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Published on: July 19, 2017
Do trait anxiety and age predict state anxiety of school-age children?
Ho Cheung William Li1, Violeta Lopez
1The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, China. williamli@cuhk.edu.hk
Insights
Childhood trait anxiety strongly predicts state anxiety in stressful situations, unlike age. This finding aids nurses in identifying children needing preoperative psychological support for better surgical recovery.
Area of Science:
- Child Psychology
- Pediatric Nursing
- Anxiety Research
Background:
- Pediatric surgery induces significant stress and anxiety in children.
- Identifying children prone to high anxiety is crucial for effective preoperative interventions.
Purpose of the Study:
- To investigate if trait anxiety and age predict state anxiety in children.
- To differentiate anxiety responses in stressful versus relaxing situations.
Main Methods:
- A test-retest design involved 519 primary school-age children.
- Children completed the Chinese State-Trait Anxiety Inventory for Children.
- Data collected under stressful (pre-exam) and relaxing (post-exam) conditions.
Main Results:
- Trait anxiety was a strong predictor of state anxiety in stressful situations.
- Trait anxiety did not predict state anxiety in relaxing situations.
- Age was a weak predictor of state anxiety in both situations.
Conclusions:
- Childhood trait anxiety predicts state anxiety in stressful contexts.
- Trait anxiety scales can screen children at risk for surgical anxiety.
- Early identification enables tailored preoperative interventions for improved recovery.
Aim:
The aim of this study was to determine whether the trait anxiety scores and age of children could predict their state anxiety scores under stressful and relaxing situations.
Background:
Surgery can cause considerable stress and anxiety that can have a profound effect on children. It is crucial for nurses to differentiate preoperative anxiety levels in children and to identify those children who are most likely to exhibit high levels of anxiety when undergoing surgery before any intervention can be appropriately planned, provided and evaluated.
Methods:
A test-retest within subjects design was used. Five hundred and nineteen primary school-age children were invited to participate in the study. Participants were asked to respond to the Chinese version of the State-Trait Anxiety Inventory for Children under stressful (pre-academic examination) and relaxing (post-academic examination) situations.
Result:
Multiple regression analysis showed that the trait anxiety of children was a strong predictor of their state anxiety in a stressful situation but not in a relaxed one. Compared to trait anxiety, age was found to be a weak predictor of the state anxiety of children in either situation.
Conclusion:
This study confirmed that trait anxiety of children could be predicted from their state anxiety under a stressful situation.
Relevance To Clinical Practice:
The trait anxiety scale could be a useful screening tool for nurses to identify those children who are most likely to exhibit high levels of anxiety when undergoing surgery. Understanding the trait anxiety of children in advance could help nurses implement appropriate preoperative psychological intervention that can meet the individual needs of the child and thus promote better recovery.
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