Validation of a simple tool for anxiety trait screening in children presenting for surgery

Bellon, Myriam; Taillardat, E.; Hörlin, Anne-Laure; Delivet, Honorine; Brasher, Christopher; Hilly, Julie; Dahmani, Souhayl

doi:10.1093/bja/aex120

Cited by 11 publications

(18 citation statements)

References 23 publications

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“…In addition, proportions of patients exhibiting anxiety state during induction of anesthesia and those with an anxiety trait (61.3% and 33.3%, respectively) were similar to those used for sample size calculation (60% and 30%, respectively). The simple analog and faces scales employed in the current study have been robustly validated elsewhere, are very practical for multiple assessments over time, and may lead to increased participation and enrollment due to ease of use. However, the use of formal questionnaires such as STAI or myPAS questionnaires may have improved the generalizability of our results.…”

Section: Discussionmentioning

confidence: 99%

“…Hydroxyzine is a first‐generation H1 antihistamine commonly used for preoperative sedation in France. Children ≥8 years were chosen as most anxiety assessment tools used in children have been validated for this age group . It is of note that by law all patients scheduled for surgery in France present for a preanesthetic consultation on a separate day, at least 48 hours before surgery, and regardless of ASA status or surgical complexity .…”

Section: Methodsmentioning

confidence: 99%

“…Anxiety trait was assessed using the faces scale by asking children “how anxious do you usually feel at home and during daily life” . Trait was defined as a faces scale response ≥4—that is, any nonsmiling face.…”

Section: Methodsmentioning

confidence: 99%

“…However, the combination of psychological factors and events leading to the development of preoperative anxiety remains poorly investigated. Nonetheless, according to the available literature, anxiety during induction of anesthesia may be associated with factors related to maternal fear of anesthesia and surgery, maternal anxiety, child anxiety trait, and child anxiety state …”

Section: Introductionmentioning

confidence: 99%

“…Knowledge of these factors may well improve the effectiveness of targeted preventive strategies through better timing when treating both patients and families. Recent works have developed easy‐to‐use tools to quantify both anxiety state and trait in adults and children . The most common validated tools use faces or numerical visual analog scales to simplify anxiety trait and anxiety state assessments.…”

Section: Introductionmentioning

confidence: 99%

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Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children

Delivet

Beauvais

Mialot

et al. 2018

Pediatric Anesthesia

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Summary Background Preventive strategies are available to reduce preoperative anxiety in children, the ideal time for implementing such strategies remains poorly determined. Aims The aim of this study was to determine psychological factors and events involved in the development of preoperative anxiety in children. Methods This study consisted of prospective evaluations of anxiety trait and state during the preoperative period. Attendance at a preanesthetic consultation is obligatory for all patients undergoing surgery in France. Anxiety trait and state assessments were quantified in mothers and children before and after the preanesthetic consultation using visual analog and faces numerical scales. Preoperative anxiety in children was assessed immediately before induction of anesthesia using an analog scale. Other data recorded included demographic and medical data and type of hospital stay. Univariate and multivariate logistic regression analyses were used. Results Overall 111 consecutive patients were included. The following factors emerged leading to anxiety state at induction of anesthesia: maternal anxiety state before the preanesthetic consultation, a feeling of not being reassured by the anesthesiologist, maternal anxiety state after the consultation, and anxiety trait in the child. Logistic regression found this combination of factors (OR = 4 [1.4 ‐12]) and inpatient stay (OR = 3 [1.4‐7]), predicting anxiety with an accuracy of 69%. Conclusion The present study identified a combination of psychological factors and events associated with the development of anxiety at induction of anesthesia in children. Parental anxiety impacts upon children and occurs before the preanesthetic consultation. This result may assist clinicians to prescribe personalized preventive strategies against anxiety.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children

Delivet

Beauvais

Mialot

et al. 2018

Pediatric Anesthesia

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Associations between demographics and quality of life in children in the first year of cancer treatment

Raybin

Hendricks-Ferguson

Cook

et al. 2021

Pediatric Blood & Cancer

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Symptom distress and decreased quality of life (QOL) among children with cancer are well documented. Research is emerging on the child's voice in QOL-symptom reports, but existing QOL questionnaires are burdensome and objective biologic markers are lacking. We examined children's symptoms and QOL from parent and child perspectives and compared the results to one biologic marker (body posture). A cross-sectional secondary analysis of prospective data from children receiving creative arts therapy explored potential associations among demographics with and between QOL measures (PedsQL, Faces Scale, posture). Children (n = 98) ranged in age from 3 to 17 years (M = 7.8) and were in the first year of cancer treatment. No significant associations were found among the child's sex, race/ethnicity, socioeconomic status (SES), or distance from hospital, and total PedsQL. Older age was associated with worse total Ped-sQL, pain, nausea, worry, and posture (all P < 0.05). Greater worry (β = 0.51) and worse posture (β = 0.41) were the QOL variables most strongly correlated with older age.Poorer posture was associated with worse child PedsQL (total score, nausea, treatment anxiety, cognitive) and parent PedsQL (pain, nausea). Worse scores on the Faces Scale, PedsQL, and posture were all correlated (r = 0.21-0.39, all P < 0.05). Interventions to improve QOL could target nausea, worry, and older patients. Accuracy and interpretation of symptom distress in children are problematic. The Faces Scale and posture may be suitable, readily obtained measures of QOL in pediatric oncology that hold promise.

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Stress Numerical Rating Scale-11: Validation in Pediatric Inpatient and Outpatient Pain Settings

LiaBraaten¹,

Linneman²,

Czarnecki³

et al. 2023

Pain Management Nursing

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Validation of a simple tool for anxiety trait screening in children presenting for surgery

Abstract: Our study determined the performance of a simple faces scale to measure the preoperative anxiety trait in children aged 8-18 yr. This tool is potentially helpful for clinicians aiming to identify patients at risk of preoperative anxiety and to assign them to targeted management.

Cited by 11 publications

References 23 publications

Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children

Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children

Associations between demographics and quality of life in children in the first year of cancer treatment

Stress Numerical Rating Scale-11: Validation in Pediatric Inpatient and Outpatient Pain Settings

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