Is there a fever phobia present in parents of young children?
Abstract
Background: Fever is one of the most common reasons for parents to seek medical attention for their child. Parents are commonly very concerned about their child’s fever and sometimes this overconcern can almost reach the level of a phobia. This is due to a widely accepted belief that fever is a disease on its own. Many parents believe that fever can cause different harmful effects to a child. The aim of this study was to determine how much Slovenian parents know about fever, whether they have any fears and anxieties when their child has experienced fever and to determine how they treat febrile children at home. Our main hypothesis was that in Slovenia there is a parental overconcern over fever in children.
Methods: A questionnaire consisting of 24 questions was administered to parents who brought their child to a routine visit in two pediatric dispensaries. During October 2003 and January 2004 we managed to obtain 76 filled-out questionnaires.
Results: 14% of parents said they were very worried and an additional 72% were somewhat worried about potential consequences of fever. 49% believe fever can cause brain damage and 18% believe this can be caused by temperatures below 41°C. 8% of parents overdose paracetamol, 33% use an incorrect technique of sponging and 38% awaken their child at night.
Conclusions: In Slovenia there also exists a fever phobia. Slovenian parents are undereducated about the meaning, causes end effects of fever and they often deal with their child’s fever overwhelmingly and improperly.
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References
Van der Jagt EW. Fever. In: Hoekelman RA, ed. Primary pediatric care. 3rd ed. St. Louis: Mosby; 1997. p. 959–65.
Villarreal SF, Berman S, Groothius JR, Strange V, Schmitt BD. Telephone encounters in a pediatric group practice: a two year analysis of afterhour calls. Clin Pediatr 1984; 23: 456–8.
Črne-Finderle N. Povišana telesna temperatura. In: Bresjanac M, Rupnik M, eds. Patofiziologija s temelji fiziologije. Ljubljana: Inštitut za patološko fiziologijo; 2002. p. 109–10.
Guyton AC, Hall JE. Body temperature, temperature regulation, and fever. In: Guyton AC, Hall JE, eds. Textbook of medical physiology. Phyladelphia: WB Saunders; 1996. p. 285–9.
Čižman M. Vročina v otroški dobi in njeno zdravljenje. Med Razgl 1989; 28: 209–16.
Saper CB, Breder CD. The neurologic basis of fever. N Engl J Med 1994; 330: 1880–6.
Dinarello CA. Interleukin-1 and the pathogenesis of the acute phase response. N Engl J Med 1984; 311: 1413–8.
Adam HM. Fever and host responses. Pediatr Rev 1996; 17: 330–1.
Jeglič-Fatur A. Vročina brez lokaliziranih znakov bolezni. Zdrav Vestn 1998; 57 Suppl 2: II-57–60.
Neubauer D. Vročina, vročinski krči in bakteriemija. JAMA (slovenska izdaja) 2002; 5: 295–6.
Grossman M. Management of the febrile patient. Pediatr Infect Dis 1986; 5: 730–4.
Brunčko A. Vročinsko stanje v otroški dobi in vloga antipiretikov. Zdrav Vestn 1998; 57 suppl 2: II-49–52.
Schmitt BD. Fever phobia. Misconceptions of parents about fever. Am J Dis Child 1980; 134: 176–80.
Akerren Y. On hyperpyretic conditions during infancy and childhood. Acta Pedriatr 1943; 31: 1–72.
Fisher MMD, Raper RF. Fever in the intensive care unit. Br J Hosp Med 1987; 38: 109–11.
Schmitt BD. Fever in childhood. Pediatrics 1984; 74: 929–36.
Kluger MJ. Fever revisited. Pediatrics 1992; 90: 846–50.
Kluger MJ, Kozak W, Conn C, Leon L, Soszynsky D. The adaptive value of fever. Infect Dis Clin North Am 1996; 10: 1–8.
Pavlin R. Ali zvečana telesna temperatura samo škoduje? Zdrav Vestn 1998; 57 Suppl 2: II-53–6.
Roberts NJ. Impact of temperature elevation on immunologic defences. Rew Infect Dis 1991; 13: 462–72.
Mackowiak PA, Marling C, Cohen RL. Effects of temperature on antimicrobial succeptibility of bacteria. J Inf Dis 1982; 145: 550–3.
Sharber J. The efficacy of tepid sponge bathing to reduce fever in young children. Am J Emerg Med 1997; 15: 188–92.
Est M, Budihna M, Stanovnik L. Vloga antipiretikov v otroškem obdobju. Zdrav Vestn 1998; 57 Suppl 2: II-61–7.
Čižman M. Klinična uporaba antipiretikov – indikacije in kontraindikacije. Zdrav Vestn 1998; 57 Suppl 2: II-68–72.
Logar-Car G. Paracetamol (acetaminofen) in toksični učinki. Zdrav Vestn 1998; 57 Suppl 2: II-75–7.
Crocetti M, Moghbelli N, Serwint J. Fever phobia revisited: have parental misconceptions about fever changed in 20 years? Pediatrics 2001; 107: 1241– 6.
Rosti L. Fever phobia. Pediatrics 2002; 109: 555–6.
Soon WS, Cheong SK, Hong CY. Fever phobia in a primary healthcare setting: a Singapore perspective. Ann Acad Med Singapore 2003; 35: 26–7.
Blumenthal I. What parents think of fever. Fam Pract 1998; 15: 505–6.
Collazo M. Management of fever in children: study and practice in a center for family medicine. Bol Asoc Med PR 1992; 84: 294–7.
Van Stuijvenberg M, De Vos S, Tjiang GC, Steyerberg EW, Derksen-Lubsen G, Moll HA. Parents’ fear regarding fever and febrile seizures. Acta Pediatr 1999; 88: 618–22.
Sarrel M, Cohen HA, Kahan E. Physicians’, nurses’ and parents’ attitudes to and knowledge about fever in early childhood. Patient Educ Couns 2002; 46: 61–5.
Ipp M, Jaffe D. Physicians’ attitudes toward the diagnosis and management of fever in children 3 months to 2 years of age. Clin Pediatr 1993; 32: 66–70.
May A, Bauchner H. Fever phobia: the pediatricians’ contribution. Pediatrics 1992; 90: 851–4.
Casey R, McMahon F, McCormic MC, Pasquariello PS, Zavod W, King F. Fever therapy: An educational intervention for parents. Pediatrics 1984; 73: 600–5.
Kelly I, Morin K, Young D. Improving caretakers‘ knowledge of fever management in preschool children: is it possible? J Pediatr Health Care 1996; 10: 167–73.
Usherwood TP. Development and randomized controlled trial of a booklet of advice for parents. Br J Gen Pract 1991; 41: 58–62.
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