Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Centre, Sophia Children's Hospital, Wytemaweg 8, Rotterdam, 3015 CN, The Netherlands.
Department of Anaesthesiology, Erasmus Medical Centre, Sophia Children's Hospital, Rotterdam, The Netherlands.
J Clin Psychol Med Settings. 2021 Jun;28(2):313-322. doi: 10.1007/s10880-020-09716-6.
In children, intense levels of anxiety during anesthetic induction are associated with a higher risk of pain, poor recovery, and emergence delirium. Therefore, it is important to identify these high-risk children at hospital arrival. The current study examined internalizing behavior (Child Behavior Checklist, CBCL) and state anxiety measures (modified Yale Preoperative Anxiety Scale, mYPAS, and State Trait Anxiety Inventory for Children, STAIC) at hospital arrival as predictors of anxiety during induction of anesthesia. One hundred children (aged 4 to 12 years) undergoing elective daycare surgery were included. The STAIC and mYPAS at hospital arrival were significant predictors of anxiety during induction, whereas CBCL was not. The STAIC state form at hospital arrival was the strongest predictor and could be used to identify children who will experience intense levels of anxiety during anesthetic induction, with sufficient to good diagnostic accuracy. Using the STAIC at hospital arrival allows targeted interventions to reduce anxiety in children.
在儿童中，麻醉诱导期间强烈的焦虑水平与疼痛风险增加、恢复不良和出现谵妄有关。因此，在患儿到达医院时识别这些高风险儿童很重要。本研究探讨了内在行为（儿童行为检查表，CBCL）和状态焦虑测量（改良耶鲁术前焦虑量表，mYPAS 和儿童状态特质焦虑量表，STAIC）在麻醉诱导时作为焦虑预测因子的作用。纳入 100 名（年龄 4 至 12 岁）接受择期日间手术的儿童。入院时的 STAIC 和 mYPAS 是麻醉诱导期间焦虑的显著预测因子，而 CBCL 则不是。入院时的 STAIC 状态形式是最强的预测因子，可用于识别在麻醉诱导期间会经历强烈焦虑的儿童，具有足够到良好的诊断准确性。在入院时使用 STAIC 可以进行有针对性的干预，以降低儿童的焦虑。
