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Perioperative anxiety in children.
Michelle A Fortier1, Antonio M Del Rosario, Sarah R Martin
1Department of Anesthesiology and Perioperative Care, University of California-Irvine, Orange, CA, USA. mfortier@choc.org
Paediatric Anaesthesia
|March 5, 2010
Summary
Perioperative anxiety in children, encompassing pre- and post-surgery periods, is influenced by child sociability and parental anxiety. Addressing this anxiety can mitigate negative postoperative outcomes like pain and behavioral changes.
Area of Science:
- Pediatric Psychology
- Anesthesiology
- Child Development
Background:
- Limited research exists on children's anxiety throughout the entire perioperative period.
- Existing studies primarily focus on preoperative anxiety, neglecting the postoperative phase.
Purpose of the Study:
- To investigate the prevalence and predictors of children's anxiety across the perioperative continuum.
- To understand the relationship between perioperative anxiety and postoperative outcomes.
Main Methods:
- A cohort of 261 children aged 2-12 years participated in the study.
- Anxiety levels were assessed at three time points: pre-surgery, immediately post-surgery, and 2 weeks after surgery.
- Child sociability and parental anxiety were evaluated as potential predictors.
Main Results:
- Lower child sociability and higher parental anxiety were significant predictors of perioperative anxiety.
- Perioperative anxiety was correlated with increased postoperative pain.
- Elevated perioperative anxiety was associated with negative behavioral changes in children post-surgery.
Conclusions:
- Identifying and managing children's anxiety during the perioperative period is crucial.
- Interventions aimed at reducing perioperative anxiety can lead to improved postoperative recovery and well-being.
- Understanding the role of child and parent factors can inform targeted anxiety prevention strategies.
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