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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.
Summary
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.

