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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 3/2010

01-09-2010

Measurement of Preoperative Anxiety in Young Children: Self-report Versus Observer-rated

Auteurs: Kristi D. Wright, Allison Eisner, Sherry H. Stewart, G. Allen Finley

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 3/2010

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Abstract

The utility of the self-report Children’s Anxiety and Pain Scale Anxiety subscale (CAPS-A) in comparison to the widely used, observer-rated Modified Yale Preoperative Anxiety Scale (mYPAS) in assessing anxiety in children undergoing day surgery procedures was examined. The CAPS-A test-retest reliability, concurrent validity with the Modified Yale Preoperative Anxiety Scale (mYPAS), and sensitivity to expected increases in anxiety at stressful times during the preoperative period were examined. Levels of observer-rated (mYPAS) and self-reported anxiety (CAPS-A) were obtained from 61 children (3 to 6 years) undergoing day surgery procedures. The CAPS-A demonstrated adequate test-retest reliability. Concurrent validity between the CAPS-A and mYPAS scores was poor. The CAPS-A failed to show sensitivity to the expected increases in anxiety at stressful time-points. Thus, an alternative scoring strategy for the CAPS-A was proposed (i.e., child’s refusal to point was scored as high anxiety). Post-hoc analyses demonstrated good concurrent and adequate convergent validity with the alternative scoring strategy.
Voetnoten
1
Analyses were completed to examine the utility of parental presence in alleviating anxiety at anesthetic induction. No significant differences were observed in mYPAS scores across parental presence/absence groups: [54.18(27.90) versus 52.75(24.27), respectively].
 
2
There were too few three year olds to permit separating out their data relative to the four-six year olds. Thus, the comparison was completed between three-four year olds and five-six year olds.
 
3
Due to the different group sizes it was necessary to test for violations to the assumption of homogeneity of variance. This test was completed and the results suggested that the assumption was not violated.
 
4
Due to the different group sizes it was necessary to test for violations to the assumption of homogeneity of variance. This test was completed and the results suggested that the assumption was not violated.
 
5
Due to the different group sizes it was necessary to test for violations to the assumption of homogeneity of variance. This test was completed and the results suggested that the assumption was not violated.
 
6
Due to the different group sizes it was necessary to test for violations to the assumption of homogeneity of variance. This test was completed and the results suggested that the assumption was not violated.
 
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Metagegevens
Titel
Measurement of Preoperative Anxiety in Young Children: Self-report Versus Observer-rated
Auteurs
Kristi D. Wright
Allison Eisner
Sherry H. Stewart
G. Allen Finley
Publicatiedatum
01-09-2010
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 3/2010
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-009-9158-9

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