{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T19:37:13Z","timestamp":1790883433954,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Procedural anxiety involves acute distress around medical procedures and may lead to avoidance or resistance behaviors that interfere with effective\u00a0cystic fibrosis\u00a0(CF) care and health outcomes. While individuals with CF\u00a0commonly endure uncomfortable and\/or distressing medical procedures, procedural anxiety among children and adolescents with CF has received little research attention. This study investigated the prevalence and correlates of procedural anxiety among individuals with CF aged 6\u201318 and their parents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Eighty\u2010nine parents of children with CF completed surveys examining child procedural anxiety, anxiety, and health behaviors (including treatment adherence); and parent vicarious procedural anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010five percent\u00a0of participants rated at least one CF\u2010related procedure as \u201cextremely\u201d anxiety\u2010inducing for their child. Parental vicarious procedural anxiety was reported in 80.9% of participants. Procedural anxiety significantly correlated with child anxiety, treatment\u2010resistive behaviors, and parent\u2010vicarious procedural anxiety. Procedural anxiety was associated with younger age and frequency of distressing procedures, but not with forced expiratory volume in 1\u2009s, body mass index, hospitalizations, or exposure to general anesthesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Procedural anxiety is common among children, adolescents, and caregivers, and is associated with child anxiety and treatment resistance, emphasizing the importance of screening and interventions for procedural anxiety as part of routine CF care from early childhood. Implications for screening and intervention are discussed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.26419","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T13:11:19Z","timestamp":1682428279000},"page":"1967-1976","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Procedural anxiety among children and adolescents with cystic fibrosis and their parents"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1069-0239","authenticated-orcid":false,"given":"Hayley","family":"Kimball","sequence":"first","affiliation":[{"name":"School of Psychology The University of Queensland St Lucia, Brisbane Queensland Australia"},{"name":"Children's Hospital Foundation Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa E.","family":"Cobham","sequence":"additional","affiliation":[{"name":"School of Psychology The 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