rosenthal R (1990) The nature of rapport and its nonverbal correlates. Psychol Inq 1:285–293CrossRef
34.
Mehrabian A (1968) Inference of attitudes from the posture, orientation, and distance of a communicator. J Consult Clin Psychol 32:296–308PubMedCrossRef
35.
Mehrabian A (1968) Relationship of attitude to seated posture, orientation, and distance. J Pers Soc Psychol 10:26–30PubMedCrossRef
36.
Mehrabian A (1972) Child communication in nonverbal communication. Aldine
37.
Choi SY, Gray HM, Ambady N. The glimpsed world: unintended communication and unintended perception. (Hassin RR, Uleman JS, Bargh JA, eds.). Oxford University Press; 2005.
38.
Dimberg U, Thunberg M, Elmehed K (2000) Unconscious facial reactions to emotional facial expressions. Psychol Sci 11:86–89PubMedCrossRef
39.
Hietanen JK, Surakka L, I. (1998) Facial electromyographic responses to vocal affect expressions. Psychophysiology 35:530–536PubMedCrossRef
40.
Neumann R, Strack F (2000) Mood contagion: the automatic transfer of mood between persons. J Pers Soc Psychol 79:211–223PubMedCrossRef
41.
Chartrand TL, Bargh JA (1999) The chameleon effect: the perception-behavior link and social interaction. J Pers Soc Psychol 76:893–910PubMedCrossRef
42.
43.
Goffman E. The presentation of self in everyday life. Anchor Books; 1959.
44.
Schlenker BR. Self-presentation. In: Leary MR, Tangney JP, eds. Handbook of Self and Identity. The Guilford Press; 2012
45.
Lakin JL, Chartrand TL (2003) Using nonconscious behavioral mimicry to create affiliation and rapport. Psychol Sci 14:334–339PubMedCrossRef
46.
Charlesworth TE, Hudson SK, Cogsdill EJ, Spelke ES, Banaji MR (2019) Children use targets’ facial appearance to guide and predict social behavior. Dev Psychol 55(7):1400–1413
47.
Cogsdill T, Spelke B (2014) Inferring character from faces: a developmental study. Psychol Sci 1(25):1132–1139CrossRef
48.
Harris MJ, Milich R, Johnston EM, Hoover DW (1990) Effects of expectancies on children’s social interactions. J Exp Soc Psychol 26:1–12CrossRef
49.
Rosenthal R (2002) Covert communication in classrooms, clinics, courtrooms, and cubicles. Am Psychol 57:839–849PubMedCrossRef
50.
Rosenthal R (2003) Covert communication in laboratories, classrooms, and the truly real world. Curr Dir Psychol Sci 12:151–154CrossRef
51.
Ambady N, Rosenthal R (1992) Thin slices of expressive behavior as predictors of interpersonal consequences: a meta-analysis. Psychol Bull 111:256–274CrossRef
52.
Ambady N, Rosenthal R (1993) Half a minute: predicting teacher evaluations from thin slices of nonverbal behavior and physical attractiveness. J Pers Soc Psychol 64:431–441CrossRef
53.
Ambady N, Skowronski JJ (eds) (2008) First impressions. Guilford Publications, New York
54.
Ambady N, Bernieri FJ, Richeson JA. Toward a histology of social behavior: Judgmental accuracy from thin slices of the behavioral stream. In: Zanna MP, ed. Advances in Experimental Social Psychology 2000;32:201–271.
55.
Chen M, Bargh JA (1997) Nonconscious behavioral confirmation processes: the self-fulfilling consequences of automatic stereotype activation. J Exp Soc Psychol 33(5):541–560CrossRef
56.
Learman LA, Avorn J, Everitt DE, Rosenthal R (1990) Pygmalion in the nursing home: the effects of caregiver expectations on patient outcomes. J Am Geriatr Soc 38:797–803PubMedCrossRef
57.
Word CO, Zanna MP, Cooper J (1974) The nonverbal mediation of self-fulfilling prophecies in interracial interaction. J Exp Soc Psychol 10:109–120CrossRef
58.
Gross JJ (1998) The emerging field of emotion regulation: an integrative review. Rev Gen Psychol 2:271–299CrossRef
59.
Gross JJ (2015) Emotion regulation: current status and future prospects. Psychol Inq 26(1):1–26CrossRef
60.
61.
Gross JJ (1998) Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. J Soc Psychol 74:224–237
62.
