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Predictors of preoperative anxiety in patients scheduled for various surgical procedures under general anesthesia: Our experience with 301 patients

Year 2024, Volume: 41 Issue: 2, 229 - 232, 19.05.2024

Abstract

Anxiety is an unpleasant condition that includes thinking of tension, apprehension, uneasiness, and it is associated with high autonomic activity. Anxious patients need higher doses of anesthetic induction medications, and they tend to recover poorly. Our aim was to determine the predictors of preoperative anxiety in adult patients scheduled for surgery under general anesthesia. A total of 301 adult patients (217 women, 84 men; average age: 42.18±14.41) who were scheduled for various surgical procedures under general anesthesia. Spielberger’s State-Trait Anxiety Inventory (STAI) was used to assess the level of preoperative anxiety. All patients filled out STAI questionnaires that consisted of 40 items investigating the state and trait of anxiety. Responses to 40 questions were categorized into 2 separate groups: 23 questions were associated with the anxiety-positive scale, whereas 17 questions were termed as the anxiety-negative scale. Baseline descriptives including age, gender, body-mass index, smoking habits, comorbidities, and history of previous surgeries were recorded. Anxiety-positive and anxiety-negative scales of the STAI questionnaire were assessed to figure out the predictors of preoperative anxiety. Male patients (p<0.001) and employed or retired patients (p<0.001) were less anxious than their counterparts in the anxiety-negative scale of STAI. While women (p<0.001), unemployed patients (p=0.002), and smokers (p=0.036) seemed to be more anxious according to the results of anxiety-positive scale of STAI. Our results indicated that baseline characteristics and personal features of patients must be reviewed carefully during preoperative evaluation for general anesthesia. Further trials on larger series are necessary to test the validity of STAI in different populations. Revision of the number and content of the questions must be conducted carefully during these studies.

References

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  • Koga S, Seto M, Moriyama S, Kikuta T. Anxiety before dental surgery under local anesthesia: reducing the items on state anxiety in the State-Trait Anxiety Inventory-form X. J Dent Anesth Pain Med. 2017;17:183-90.
  • AndrasN Zsido, Szidalisz A Teleki, Krisztina Csokasi, Sandor Rozsa, Szabolcs A Bandi Devolopment of the short version of the Spielberg state-trait anxiety invertory.Psychiatry Res. 2020;291:11322
  • Matthias Rose, Janine Devine. Assessment of patient-reported symptoms of anxiety.Dialogues Clin Neurosci. 2014:197-211
  • Perpina-Galvan J, Richart-Martinez M, Cabanero-Martinez MJ. Reliability and validity of a short version of the stai anxiety measurement scale in respiratory patients. Arch Bronconeumol 2011;47:184-9.
  • Fioravanti-Bastos ACM, Cheniaux E, Landeira-Fernandez J. Development and validation of a short-form version of the brazilian state-trait anxiety inventory. Psicologia: Reflexão e Crítica 2011;24:485-94.
  • Bergua V, Meillon C, Potvin O, Ritchie K, Tzourio C, Bouisson J, et al. Short stai-y anxiety scales: Validation and normative data for elderly subjects. Aging Ment Health 2016;20:987-95.
  • De Vries J, Van Heck GL. Development of a short version of the dutch version of the spielberger stai trait anxiety scale in women suspected of breast cancer and breast cancer survivors. J Clin Psychol Med Settings 2013;20:215-26.
  • N Iwata, N Mishima, K Okabe, N Kobayashi, E Hashiguchi, K Egashira. Psychometric properties of the State-Trait Anxiety Inventory among Japanase clinical outpatients.J Clin Psychol. 2000:793-806.
  • Kim WS, Byeon GJ, Song BJ, Lee HJ. Availability of preoperative anxiety scale as a predictive factor for hemodynamic changes during induction of anesthesia. Korean J Anesthesiol 2010;58:328-33.
  • Okawa K, Ichinohe T, Kaneko Y. Anxiety may enhance pain during dental treatment. Bull Tokyo Dent Coll 2005; 46: 51-8.
  • Marya C, Grover S, Jnaneshwar A, Pruthi N. Dental anxiety among patients visiting a dental institute in faridabad, india. West Ind Med J 2012;61:187-90.
  • Lago-Méndez L, Diniz-Freitas M, Senra-Rivera C, Seoane- Pesqueira G, Gándara-Rey J-M, Garcia-Garcia A. Dental anxiety before removal of a third molar and association with general trait anxiety. Int J Oral Maxillofac Surg 2006; 64:1404-8.
  • Seto M, Sakamoto Y, Takahashi H, Kita R, Kikuta T. Does planned intravenous sedation affect preoperative anxiety in patients? Int J Oral Maxillofac Surg 2014;42:497-501.
Year 2024, Volume: 41 Issue: 2, 229 - 232, 19.05.2024

