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Updated: Feb 11, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
08:09

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood

Published on: February 11, 2017

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Emotion regulation and premedication success relationship in children who underwent general anesthesia

Aslıhan Aykut, Berrin Işık

    Turkish Journal of Medical Sciences
    |May 2, 2018
    PubMed

    Insights

    Midazolam premedication effectively reduced emergence agitation in children undergoing tonsillectomy. Children with emotion regulation difficulties experienced more anxiety and agitation post-surgery.

    Area of Science:

    • Pediatric Anesthesiology
    • Child Psychology

    Background:

    • Premedication with midazolam is common in pediatric surgery.
    • Understanding factors influencing anesthetic efficacy is crucial for patient care.

    Purpose of the Study:

    • To investigate the relationship between emotion regulation and midazolam's effectiveness.
    • To assess the impact of midazolam premedication on pediatric surgical outcomes.

    Main Methods:

    • Sixty-three children (3-8 years) undergoing tonsillectomy received midazolam or no premedication.
    • Evaluated behavioral/emotional status using CPRS-48 and ERC.
    • Recorded sedation, pain, and emergence agitation using WSS, OPS, and PAED scales.

    Main Results:

    • Midazolam group showed significantly higher rates of sedation (90.6% vs 25.8%).
    • Lower postoperative pain (OPS) and emergence agitation (PAED) scores in the midazolam group.
    • Emotion regulation correlated with sedation and agitation in the no-premedication group.

    Conclusions:

    • Children with emotion regulation disorders exhibit increased anxiety and postoperative emergence agitation.
    • Midazolam premedication significantly reduces the incidence of emergence agitation in pediatric surgical patients.

    Keywords:
    Childrenmidazolamemergence agitationemotion regulation

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