Dittmann AT. The body movement-speech rhythm relationship as a cue to speech encoding. In: Siegman AW, Pope B, eds. Studies in Dyadic Communication. Pergamon Press; 1972.
63.
DePaulo BM, Coleman LM (1986) Talking to children, foreigners, and retarded adults. J Soc Psychol 51:945–959
64.
DePaulo BM, Coleman LM (1987) Verbal and nonverbal communication of warmth to children, foreigners, and retarded adults. J Nonverbal Behav 11:75–88CrossRef
65.
Fernald A, Taeschner T, Dunn J, Papousek M, Boysson-Bardies B, Fukui I (1989) A cross-language study of prosodic modifications in mothers’ and fathers’ speech to preverbal infants. J Child Lang 16:477–501PubMedCrossRef
66.
Snow CE. Mothers’ speech research: from input to interaction. (Snow CE, Ferguson CA, eds.). Cambridge University Press; 1977.
67.
68.
Grieser DL, Kuhl PK (1988) Maternal speech to infants in a tonal language: support for universal prosodic features in motherese. Dev Psychol 24:14–20CrossRef
69.
Perry C, Samuelsson C, Cyna AM (2015) Preanesthetic nurse communication with children and parents—an observational study. Paediatr Anaesth 25:1235–1240PubMedCrossRef
70.
Petrie KJ, Rief W (2019) Psychobiological mechanisms of placebo and nocebo effects: pathways to improve treatments and reduce side effects. Annu Rev Psychol 70:599–625PubMedCrossRef
71.
Rief W, Shedden-Mora MC, Laferton JA (2017) Preoperative optimization of patient expectations improves long-term outcome in heart surgery patients: results of the randomized controlled PSY-HEART trial. BMC Med 15(4):1
72.
Tracey I (2010) Getting the pain you expect: mechanisms of placebo, nocebo and reappraisal effects in humans. Nat Med 16(11):1277–1283PubMedCrossRef
73.
Drescher VM, Gantt WH, Whitehead WE (1980) Heart rate response to touch. Psychosom Med 42:559–565PubMedCrossRef
74.
Nilsen WJ, Vrana S (1998) Some touching situations: the relationship between gender and contextual variables in cardiovascular responses to human touch. Ann Behav Med 20:270–276PubMedCrossRef
75.
Chartrand TL, Lakin JL (2013) The antecedents and consequences of human behavioral mimicry. Annu Rev Psychol 64:285–308PubMedCrossRef
76.
Field T, Woodson R, Greenberg R, Cohen D (1982) Discrimination and imitation of facial expressions by neonates. Science 218:179–181PubMedCrossRef
77.
Meltzoff AN, Moore MK (1977) Imitation of facial and manual gestures by human neonates. Science 198:75–78PubMedCrossRef
78.
79.
80.
Wolpe J, Lazarus AA. 1966 Behavior therapy techniques: a guide to the treatment of neuroses. Pergamon Press
81.
Cohen LL, Cousins LA, Martin S, Stevens BJ, Walker SM, Zempsky WT. Procedural pain distraction. In: McGrath PJ. Oxford University Press; 2014.
82.
Bruner JS, Jolly A, Sylva K. Play: its role in development and evolution. 1st ed. Basic Books
83.
Piaget J. Play, dreams and imitation in childhood. WW Norton & Co; 1952.
84.
Yogman M, Garner A, Hutchinson J, Hirsh-Pasek K, Golinkoff RM (2018) The power of play: a pediatric role in enhancing development in young children. Pediatrics 142:1–17CrossRef
85.
Cole M, John-Steiner V, Scribner S, Souberman E, Vygotsky LS, eds. Mind in society: the development of higher psychological processes. Harvard University Press; 1978.
86.
Ulrich RS (1997) A theory of supportive design for healthcare facilities. J Healthc Des 9:3–24PubMed
87.
Birdwhistell RL. Introduction to kinesics: an annotation system for analysis of body motion and gesture. Department of State, Foreign Service Institute; 1952.
88.
89.
90.
91.
Lynch TJ, Wolfson DB, Baron RJ (2019) A trust initiative in health care: why and why now? Acad Med 94:463–465PubMedCrossRef
Metadata
Title
Establishing trust with children
Authors
Benjamin A. Krauss
Piet L. Leroy
Baruch S. Krauss
Publication date
13-08-2024

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