Abstract

References

  • Bedaso A, Ayalew M. Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia. Patient Safety in Surg. 2019;13:18.
  • Koga S, Seto M, Moriyama S, Kikuta T. Anxiety before dental surgery under local anesthesia: reducing the items on state anxiety in the State-Trait Anxiety Inventory-form X. J Dent Anesth Pain Med. 2017;17:183-90.
  • AndrasN Zsido, Szidalisz A Teleki, Krisztina Csokasi, Sandor Rozsa, Szabolcs A Bandi Devolopment of the short version of the Spielberg state-trait anxiety invertory.Psychiatry Res. 2020;291:11322
  • Matthias Rose, Janine Devine. Assessment of patient-reported symptoms of anxiety.Dialogues Clin Neurosci. 2014:197-211
  • Perpina-Galvan J, Richart-Martinez M, Cabanero-Martinez MJ. Reliability and validity of a short version of the stai anxiety measurement scale in respiratory patients. Arch Bronconeumol 2011;47:184-9.
  • Fioravanti-Bastos ACM, Cheniaux E, Landeira-Fernandez J. Development and validation of a short-form version of the brazilian state-trait anxiety inventory. Psicologia: Reflexão e Crítica 2011;24:485-94.
  • Bergua V, Meillon C, Potvin O, Ritchie K, Tzourio C, Bouisson J, et al. Short stai-y anxiety scales: Validation and normative data for elderly subjects. Aging Ment Health 2016;20:987-95.
  • De Vries J, Van Heck GL. Development of a short version of the dutch version of the spielberger stai trait anxiety scale in women suspected of breast cancer and breast cancer survivors. J Clin Psychol Med Settings 2013;20:215-26.
  • N Iwata, N Mishima, K Okabe, N Kobayashi, E Hashiguchi, K Egashira. Psychometric properties of the State-Trait Anxiety Inventory among Japanase clinical outpatients.J Clin Psychol. 2000:793-806.
  • Kim WS, Byeon GJ, Song BJ, Lee HJ. Availability of preoperative anxiety scale as a predictive factor for hemodynamic changes during induction of anesthesia. Korean J Anesthesiol 2010;58:328-33.
  • Okawa K, Ichinohe T, Kaneko Y. Anxiety may enhance pain during dental treatment. Bull Tokyo Dent Coll 2005; 46: 51-8.
  • Marya C, Grover S, Jnaneshwar A, Pruthi N. Dental anxiety among patients visiting a dental institute in faridabad, india. West Ind Med J 2012;61:187-90.
  • Lago-Méndez L, Diniz-Freitas M, Senra-Rivera C, Seoane- Pesqueira G, Gándara-Rey J-M, Garcia-Garcia A. Dental anxiety before removal of a third molar and association with general trait anxiety. Int J Oral Maxillofac Surg 2006; 64:1404-8.
  • Seto M, Sakamoto Y, Takahashi H, Kita R, Kikuta T. Does planned intravenous sedation affect preoperative anxiety in patients? Int J Oral Maxillofac Surg 2014;42:497-501.
There are 14 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Research Article
Authors

Nevin Aydın 0000-0003-0189-5865

Osman Esen 0000-0001-6280-5064

Publication Date May 19, 2024
Submission Date July 7, 2023
Acceptance Date March 25, 2024
Published in Issue Year 2024 Volume: 41 Issue: 2

Cite

APA Aydın, N., & Esen, O. (2024). Predictors of preoperative anxiety in patients scheduled for various surgical procedures under general anesthesia: Our experience with 301 patients. Journal of Experimental and Clinical Medicine, 41(2), 229-232.
AMA Aydın N, Esen O. Predictors of preoperative anxiety in patients scheduled for various surgical procedures under general anesthesia: Our experience with 301 patients. J. Exp. Clin. Med. May 2024;41(2):229-232.
Chicago Aydın, Nevin, and Osman Esen. “Predictors of Preoperative Anxiety in Patients Scheduled for Various Surgical Procedures under General Anesthesia: Our Experience With 301 Patients”. Journal of Experimental and Clinical Medicine 41, no. 2 (May 2024): 229-32.
EndNote Aydın N, Esen O (May 1, 2024) Predictors of preoperative anxiety in patients scheduled for various surgical procedures under general anesthesia: Our experience with 301 patients. Journal of Experimental and Clinical Medicine 41 2 229–232.
IEEE N. Aydın and O. Esen, “Predictors of preoperative anxiety in patients scheduled for various surgical procedures under general anesthesia: Our experience with 301 patients”, J. Exp. Clin. Med., vol. 41, no. 2, pp. 229–232, 2024.
ISNAD Aydın, Nevin - Esen, Osman. “Predictors of Preoperative Anxiety in Patients Scheduled for Various Surgical Procedures under General Anesthesia: Our Experience With 301 Patients”. Journal of Experimental and Clinical Medicine 41/2 (May 2024), 229-232.
JAMA Aydın N, Esen O. Predictors of preoperative anxiety in patients scheduled for various surgical procedures under general anesthesia: Our experience with 301 patients. J. Exp. Clin. Med. 2024;41:229–232.
MLA Aydın, Nevin and Osman Esen. “Predictors of Preoperative Anxiety in Patients Scheduled for Various Surgical Procedures under General Anesthesia: Our Experience With 301 Patients”. Journal of Experimental and Clinical Medicine, vol. 41, no. 2, 2024, pp. 229-32.
Vancouver Aydın N, Esen O. Predictors of preoperative anxiety in patients scheduled for various surgical procedures under general anesthesia: Our experience with 301 patients. J. Exp. Clin. Med. 2024;41(2):229-32.