Psychometric evaluation of the Chinese version of the State Anxiety Scale for Children

Ho Cheung William Li1, Violeta Lopez

  • 1The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.

Insights

This study validates the Chinese State Anxiety Scale for Children, finding it reliable for assessing surgical anxiety in children aged 7-12. It’s a useful tool for planning interventions and evaluating anxiety levels.

Area of Science:

  • Pediatric Psychology
  • Surgical Anxiety Assessment
  • Psychometric Validation

Background:

  • Anxiety in children undergoing surgery requires effective assessment tools for intervention planning.
  • The State Anxiety Scale for Children (SASC) is a potential tool, but its psychometric properties in Chinese populations needed evaluation.

Purpose of the Study:

  • To evaluate the psychometric properties of the Chinese version of the State Anxiety Scale for Children (SASC-C).
  • To determine the reliability and validity of the SASC-C for assessing anxiety in Chinese children.

Main Methods:

  • A cross-sectional study involving 237 primary school children and 112 day surgery patients (ages 7-12).
  • Psychometric evaluation included internal consistency, concurrent validity, construct validity, and factor analysis.

Main Results:

  • The Chinese SASC-C demonstrated adequate internal-consistency reliability.
  • The scale showed appropriate concurrent and construct validity, confirmed by factor analyses.
  • A good fit was observed between the scale's factor structure and the collected data.

Conclusions:

  • The Chinese version of the State Anxiety Scale for Children is a psychometrically sound self-report measure.
  • It is suitable for assessing anxiety levels in Chinese children aged 7-12 years undergoing surgery.
  • This validated tool can aid in planning and evaluating interventions for pediatric surgical anxiety.

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