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Children with high and intermediate imperforate anus: remembering and talking about medical treatment carried out early in life

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Abstract

Treatment of children with high and intermediate imperforate anus entails several different surgical procedures during the first 3–12 months of life, which are accompanied by a strict follow-up treatment regimen. It has not been studied whether the children remember this treatment carried out early in life. Research has shown that small children may demonstrate so-called non-verbal memories of salient events occurring in early childhood. The purpose was to examine whether children with imperforate anus showed distressing memories of previous medical treatment and whether parent–child dialog about medical treatment is related to the child’s psychosocial functioning later in life. Parents of 25 children (9 boys, 16 girls) with high and intermediate imperforate anus participated in the study. The mean age among the children was 10.5 years (range 8.0–13.6). A comparison group of 30 children (5 boys and 25 girls) with juvenile chronic arthritis also participated in the study. The mean age was 10.6 years (range 7.8–13.6). All parents answered the Child Behavior Checklist (CBCL/4-18) and a study-specific questionnaire. Children in both groups were reported to show distressing memories of early treatment. Children who had been talked to showed good psychosocial function and were in a better mood and less angry than those who had not been talked to. Parent–child discussions about the child’s experiences of medical treatment did not seem to be harmful or in any other way detrimental to the child, instead such discussions seemed to facilitate the child’s psychosocial functioning.

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References

  1. Kiely EM, Peña A (1998) Anorectal malformations. In: O’Neill JA (ed) Pediatric surgery. Mosby, St. Louis, pp 1425–1448

    Google Scholar 

  2. Butler LD, Symons BK, Henderson SL, Shortliffe LD, Spiegel D (2005) Hypnosis reduces distress and duration of an invasive medical procedure for children. Pediatrics 115:e77–e85

    PubMed  Google Scholar 

  3. Peña A, Hong A (2000) Advances in the management of anorectal malformations. Am J Surg 180:370–376

    Article  PubMed  Google Scholar 

  4. Usher JA, Neisser U (1993) Childhood amnesia and the beginnings of memory for four early life events. J Exp Psychol Gen 122:155–165

    Article  PubMed  CAS  Google Scholar 

  5. Eacott MJ, Crawley RA (1998) The offset of childhood amnesia: memory for events that occurred before age 3. J Exp Psychol Gen 127:22–33

    Article  PubMed  CAS  Google Scholar 

  6. Newcombe NS, Bullock Drummey A, Fox N, Lie E, Ottinger-Alberts W (2000) Remembering early childhood: how much, how, and why (or why not). Curr Dir Psychol Science 9:55–58

    Article  Google Scholar 

  7. Taddio A, Katz J, Ilersich AL, Koren G (1997) Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet 349:599–603

    Article  PubMed  CAS  Google Scholar 

  8. Peterson C, Rideout R (1998) Memory for medical emergencies experienced by 1- and 2-year-olds. Dev Psychol 34:1059–1072

    Article  PubMed  CAS  Google Scholar 

  9. Diseth TH, Egeland T, Emblem R (1998) Effects of anal invasive treatment and incontinence on mental health and psychosocial functioning of adolescents with Hirschsprung’s disease and low anorectal anomalies. J Pediatr Surg 33:468–475

    Article  PubMed  CAS  Google Scholar 

  10. Diseth TH, Emblem R (1996) Somatic function, mental health, and psychosocial adjustment of adolescents with anorectal anomalies. J Pediatr Surg 31:638–643

    Article  PubMed  CAS  Google Scholar 

  11. Athanasakos E, Starling J, Ross F, Nunn K, Cass D (2006) An example of psychological adjustment in chronic illness: Hirschsprung’s disease. Pediatr Surg Int 22:319–325

    Article  PubMed  CAS  Google Scholar 

  12. Ludman L, Spitz L, Tsuji H, Pierro A (2002) Hirschsprung’s disease: functional and psychological follow up comparing total colonic and rectosigmoid aganglionosis. Arch Dis Child 86:348–351

    Article  PubMed  CAS  Google Scholar 

  13. Goyal A, Williams JM, Kenny SE, Lwin R, Baillie CT, Lamont GL, Turnock RR (2006) Functional outcome and quality of life in anorectal malformations. J Pediatr Surg 41:318–322

    Article  PubMed  Google Scholar 

  14. Schreier H, Ladakakos C, Morabito D, Chapman L, Knudson MM (2005) Posttraumatic stress symptoms in children after mild to moderate pediatric trauma: a longitudinal examination of symptom prevalence, correlates, and parent–child symptom reporting. J Trauma 58:353–363

    Article  PubMed  Google Scholar 

  15. Cohen LL, Blount RL, Cohen RJ, Ball CM, McClellan CB, Bernard RS (2001) Children’s expectations and memories of acute distress: short- and long-term efficacy of pain management interventions. J Pediatr Psychol 26:367–374

    Article  PubMed  CAS  Google Scholar 

  16. Zelikovsky N, Rodrigue JR, Gidycz CA, Davis MA (2000) Cognitive behavioral and behavioral interventions help young children cope during a voiding cystourethrogram. J Pediatr Psychol 25:535–543

    Article  PubMed  CAS  Google Scholar 

  17. Claar RL, Walker LS, Smith CA (2002) The influence of appraisals in understanding children’s experiences with medical procedures. J Pediatr Psychol 27:553–563

    Article  PubMed  Google Scholar 

  18. Haden CA, Ornstein PA, Eckerman CO, Didow SM (2001) Mother–child conversational interactions as events unfold: linkages to subsequent remembering. Child Dev 72:1016–1031

    Article  PubMed  CAS  Google Scholar 

  19. Achenbach TM (1991) Manual for the child behavior checklist/4–18 and 1991 profile. Department of Psychiatry, University of Vermont, Burlington

