The object of this study is the stability of emotional regulation after pai
nful events during early development. Thirty subjects' facial expressions w
ere longitudinally observed at 3, 5, 11 and 18 months for 60 s before and 9
0 s after a paediatric vaccination. The results confirmed that regulation o
f gain increases with increasing age. Stability was found between 3 and 5 m
onths, but not between 3 and 11 months, thus suggesting that at 5-6 months,
there may be a developmental shift towards better regulation of stress res
ponses. In contrast to the existing literature, Italian infants showed much
more sadness than anger during soothing time; they also showed little pain
at 18 months. Differences in the medical procedures or maternal soothing s
trategies may account for differences in soothing between Italian and US sa
mples. (C) 1998 John Wiley & Sons, Ltd.