ATTENTION, COPING, AND ACTIVITY IN CHILDREN UNDERGOING ORTHOPEDIC-SURGERY

The purpose of this study was to determine how children's preoperative focus of attention on the stresses of surgery related to their preope rative coping and return to usual activities during recovery. Children 's attention was classified according to three different foci: concret e-objective, emotion, and vague. Children (N = 97) between the ages of 8 and 17 years who were undergoing major orthopaedic surgery particip ated in the study. Data were collected the day before surgery, and at 3, 6, and 9 months postoperatively. Children who focused on the concre te-objective aspects of surgery had the most positive activity outcome s, followed by the emotion-focused attention group. Children who were classified as having vague focused attentions had the least favorable activity outcomes. When there were significant coping by attention int eraction effects, vigilant copers who had a concrete-objective focus o f attention had the most favorable activity outcomes at each time of m easurement. Children who were able to focus their attention on concret e aspects of the experience tended to use vigilant coping and were abl e to return to their usual activities sooner. (C) 1997 John Wiley & So ns, Inc.