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Examined the utility of a new parent-report measure designed specifically for pediatric inpatients, the Behavioral Upset in Medical Patients-Revised (BUMP-R). The BUMP-R was administered to 151 mothers of hospitalized children ages 4-12 years the day following the child's hospital admission. The BUMP-R demonstrated good internal consistency and a factor analysis revealed four factors identified as negativity/agitation, amiability, dysphoria, and noncompliance. Children exhibiting behavioral distress at home were more likely to experience adjustment problems upon hospitalization. Demographic and illness-related variables were not substantial risk factors for hospital adjustment difficulties.

Behavioral Upset in Medical Patients-Revised: Evaluation of a Parent Report Measure of Distress for Pediatric Populations