Parental anxiety among children undergoing cardiac catheterisation

2017 ◽  
Vol 28 (2) ◽  
pp. 315-321 ◽  
Author(s):  
Daisuke Kobayashi ◽  
Daniel R. Turner ◽  
Thomas J. Forbes ◽  
Sanjeev Aggarwal

AbstractBackgroundParents may experience anxiety and stress when their children undergo cardiac catheterisation. The goal of this study was to assess the level of anxiety in parents of children undergoing cardiac catheterisation and to identify factors that were associated with level of anxiety.MethodsThis was a cross-sectional survey of parents of children who underwent cardiac catheterisation. Anxiety levels were measured using a validated self-report questionnaire – State-Trait Anxiety Inventory, which generates state anxiety scores on the current state of anxiety and trait anxiety scores on the stable aspects of anxiety proneness. One sample t-test was used to compare the data with normative data. Multiple linear regression was used to assess the factors associated with the state score.ResultsA total of 113 parents completed the survey. The mean age of parents was 34.0±7.7 years and the mean age of children undergoing catheterisation was 6.7±5.7 years. Compared with normative data, mean state score was significantly higher in our cohort (p<0.05) despite no difference in the trait score. Final multivariate model showed that the state score was significantly associated with child age group (<1 year [coefficient β 7.2] and 10–18 years [6.3], compared to 1 to <10 years of age [reference]) and history of previous catheterisation (−5.2) (p<0.05).ConclusionsConcurrent state anxiety level was high among parents of children undergoing cardiac catheterisation, whereas trait anxiety level was not. Higher anxiety was experienced by parents of infants and adolescents without a history of previous catheterisation.

2021 ◽  
Vol 36 (6) ◽  
pp. 1228-1228
Author(s):  
Melissa Womble ◽  
Sabrina Jennings ◽  
Philip Schatz ◽  
R J Elbin

Abstract Objective The State–Trait Anxiety Inventory (STAI) is a widely used measure of state anxiety with a proposed raw score cutoff of &gt;40 denoting probable clinical levels of anxiety. The mean score for high school aged individuals is approximately 40, corresponding with the 56th (male) and 51st (female) percentiles. The use of this cutoff classifies approximately 50% of individuals with clinically significant anxiety. In contrast, empirically based cut-offs (e.g., 1SD above the mean), classifies a more appropriate percentage of cases. The purpose of this study was to document the percentage of patients surpassing the proposed clinical cutoffs for the STAI using traditional and empirically based cutoffs in concussed high school athletes. Methods Participants were 273 concussed high school athletes (15.89 ± 1.1 yrs) who completed the STAI (Form Y-1) at their first clinical visit within 2–30 days of injury. Participants with a personal history of anxiety were excluded. The percentage of participants exceeding current clinical cutoffs for the STAI (i.e., &gt;40) and exceeding &gt;1, &gt;1.5, and &gt; 2 SD were calculated using high school normative data. Results Overall, 37% of participants exceeded the proposed raw score cutoff (&gt;40) for the STAI. Approximately 12%, 4%, and 2% of participants exhibited STAI scores that exceeded &gt;1, &gt;1.5, and &gt; 2 SD respectively. Conclusions The proposed cutoff score of &gt;40 for the STAI is overly inclusive and not appropriate for identifying probable clinical levels of state anxiety in concussed adolescent athletes. Use of empirically based cutoffs is more appropriate when attempting to identify clinically significant anxiety post-concussion.


2004 ◽  
Vol 59 (2) ◽  
pp. 51-56 ◽  
Author(s):  
Leandro Yoshinobu Kiyohara ◽  
Lilian Kakumu Kayano ◽  
Lorena Marçalo Oliveira ◽  
Marina Uemori Yamamoto ◽  
Marco Makoto Inagaki ◽  
...  

PURPOSE: Patients preparing to undergo surgery should not suffer needless anxiety. This study aimed to evaluate anxiety levels on the day before surgery as related to the information known by the patient regarding the diagnosis, surgical procedure, or anesthesia. METHOD: Patients reported their knowledge of diagnosis, surgery, and anesthesia. The Spielberger State-Trait Anxiety Inventory (STAI) was used to measure patient anxiety levels. RESULTS: One hundred and forty-nine patients were selected, and 82 females and 38 males were interviewed. Twenty-nine patients were excluded due to illiteracy. The state-anxiety levels were alike for males and females (36.10 ± 11.94 vs. 37.61 ± 8.76) (mean ± SD). Trait-anxiety levels were higher for women (42.55 ± 10.39 vs. 38.08 ± 12.25, P = 0.041). Patient education level did not influence the state-anxiety level but was inversely related to the trait-anxiety level. Knowledge of the diagnosis was clear for 91.7% of patients, of the surgery for 75.0%, and of anesthesia for 37.5%. Unfamiliarity with the surgical procedure raised state-anxiety levels (P = 0.021). A lower state-anxiety level was found among patients who did not know the diagnosis but knew about the surgery (P = 0.038). CONCLUSIONS: Increased knowledge of patients regarding the surgery they are about to undergo may reduce their state-anxiety levels.


