Dimensions of Pediatric Procedural Distress: Children's Anxiety and Pain During Immunizations

The purpose of this study was to isolate and compare children's procedural anxiety and pain. The study was conducted in a school-based pediatric health clinic with 39 fourth graders receiving 3 injection vaccinations over a 6-month period. Child and nurse ratings and an observational scale assessed anxiety and pain. Results suggest that anxiety and pain are highly correlated, however self-report and an observational measure discriminate between these constructs. Self-report and observational measurement indicated more pediatric pain than anxiety, whereas nurse reports did not indicate differences between children's pain and anxiety.