Pj. Bachanas et Rl. Blount, THE BEHAVIORAL APPROACH-AVOIDANCE AND DISTRESS SCALE - AN INVESTIGATION OF RELIABILITY AND VALIDITY DURING PAINFUL MEDICAL PROCEDURES, Journal of pediatric psychology, 21(5), 1996, pp. 671-681
Validated the use of the Behavioral Approach-Avoidance and Distress Sc
ale (BAADS; Hubert, Jay, Saltoun, & Hayes, 1988), which was reported t
o be easily completed and scored in an analog situation, for measuring
children's distress and coping style during actual painful medical pr
ocedures. 60 preschool children who were receiving immunizations at a
health department were subjects. Objective measures (Observational Sca
le of Behavioral Distress and Child-Adult Medical Procedure Interactio
n Scale-Revised) and subjective measures (child-, parent-, and nurse-r
eport) were used. Results of the current study support the internal co
nsistency and concurrent validity of the Distress subscale of the BAAD
S; however, some caution is suggested in interpreting the Approach-Avo
idance subscale, Discussion focuses on the utility of this scale in cl
inical settings and the cost-effectiveness of this measure for assessi
ng pediatric patients.