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Biomedical subjects

D Marti

Publications and source records attributed to D Marti.

22 records · Page 2Linked to original sources

Is there a relationship between children's mental disorders and their ideal family constructs?

Psychiatric outpatients (N = 72) and nonclinical children (N = 72) from 1st to 12th grades portrayed their families as they wished they were (ideal representation), using the Family System Test (FAST), a figure placement technique that focuses on cohesion and hierarchy. Results showed that constructs of ideal family relations were related to age group (1st to 3rd graders versus 4th to 12th graders) and to clinical status (clinical versus nonclinical) but not to the type of mental disorder. First, younger children portrayed less cohesion than did older ones. Second, clinical respondents were less likely to represent cohesive family patterns and were more likely to report ideal family situations as special events. Results are discussed from a developmental as well as from a family systems perspective.

Adolescent↗

Does cartoon movie distraction decrease burned children's pain behavior?

The purpose of this study was to evaluate cartoon movie viewing as a practical and low-cost intervention to decrease burned children's pain behavior during dressing changes. Thirteen children, 4 to 12 years of age, with a mean TBSA burn of 7.9% were assessed using a reversal, single-subject experimental design. The experimental condition consisted of the presentation of a cartoon movie as a nonpharmacologic intervention in conjunction with a standardized analgesic medication. In the control condition children's pain was treated with the standardized analgesic medication only. Behavioral distress was measured during the first six dressing changes postburn with the Observational Scale of Behavioral Distress. No significant effect of cartoon movie distraction on observed behavioral distress in patients was found. Interrater reliability of the Observational Scale of Behavioral Distress was good (kappa =.87-.98). Wound debridement was found to be the most painful part of the dressing change. A simple, easily applicable, and low-cost distraction intervention such as presenting cartoon movies does not seem to be sufficiently powerful to measurably reduce burned children's distress during dressing changes. Findings are based on purely observational data. Inclusion of self-report measures in future studies might reveal intervention effects on anxiety and subjective pain perception.

Attention↗