Prediction of correlation between preoperative parents’ anxiety and their child’s anxiety before elective surgery under anaesthesia: An observational study

• Published in: Indian journal of anaesthesia Vol. 68; no. 9; pp. 809 - 814
• Main Authors: Kumari, Kamlesh, Nemani, Sugandhi, Rathod, Darshana, Sharma, Ankur, Bhatia, Pradeep K., Goyal, Shilpa
• Format: Journal Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 01.09.2024
• Subjects: anaesthesia; anxiety; child; correlation; parents; preoperative period; spielberger state–trait anxiety inventory; surgery; yale preoperative anxiety scale
• ISSN: 0019-5049; 0976-2817
• DOI: 10.4103/ija.ija_1269_23

Background and Aims: Preoperative parental anxiety can have a profound impact on their children undergoing surgery. The present study was done to analyse the correlation between preoperative parental anxiety and their child’s anxiety in paediatric patients undergoing elective surgery. Methods: Paediatric patients aged 2–12 years, scheduled for elective surgeries under general anaesthesia, were included in the study. The child’s behaviour and anxiety were assessed in the preoperative area using the modified Yale Preoperative Anxiety Scale (m-YPAS). The parent filled out the demographic questionnaire and the Spielberger State–Trait Anxiety Inventory (STAI) form in the preoperative area on the day of surgery. Statistical analysis was conducted using Statistical Package for the Social Sciences (SPSS) statistics software version 23.0 (IBM Corp, Armonk, NY, USA). Results: A total of 150 children undergoing elective surgery were analysed. Our results showed a strong positive correlation between a child’s m-YPAS and his/her parents’ anxiety on the day of the surgery (STAI-state) ( r = 0.545, P < 0.001). However, the correlation between a child’s m-YPAS and his/her parents’ anxiety levels (STAI-trait) was not found to be significant ( r = 0.109, P = 0.188). A positive correlation was observed between a parent’s STAI-state and STAI-trait ( r = 0.366, P < 0.001). Factors like area of residence, type of surgery and previous hospitalisation had an influence on the anxiety levels of the child. The birth order of the child, previous hospitalisation and gender of the parent also influenced parental anxiety. Conclusion: Parental anxiety has a significant impact on the child’s anxiety during the preoperative period.