Brief report: Optimizing children's memory and management of an invasive medical procedure: the influence of procedural narration and distraction.

Objective: To evaluate the influence of two interventions on children's memory of and distress during a voiding cysto-urethrogram (VCUG, X-ray of the kidneys).

Methods: Sixty-two children (aged 2.5-7.

Transient reduction in the posterior pituitary bright signal preceding water intoxication in a malnourished child.

We describe a 4 year-old boy with hypothalamic dysfunction and weight loss, attributed to psychosocial deprivation. Reduced intensity of the posterior pituitary bright signal (PPBS) on MRI, associated with a normal urinary concentrating ability, was documented in the 24 hours prior to the development of the syndrome of inappropriate secretion of antidiuretic hormone (ADH) and severe hyponatraemia. The PPBS was normal on MRI 2 months later, following weight gain and resolution of the other hypothalamic abnormalities.

Factors associated with young children's long-term recall of an invasive medical procedure: a preliminary investigation.

This exploratory study investigated children's recall of the voiding cysto-urethrogram (VCUG, x-ray of the kidneys) after a 6-month delay and the associations between children's memory reports and specific behaviors coded during the procedure (distraction, crying, procedure-related talk). Thirty-two children, aged 2 to 7 years, were interviewed 6 months after undergoing the VCUG. Twenty-nine of the 32 children reported information about the VCUG after 6 months.

Predicting children's response to an invasive medical investigation: the Influence of effortful control and parent behavior.

Objective: To investigate the relative contributions of effortful control (reflecting the child's ability to shift and refocus attention) and parental coping- and distress-promoting behaviors to children's coping and distress during the voiding cystourethrogram (VCUG, X-ray of the kidneys).

Method: Thirty-two children between ages 2 and 7 years were videotaped undergoing the VCUG. Parent and child behaviors were coded according to the CAMPIS-R (Blount et al.