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Predicting Intense Levels of Child Anxiety During Anesthesia Induction at Hospital Arrival

Robin Eijlers1, Lonneke M Staals2, Jeroen S Legerstee1

  • 1Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Centre, Sophia Children's Hospital, Wytemaweg 8, Rotterdam, 3015 CN, The Netherlands.

Journal of Clinical Psychology in Medical Settings
|April 20, 2020
PubMed

Insights

Identifying children with high anxiety before anesthesia is crucial. The State Trait Anxiety Inventory for Children (STAIC) effectively predicts intense anxiety during anesthetic induction in pediatric patients.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Preoperative Anxiety Assessment

Background:

  • Intense preoperative anxiety in children correlates with increased pain, poor recovery, and emergence delirium.
  • Early identification of high-risk children upon hospital arrival is essential for timely intervention.

Purpose of the Study:

  • To evaluate internalizing behaviors and state anxiety measures at hospital arrival as predictors of intraoperative anesthetic induction anxiety in children.
  • To determine the diagnostic accuracy of specific anxiety assessment tools for predicting induction anxiety.

Main Methods:

  • One hundred children (4-12 years) undergoing elective daycare surgery were assessed.
  • State anxiety was measured using the modified Yale Preoperative Anxiety Scale (mYPAS) and the State Trait Anxiety Inventory for Children (STAIC).
  • Internalizing behavior was assessed using the Child Behavior Checklist (CBCL).

Main Results:

  • The STAIC and mYPAS scores at hospital arrival significantly predicted anxiety during anesthetic induction.
  • The Child Behavior Checklist (CBCL) did not show predictive value for induction anxiety.
  • The STAIC state form administered at hospital arrival emerged as the strongest predictor of intraoperative anxiety.

Conclusions:

  • The STAIC state form at hospital arrival demonstrates sufficient to good diagnostic accuracy for identifying children likely to experience intense anxiety during anesthetic induction.
  • Utilizing the STAIC allows for targeted interventions to mitigate preoperative anxiety in pediatric surgical patients.

Keywords:
AnxietyChildDiagnostic techniques and proceduresGeneral anesthesiaPsychometrics

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