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Social adaptability, cognitive abilities, and other predictors for children's reactions to surgery

Z N Kain1, L C Mayes, S J Weisman

  • 1Department of Anesthesiology, Yale University School of Medicine, New Haven, CT 06510, USA. kain@biomed.med.yale.edu

Journal of Clinical Anesthesia
|January 4, 2001
PubMed

Insights

Children with poor social skills, shy temperaments, and anxious parents are more likely to experience perioperative anxiety. Addressing these factors can help manage anxiety in pediatric surgical patients.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Behavioral Science

Background:

  • Perioperative anxiety is a significant concern in pediatric surgery.
  • Understanding predictors of anxiety is crucial for effective management.
  • Social adaptability, cognitive abilities, and personality traits may influence anxiety levels.

Purpose of the Study:

  • To investigate the relationship between social adaptability, cognitive abilities, personality, and perioperative anxiety in children.
  • To identify independent predictors of perioperative anxiety in pediatric surgical patients.

Main Methods:

  • Prospective cohort study of 60 children (3-10 years) undergoing surgery.
  • Evaluated temperament (EASI), cognitive abilities (KABC), and adaptive behavior (Vineland).
  • Assessed parental coping and anxiety (MBBS, STAI-S/T); measured child anxiety (m-YPAS).

Main Results:

  • Younger age, poor social adaptability, shy temperament, higher intelligence, parental anxiety, and high-monitoring coping were associated with higher anxiety.
  • Parental anxiety, child's social adaptability, and temperament (sociability) were independent predictors of perioperative anxiety.

Conclusions:

  • Socially maladjusted children, those with shy temperaments, and children of anxious parents are at higher risk for perioperative anxiety.
  • Anesthesiologists should consider these factors when managing pediatric surgical patients.
Abstract

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