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Children's Shyness in a Surgical Setting.

Cheryl H T Chow1, Nadine Nejati2, Kristie L Poole3

  • 1Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Ontario.

Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal De L'Academie Canadienne De Psychiatrie De L'Enfant Et De L'Adolescent
|October 24, 2017
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Temperamentally shy children experienced less preoperative anxiety before surgery. These findings suggest shy children may possess coping strategies beneficial for managing surgical stress.

Keywords:
adolescentanxietychildpreoperative periodshynesstemperament

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Area of Science:

  • Pediatric Psychology
  • Surgical Anxiety Research

Background:

  • Preoperative anxiety is a common concern in children undergoing surgery.
  • Understanding factors influencing preoperative anxiety is crucial for effective management.

Purpose of the Study:

  • To investigate the relationship between childhood temperament, specifically shyness, and levels of preoperative anxiety.
  • To explore if temperamental traits predict anxiety in the surgical context.

Main Methods:

  • Assessed temperamental shyness using the Colorado Childhood Temperament Inventory in 40 children (aged 8-13) undergoing elective surgery.
  • Measured preoperative anxiety using the Children's Perioperative Multidimensional Anxiety Scale at one week (T1) and on the day of surgery (T2).

Main Results:

  • Temperamental shyness was found to predict significantly lower levels of preoperative anxiety at both T1 (β = -10.78, p = .03) and T2 (β = -12.31, p = .03).

Conclusions:

  • Paradoxically, temperamentally shy children may exhibit lower preoperative anxiety due to developed coping strategies from managing everyday anxieties.
  • Findings highlight the importance of considering individual temperament in understanding and managing children's anxiety in healthcare settings.
  • Implications for person-by-context interactions and clinical interventions for pediatric surgical anxiety are discussed.