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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
PubMed

Insights

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.
Abstract

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