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Title: Guiding intervention : identifying parental risk factors for children's preoperative anxiety
Author: Crawford, Polly Joanna
ISNI:       0000 0004 5350 1845
Awarding Body: King's College London
Current Institution: King's College London (University of London)
Date of Award: 2014
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Up to 65% of children who undergo surgery may experience high levels of preoperative anxiety (Dreger & Tremback, 2006). Preoperative anxiety, poor compliance during induction of anaesthesia, and other maladaptive preoperative behaviours have been shown to predict postoperative maladaptive behaviours (e.g. Stargatt, Davidson, Huang, Czarnecki, Gibson, Stewart, & Jamsen, 2006). Research has illustrated that parent’s anxiety about their child’s operation is related to children’s preoperative anxiety, yet the relationship remains unclear (Kain, Maclaren, Weinberg, Huszti, Anderson & Mayes 2009). With better understanding of parent-child factors associated with increased levels of children’s preoperative anxiety, it is hoped that children at-risk can be identified in advance. The study aimed to investigate the association between certain child, parental and in-hospital setting factors with children’s preoperative anxiety. The study also investigated the association between child self report and parental proxy report of children’s preoperative anxiety. This study employed a cross-sectional correlational design in 90 children aged 3-12 years who underwent elective surgery at the Evelina London Children’s Hospital, and their parents. It was designed to test for relationships between parent’s anxiety, parental coping, parenting style and children’s preoperative anxiety. Correlational analyses showed that parent proxy report of children’s anxiety was significantly associated with observational measures of children’s preoperative anxiety. A multiple linear regression model revealed that child’s age, parent’s state anxiety and parental coping style predicted higher levels of children’s preoperative anxiety. Overall the findings suggest that older children, high levels of parental preoperative anxiety and parents’ emotion focussed coping are risk factors for children’s preoperative anxiety. Assessment of these factors needs to be incorporated into routine preoperative clinics and for interventions to be appropriately tailored and targeted to those parent-child dyads ‘at risk’. Theoretical and clinical implications are discussed as well as limitations and avenues for future research.
Supervisor: Cropper, Jenny ; Godfrey, Emma Louise ; le Maréchal, Kate Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available