Association of Temperament With Preoperative Anxiety in Pediatric Patients Undergoing Surgery

Chow, Cheryl H. T.; Rizwan, Ayesha; Xu, Richard; Poulin, Lauren; Bhardwaj, Varun; Lieshout, Ryan J. Van; Buckley, Norman; Schmidt, Louis A.

doi:10.1001/jamanetworkopen.2019.5614

Cited by 26 publications

(23 citation statements)

References 75 publications

(103 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Future research should include validated and reliable self-report anxiety measures that are specific for the perioperative setting (e.g., Children’s Perioperative Multidimensional Anxiety Scale), 41 along with pain intensity levels, at various specified time points (i.e., preoperative clinic visits, on the day of surgery, immediately after surgery, 2–3 months after surgery, and 12 months after surgery) to help better understand the onset and course of the relations between anxiety and pediatric postsurgical pain during different phases. Future research should also examine the potential mechanisms driving these relations as postulated by the fear-avoidance model and by incorporating individual child (e.g., temperament and behaviors via behavioral coding) 42 , 45 and parental factors (e.g., coping styles) 46 in pain trajectories to help identify children and adolescents who are at risk for the development of CPSP. Given that child and parental state anxiety are potentially modifiable risk factors, it is imperative to continue to examine the impacts of interventions in reducing both anxiety and pediatric postsurgical pain and to inform the design on the prevention and intervention strategies in optimizing pediatric perioperative care and pain management.…”

Section: Discussionmentioning

confidence: 99%

“…Parent Pain Catastrophizing Scale 56 Anxiety sensitivity The degree to which one interprets anxiety-related symptoms as being associated with potentially harmful somatic, psychological, or social consequences 40 Childhood Anxiety Sensitivity Index 39 Parent Anxiety Sensitivity Index 40 State anxiety A temporary condition experienced in a specific situation 17 State-Trait Anxiety for Children 57 State-Trait Anxiety for Youth 58 Trait anxiety A general tendency to perceive situations as threatening 17 State-Trait Anxiety for Children 57 State-Trait Anxiety for Youth 58…”

Section: Catastrophizingmentioning

confidence: 99%

See 1 more Smart Citation

The role of anxiety and related states in pediatric postsurgical pain

Chow

Buckley

2020

Canadian Journal of Pain

Self Cite

View full text Add to dashboard Cite

Background: Nearly 20% of children and adolescents have pain with disability 1 year after surgery, and they experience poor sleep, school absence, and decreased activities. Negative clinical, psychological, and developmental effects include greater pain medication use, longer recovery, and fear of future medical care. Research has found psychological and family influences (i.e., child and parental anxiety) on pediatric chronic postsurgical pain (CPSP), but a better understanding of the role of perioperative anxiety and its related states in predicting pediatric postsurgical pain is needed. The poor understanding of the causes of child CPSP can lead to misdiagnosis and inadequate treatment, with significant short- and long-term effects. Objectives: The aim of this review was to summarize the literature on children’s perioperative anxiety and parental anxiety in relation to acute postsurgical pain, CPSP, and pain trajectories. We also examined other related psychological factors (i.e., anxiety sensitivity, catastrophizing, pain anxiety, and fear of pain) in relation to pediatric acute and chronic postsurgical pain. Lastly, we discuss the interventions that may be effective in reducing children’s and parents’ preoperative anxiety. Conclusions: Our findings may improve the understanding of the causes of CPSP and highlight the gaps in research and need for further study.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Catastrophizingmentioning

confidence: 99%

The role of anxiety and related states in pediatric postsurgical pain

Chow

Buckley

2020

Canadian Journal of Pain

Self Cite

View full text Add to dashboard Cite

show abstract

“…Cheryl et al conducted a meta-analysis of 12 related studies, comprising 1064 patients, and found that factors such as daily activities, emotional state, social situation, introversion, escape behavior, and degree of irritability were all correlated with the occurrence of preoperative anxiety in children. The analysis results revealed that the incidence of preoperative anxiety increased when children had daily negative emotions, irritability, introversion, and avoidance behaviors, while socially active children generally had a lower incidence of preoperative anxiety [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

