Response biases in preschool children’s ratings of pain in hypothetical situations

Abstract Response biases are systematic biases in responding to test items that are unrelated to the content of the items. Examples often reported in young children include choosing only the lowest or highest anchors of a scale, or choosing a left-to-right sequence of responses. We investigated the...

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Bibliographic Details
Published in:European journal of pain 2009-02, Vol.13 (2), p.209-213
Main Authors: von Baeyer, Carl L, Forsyth, Sasha J, Stanford, Elizabeth A, Watson, Mark, Chambers, Christine T
Format: Article
Language:English
Subjects:
Aging - psychology
Anesthesia & Perioperative Care
Bias
Child
Child, Preschool
Computer Simulation
Data Interpretation, Statistical
Facial Expression
Female
Humans
Male
Measurement
Monte Carlo Method
Pain Measurement - psychology
Pain Medicine
Photic Stimulation
Preschool
Response bias
Response set
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Summary:Abstract Response biases are systematic biases in responding to test items that are unrelated to the content of the items. Examples often reported in young children include choosing only the lowest or highest anchors of a scale, or choosing a left-to-right sequence of responses. We investigated the presence of response biases in young children’s ratings of pain in hypothetical situations, as a way of gauging their developing understanding of a pain scale over the preschool years. Children aged 3–5 years ( N = 185) rated items from the Charleston Pediatric Pain Pictures (CPPP) using the Faces Pain Scale-Revised (FPS-R). Response biases were identified objectively by computer pattern identification. Anchor biases (choosing the lowest and highest pain faces) occurred in 16% of children. Left–right or right–left sequences occurred in 35%. Monte Carlo simulation established that such patterns occur infrequently by chance (
ISSN:1090-3801
1532-2149
DOI:10.1016/j.ejpain.2008.03.017