Social adaptability, cognitive abilities, and other predictors for children's reactions to surgery.
J Clin Anesth
; 12(7): 549-54, 2000 Nov.
Article
in En
| MEDLINE
| ID: mdl-11137417
ABSTRACT
STUDY OBJECTIVE:
To examine the relationship between social adaptability, cognitive abilities, and other personality characteristics to perioperative anxiety. STUDYDESIGN:
Prospective cohort investigation. PATIENTS 60 children ASA physical status I and II, age 3 to 10 years.SETTING:
Tertiary care children's hospital. MEASUREMENTS Temperament (EASI), cognitive abilities (KABC), and adaptive behavior (Vineland) were evaluated in a group of children undergoing surgery. Parental coping style (MBBS) and parental state (STAI-S) and trait (STAI-T) anxiety were assessed as well. On the day of surgery, anxiety of the child was measured at the preoperative holding area and during induction of anesthesia (m-YPAS). MAINRESULTS:
Univariate correlational analysis demonstrated that young age (r = -0.27), poor social adaptability (Vineland) (r = -0.38), shy and inhibited personality (EASI; temperament) (r = -0.33), higher intelligence (KABC) (r = 0.29), increased parental anxiety (r = 0.44), and parental high-monitoring coping style (r = -0.25) are all associated with higher levels of perioperative anxiety. Stepwise multivariate regression analysis has demonstrated that controlling for the variables above, parental anxiety (p = 0.004), child's social adaptive capabilities (p = 0.04), and child's temperament (sociability) (p = 0.04) are independent predictors for increased perioperative anxiety (R(2) = 0.38, F = 5.5, p = 0.003).CONCLUSIONS:
Anesthesiologists need to pay close attention to the families of pediatric surgical children who are socially maladjusted, shy and inhibited, and have anxious parents.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Social Adjustment
/
Surgical Procedures, Operative
/
Cognition
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Clin Anesth
Journal subject:
ANESTESIOLOGIA
Year:
2000
Document type:
Article
Affiliation country:
United States