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Children's Perioperative Multidimensional Anxiety Scale (CPMAS): Turkish Validity and Reliability Study
Nuray Caner1, Emine Erdem1, Mevlüde Yasemin Akşehirli Seyfeli2
1Department of Pediatric Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.
Insights
The Turkish version of the Children's Perioperative Multidimensional Anxiety Scale (CPMAS) is reliable and valid for assessing anxiety in children aged 7-13. This validated tool aids in understanding and managing pediatric perioperative anxiety.
Area of Science:
- Pediatric Psychology
- Health Services Research
- Psychometrics
Background:
- Perioperative anxiety in children can significantly impact their recovery and overall experience.
- Accurate assessment tools are crucial for identifying and managing this anxiety.
- The Children's Perioperative Multidimensional Anxiety Scale (CPMAS) is a valuable instrument, but its Turkish version required validation.
Purpose of the Study:
- To evaluate the reliability and validity of the Turkish translation of the Children's Perioperative Multidimensional Anxiety Scale (CPMAS).
- To establish CPMAS as a dependable tool for measuring anxiety in Turkish pediatric surgical patients.
Main Methods:
- A methodological research design was employed.
- One hundred children (aged 7-13) undergoing elective surgery participated.
- Data were collected using the Turkish CPMAS and the State-Trait Anxiety Inventory-Children preoperatively, on the day of surgery, and one month postoperatively.
Main Results:
- The Turkish CPMAS demonstrated good test-retest reliability (ICC = 0.51–0.78) and internal consistency (Cronbach's alpha = 0.78–0.81).
- Content and construct validity were confirmed, with moderate correlations to the State-Trait Anxiety Inventory-Children.
- Inter-item correlations were within acceptable ranges across all measurement points.
Conclusions:
- The Turkish version of the CPMAS is a reliable and valid instrument.
- It is suitable for assessing perioperative anxiety in children aged 7 to 13 years within clinical settings.
- This validated scale supports improved care for pediatric surgical patients in Turkey.
Purpose:
To test the validity and reliability of the Turkish version of the Children's Perioperative Multidimensional Anxiety Scale (CPMAS).
Design:
Methodological research model.
Methods:
One hundred children (81% male) aged 7 to 13 years undergoing elective surgery at a tertiary university hospital were included. Self-administered CPMAS and State-Trait Anxiety Inventory-Children were used to collect data at preoperative, operation day, and a month after the operation. Internal consistency, test-retest reliability, parallel form reliability, and content and construct validity of the tools were determined across all three visits.
Findings:
The CPMAS demonstrated good test-retest reliability (ICC = 0.51 to 0.78) and good internal consistency (Cronbach's alpha = 0.78 to 0.81). Inter item correlation values were ranged from 0.20 to 0.62 at preoperative, 0.32 to 0.64 on the day of operation and 0.36 to 0.75 at a month after the operation. CPMAS single-factor construct and the explanatory percentages were 0.54 and above. After Pearson correlation analysis, CPMAS was moderately correlated with State-Trait Anxiety Inventory-Children at T1 (r = 0.54, P < .01) and T2 (r = 0.56, P < .01).
Conclusions:
The Turkish version of CPMAS has good reliability and validity score. Therefore, it is a suitable instrument to assess perioperative anxiety in 7 to 13 years old children in a clinical setting.
