title: [Factors related to dissatisfaction and anger in parents of children treated at paediatric emergency services].
abstract: OBJECTIVE
  Anger in patients and relatives is very frequent in health emergency services and is often associated with aggressiveness and emotional alterations. The aim of the present study is to explore anger in parents while their children are receiving care in paediatric emergency services, seeking the specific dimensions of dissatisfaction that may predict the onset of anger in parents.
  
  
  METHODS
  A cross-sectional descriptive study using a self-report questionnaire in 711 parents of children seen in paediatric emergency departments. The self-report questionnaires used were the State-Trait Anger Expression Inventory-2 (STAXI-2) and the Satisfaction with Healthcare Services Scale. The statistical analysis included descriptive, correlational, variance and multiple linear regression models.
  
  
  RESULTS
  A total of 53 parents (7,5%) showed a moderate or high anger level. The mean score for satisfaction was 37.12 (SD=7.33). It was found that higher levels of overall satisfaction were significantly associated with lower levels of anger (r=-.29, p=.00). Among the variables studied, dissatisfaction with access to the service (β=-.172, p=.00), with the healthcare staff (β=-.121, p=.01), and perceived severity of the child's health status (β=.157, p=.00) predicted higher levels of anger.
  
  
  CONCLUSIONS
  On the basis of our results, it is important to continue working to substantially improve access for patients and their families to the emergency department, as well as the information and communication process with the healthcare staff should be included in intervention initiatives.
authors.affiliation: Departamento de Psicología Evolutiva y de la Educación, Universidad de Granada, España. Electronic address: afcastil@ugr.es.
authors.forename: A
authors.initials: A
authors.lastname: Fernández-Castillo
authors.affiliation: Hospital Universitario Virgen de las Nieves, Granada, España.
authors.forename: M J
authors.initials: MJ
authors.lastname: Vílchez-Lara
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000786:Anger; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D004638:Emergency Treatment / Q000592:standards; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D017060:Patient Satisfaction; D010372:Pediatrics; D057566:Self Report; D055815:Young Adult
keywords: Anger; Emergencies; Ira; Patient satisfaction; Satisfacción del paciente; Urgencias