    Google Scholar 

  20. Larsson B, Frisk M (1999) Social competence and emotional/behaviour problems in 6–16 year-old Swedish school children. Eur Child Adolesc Psychiatry 8:24–33

    Article  PubMed  CAS  Google Scholar 

  21. Nisell M, Öjmyr-Joelsson M, Frenckner B, Rydelius PA, Christensson K (2003) How a family is affected when a child is born with anorectal malformation Interviews with three patients and their parents. J Pediatr Nurs 18:423–432

    Article  PubMed  Google Scholar 

  22. Rovee-Collier C, Hartshorn K, DiRubbo M (1999) Long-term maintenance of infant memory. Dev Psychobiol 35:91–102

    Article  PubMed  CAS  Google Scholar 

  23. Fivush R (1998) Children’s recollections of traumatic and nontraumatic events. Dev Psychopathol 10:699–716

    Article  PubMed  CAS  Google Scholar 

  24. Richardson R, Hayne H (2007) You can’t take it with you the translation of memory across development. Curr Dir Psychol Sci 16:223–227

    Article  Google Scholar 

  25. Salmon K, Price M, Pereira JK (2002) Factors associated with young children’s long-term recall of an invasive medical procedure: a preliminary investigation. J Dev Behav Pediatr 23:347–352

    PubMed  Google Scholar 

  26. Levitt MA, Peña A (2005) Outcomes from the correction of anorectal malformations. Curr Opin Pediatr 17:394–401

    Article  PubMed  Google Scholar 

  27. Mäntymaa M, Puura K, Luoma I, Salmelin R, Davis H, Tsiantis J, Ispanovic-Radojkovic V, Paradisiotou A, Tamminen T (2003) Infant–mother interaction as a predictor of child’s chronic health problems. Child Care Health Dev 29:181–191

    Article  PubMed  Google Scholar 

  28. Zhou Q, Eisenberg N, Losoya SH, Fabes RA, Reiser M, Guthrie IK, Murphy BC, Cumberland AJ, Shepard SA (2002) The relations of parental warmth and positive expressiveness to children’s empathy-related responding and social functioning: a longitudinal study. Child Dev 73:893–915

    Article  PubMed  Google Scholar 

  29. Melnyk BM, Alpert-Gillis L, Feinstein NF, Crean HF, Johnson J, Fairbanks E, Small L, Rubenstein J, Slota M, Corbo-Richert B (2004) Creating opportunities for parent empowerment: program effects on the mental health/coping outcomes of critically ill young children and their mothers. Pediatrics 113:e597–e607

    Article  PubMed  Google Scholar 

  30. Wareham P, Salmon K (2006) Mother–child reminiscing about everyday experiences: implications for psychological interventions in the preschool years. Clin Psychol Rev 26:535–554

    Article  PubMed  Google Scholar 

  31. Fivush R, Berlin LJ, Sales JM, Mennuti-Washburn J, Cassidy J (2003) Functions of parent–child reminiscing about emotionally negative events. Memory 11:179–192

    Article  PubMed  Google Scholar 

  32. Conroy R, Salmon K (2006) Talking about parts of a past experience: the impact of discussion style and event structure on memory for discussed and nondiscussed information. J Exp Child Psychol 95:278–297

    Article  PubMed  Google Scholar 

  33. O’Leary SG, Vidair HB (2005) Marital adjustment, child-rearing disagreements, and overreactive parenting: predicting child behavior problems. J Fam Psychol 19:208–216

    Article  PubMed  Google Scholar 

  34. Cremeens J, Eiser C, Blades M (2006) Factors influencing agreement between child self-report and parent proxy-reports on the Pediatric Quality of Life Inventory 4.0 (PedsQL) generic core scales. Health Qual Life Outcomes 4:58

    Article  PubMed  Google Scholar 

  35. Gong GW, Young NL, Dempster H, Porepa M, Feldman BM (2007) The Quality of My Life questionnaire: the minimal clinically important difference for pediatric rheumatology patients. J Rheumatol 34:581–587

    PubMed  Google Scholar 

  36. Hartman EE, Oort FJ, Aronson DC, Hanneman MJ, van Heurn E, de Langen ZJ, Madern GC, Rieu PN, van der Zee DC, Looyaard N, van Silfhout-Bezemer M, Sprangers MA (2007) Explaining change in quality of life of children and adolescents with anorectal malformations or Hirschsprung disease. Pediatrics 119:e374–e383

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors wish to thank the Solstickan Foundation, the First of May Flower Annual Campaign and the Groschinsky Foundation and the Crown Princess Lovisa Foundation for financial support.

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Authors and Affiliations

  1. Pediatric Surgery Unit, Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden

    Maria Öjmyr-Joelsson & Björn Frenckner

  2. Reproductive and Perinatal Health Care Unit, Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden

    Kyllike Christensson

  3. Child and Adolescent Psychiatric Unit, Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden

    Margret Nisell

  4. Department of Psychology, Stockholm University, Stockholm, Sweden

    Torun Lindholm

Authors
  1. Maria Öjmyr-Joelsson
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  2. Kyllike Christensson
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  3. Björn Frenckner
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  4. Margret Nisell
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  5. Torun Lindholm
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Correspondence to Maria Öjmyr-Joelsson.

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Öjmyr-Joelsson, M., Christensson, K., Frenckner, B. et al. Children with high and intermediate imperforate anus: remembering and talking about medical treatment carried out early in life. Pediatr Surg Int 24, 1009–1015 (2008). https://doi.org/10.1007/s00383-008-2203-z

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  • DOI: https://doi.org/10.1007/s00383-008-2203-z

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