Research Progress on Risk Factors of Preoperative Anxiety in Children: A Scoping Review

Liu

Jia

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: Preoperative anxiety has adverse effects on children and negative impacts on postoperative rehabilitation. Anesthesiologists can accurately identify children with preoperative anxiety, and individualized intervention can effectively improve their psychological state and clinical prognosis. However, a comprehensive summary of the current available evidence has yet to be conducted. Searches were conducted in Medline databases from inception to March 2022. Primary studies that reported preoperative anxiety in children and its attendant effects on postoperative recovery and prognosis were screened and included. Among the 309 publications identified, 12 related studies (n = 3540 patients) met the eligibility criteria. The incidence of preoperative anxiety in children in the included studies ranged from 41.7% to 75.44%. While 16 influencing factors were identified, only 5 factors had a significant impact on preoperative anxiety in children: younger age (n = 8), parental anxiety (n = 7), negative previous hospitalizations (n = 3), less sociableness (n = 2), and surgical setting (n = 1). The current scoping review identified risk factors for preoperative anxiety in children. Healthcare workers should identify and manage preoperatively anxious children. There are still some factors that are controversial, and large-scale clinical studies are needed.

show abstract

“…When they cannot maintain functional exercises, their caregivers are more likely to compromise, give up, thereby reducing the compliance [ 35 ]. Temperament characteristics are the psychological characteristics of a person's personality, and it is reported that it interacts with physical diseases and the treatment of physical diseases [ 36 , 37 ]. School-age children with easy-going temperament have a weaker stress response to fractures and surgical treatments, they have strong receptivity, positive emotions, and compliance with functional exercises [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Compliance of functional exercises in school-age children with limb fractures: implication for nursing countermeasures

Liu

Wang

et al. 2022

BMC Pediatr

View full text Add to dashboard Cite

Background Functional exercises is very essential to the recovery of patients with fracture. We aimed to evaluate the compliance of functional exercises in school-age children with limb fracture, to provide evidence to the clinical management and nursing care of children with limb fracture. Methods School-age children with limb fractures treated in our hospital from January 1, 2020 to June 30, 2021 were selected. The characteristics and postoperative functional exercise compliance of included children were analyzed. Pearson correlation and Logistic regression analysis were conducted to analyze the influencing factors of compliance to functional exercises. Results A total of 328 children with limb fracture were included, the incidence of compliance to functional exercise was only 35.98%. Pearson correlation analysis showed that age(r = 0.707), only child of family(r = 0.537), guardians(r = 0.642) and type of temperament(r = 0.635) were correlated with compliance to functional exercises in school-age children with limb fractures (all p < 0.05). Logistic regression analysis indicated that age ≤ 10y (OR2.913, 95%CI2.091 ~ 3.611), only child of family (OR2.006, 95%CI1.683 ~ 2.558), guarded by grandparents (OR1.512, 95%CI1.201 ~ 2.118), non-easy-going temperament (OR4.127, 95%CI3.811 ~ 4.902) were the influencing factors of non-compliance to functional exercises in children with limb fracture (all p < 0.05). Conclusions School-age children have poor compliance with functional exercises after limb fractures, and there are many influencing factors. For children with those risks, health care providers should actively intervene in nursing to improve children’s exercise compliance and the rehabilitation effect.

show abstract

Association of Temperament With Preoperative Anxiety in Pediatric Patients Undergoing Surgery

Cited by 26 publications

References 75 publications

The role of anxiety and related states in pediatric postsurgical pain

The role of anxiety and related states in pediatric postsurgical pain

Research Progress on Risk Factors of Preoperative Anxiety in Children: A Scoping Review

Compliance of functional exercises in school-age children with limb fractures: implication for nursing countermeasures

Contact Info

Product

Resources

About