PMID: 8953995Dec 1, 1996Paper

Preoperative anxiety in children. Predictors and outcomes

Archives of Pediatrics & Adolescent Medicine
Zeev N KainD V Cicchetti

Abstract

To determine predictors and behavioral outcomes of preoperative anxiety in children undergoing surgery. A prospective, longitudinal study. A university children's hospital. One hundred sixty-three children, 2 to 10 years of age (and their parents), who underwent general anesthesia and elective surgery. In the preoperative holding area, anxiety level of the child and parents was determined using self-reported and independent observational measures. At separation to the operating room, the anxiety level of the child and parents was rated again. Postoperative behavioral responses were evaluated 3 times (at 2 weeks, 6 months, and 1 year). A multiple regression model (R2 = 0.58, F = 6.4, P = .007) revealed that older children and children of anxious parents, who received low Emotionality, Activity, Sociability, and Impulsivity (EASI) ratings for activity, and with a history of poor-quality medical encounters demonstrated higher levels of anxiety in the preoperative holding area. A similar model (R2 = 0.42, F = 8.6, P = .001) revealed that children who received low EASI ratings for activity, with a previous hospitalization, who were not enrolled in day care, and who did not undergo premedication were more anxious at separation to the...Continue Reading

Citations

May 19, 2009·Anesthesia and Analgesia·Jill E MacLarenZeev N Kain
Feb 11, 1999·Anesthesia and Analgesia·Z N Kain
Feb 11, 1999·Anesthesia and Analgesia·K M MillerN Izenberg
Jun 29, 2001·Anesthesia and Analgesia·M E McCann, Z N Kain
Nov 2, 2002·Anesthesiology·Zeev N KainShu-Ming Wang
Mar 19, 2003·Paediatric Anaesthesia·Agnes T Watson, Anil Visram
Mar 5, 2004·Paediatric Anaesthesia·Marie Proczkowska-Björklund, Carl Göran Svedin
Dec 24, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·G Allen FinleyDonna Millington
Dec 21, 2006·Anesthesia and Analgesia·Gordana P Vlajkovic, Radomir P Sindjelic
Dec 6, 2006·AORN Journal·Victoria A Dreger, Thomas F Tremback
Mar 3, 2007·American Journal of Primatology·Danielle A Springer, Kate C Baker
Feb 1, 2007·Paediatric Anaesthesia·Nicole AlmenraderPaolo Pietropaoli
Jul 17, 2007·Journal of the American Veterinary Medical Association·Misse A-M VäisänenOuti M Vainio
Feb 23, 2008·Anesthesia and Analgesia·Jill MacLaren, Zeev N Kain
Jan 11, 2008·Paediatric Anaesthesia·Tayfun AydinAlev Kilicoglu
Sep 12, 2008·British Journal of Hospital Medicine·Aparna Prabhu, Jane Lockie
Oct 25, 2008·Psychopharmacology·Mark BlagroveBrigitte Brandner
May 8, 2009·Acta Anaesthesiologica Scandinavica·Y-C P AraiT Komatsu
Jun 10, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·Mark D TalonTobin Benham
Feb 20, 2009·Anesthesia and Analgesia·Senthilkumar SadhasivamJoel Gunter
Apr 14, 2010·International Journal of Paediatric Dentistry·Markus Themessl-HuberNathalie Terzi
Oct 17, 2009·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Annette J JohnsonS Gregory Jennings
Mar 5, 2010·Paediatric Anaesthesia·Michelle A FortierZeev N Kain
Mar 5, 2010·Paediatric Anaesthesia·Michelle A FortierZeev N Kain
Jan 4, 2012·Paediatric Anaesthesia·Zoe LaganaAllan M Cyna
Sep 14, 2012·The Journal of International Medical Research·J E KimY Lee
Sep 27, 2012·Anesthesia and Analgesia·Jeongwoo LeeSeonghoon Ko
Sep 17, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kristi D WrightDonald Sharpe
Mar 31, 2015·Journal for Specialists in Pediatric Nursing : JSPN·Ellen OlshanskyMichelle A Fortier
Feb 20, 2016·Journal of Immigrant and Minority Health·Robert S StevensonZeev N Kain
May 6, 2016·Journal of Neural Transmission·Eli R LebowitzRuth Feldman
Mar 25, 2016·Journal of Developmental and Behavioral Pediatrics : JDBP·Ingalill Gimbler BerglundBerit Björkman
May 26, 2017·Journal of Clinical Nursing·Laura PomicinoSara Buchini
Jul 8, 2017·Acta Anaesthesiologica Scandinavica·P K BuehlerA Schmitz
May 8, 2018·Pediatric Surgery International·Muhammet Emin NaldanDuygu Kara

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