Prevention and intervention strategies to alleviate preoperative anxiety in children: a critical review.

Full Abstract

Preoperative anxiety (anxiety regarding impending surgical experience) in children is a common phenomenon that has been associated with a number of negative behaviors during the surgery experience (e.g., agitation, crying, spontaneous urination, and the need for physical restraint during anesthetic induction). Preoperative anxiety has also been associated with the display of a number of maladaptive behaviors postsurgery, including postoperative pain, sleeping disturbances, parent-child conflict, and separation anxiety. For these reasons, researchers have sought out interventions to treat or prevent childhood preoperative anxiety and possibly decrease the development of negative behaviors postsurgery. Such interventions include sedative premedication, parental presence during anesthetic induction, behavioral preparation programs, music therapy, and acupuncture. The present article reviews the existing research on the various modes of intervention for preoperative anxiety in children. Clinical implications and future directions are discussed.

Author information

Author/s: Wright, Kristi D (KD); Stewart, Sherry H (SH); Finley, G Allen (GA); Buffett-Jerrott, Susan E (SE);

Affiliation: Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.

Journal and publication information

Publication Type: Journal Article; Review

Journal: Behavior modification (Behav Modif), published in United States. (Language: eng)

Reference: 2007-Jan; vol 31 (issue 1) : pp 52-79

Dates: Created 2006/12/20; Completed 2007/03/01;

PMID: 17179531, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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