1994 ◽  
Vol 37 (4) ◽  
pp. 760-768 ◽  
Author(s):  
Gordon W. Blood ◽  
Ingrid M. Blood ◽  
Stephanie Bennett ◽  
Kathleen C. Simpson ◽  
Elizabeth J. Susman

Anxiety, as measured by self-report inventories and salivary cortisol levels, was examined in 11 males who stutter and 11 males who do not stutter during baseline, low stress, and high stress sessions. During the high stress session salivary cortisol was significantly greater in persons who stutter than in persons who do not stutter. No significant differences were found between the two groups on the State-Anxiety Inventory, Trait-Anxiety Inventory, or the Personal Report of Communication Apprehension. Significant differences in anxiety levels among the baseline, low stress, and high stress sessions for both groups of subjects were found for the State-Anxiety Inventory. No other significant differences or relationships were found between the two groups.


2017 ◽  
Vol 2 (2) ◽  
pp. 1-5 ◽  
Author(s):  
Ozcan Kayikcioglu ◽  
Sinan Bilgin ◽  
Goktug Seymenoglu ◽  
Artuner Deveci

Background: To evaluate parameters on the state and trait anxiety scores of patients receiving intravitreal injections. Methods: One hundred thirteen patients were included in the study. All subjects received intravitreal ranibizumab or bevacizumab injections. To measure the level of anxiety, Spielberg's State-Trait Anxiety Inventory questionnaire was used. Results: The mean state anxiety scores were 45.19 ± 5.62 in experienced patients and 43.10 ± 6.62 in inexperienced patients (p = 0.078). The mean trait anxiety scores were 50.14 ± 6.62 in experienced patients and 49.17 ± 10.79 in inexperienced patients (p = 0.810). Additionally, there was no statistically significant difference in the state and trait anxiety scores between the male and female, employed, and retired patients (p > 0.05). Conclusion: Anxiety may not show significant differences according to sociodemographic status. High anxiety scores found in this study also emphasize that health care providers should try to decrease anxiety levels during the course of treatment.


2020 ◽  
Vol 35 (5) ◽  
pp. 597-597
Author(s):  
M Anderson ◽  
A J Zynda ◽  
K M Petit ◽  
C P Tomczyk ◽  
T Covassin

Abstract Objective To compare state anxiety between concussed athletes with and without a history of sport related concussion (SRC). Method This study utilized a cross-sectional design. The State Trait Anxiety Inventory (STAI) was administered to athletes within 72 hours of SRC diagnosis. The STAI is a subjective, 40-item inventory that assesses state and trait anxiety; however, this study only examined the state anxiety component. Participants reported how they were feeling at the moment of testing on a 4-point Likert scale ranging from 1 (not at all) to 4 (very much so). State anxiety scores range from 20–80, with higher scores indicating higher levels of state anxiety. An independent samples t-test was used to compare state anxiety between concussed athletes with and without a history of SRC. Statistical significance was set at p &lt; .05. Results A total of 104 (18.12 ± 2.5 years; male = 65, female = 39) high school (n = 36) and collegiate (n = 68) athletes completed the STAI within 72 hours of SRC. Fifty-nine (56.7%) concussed athletes had no history of SRC and 45 (43.3%) athletes had a history of one or more SRCs. There was no significant difference in state anxiety between concussed athletes with (37.64 ± 9.22) and without (38.47 ± 9.44) a history of SRC (p = .65). Conclusions This study suggests that concussion history does not affect state anxiety after SRC. However, clinicians should continue to assess emotional changes after SRC in order to best manage and treat SRC.


Author(s):  
Ebru Şahan ◽  
Aise Tangılntız

Objectives During the COVID-19 pandemic, excessive workload, a rapidly changing workplace environment, the danger of carrying the virus and transmitting the disease to their families, relatives and those they live with creates stress for the medical workers. In our study, we aimed to evaluate the state and trait anxiety levels of healthcare professionals who encounter patients with suspected COVID-19 infection and related factors. Method Data were collected from healthcare professionals working with patients diagnosed or suspected with COVID-19 via online self-report questionnaire between 9–19 April 2020. The state (STAI-S) and trait anxiety (STAI-T) scale was used to measure anxiety. Results A total of 291 healthcare professionals, 216 women and 75 men, participated in the study. Women's state and trait anxiety were significantly higher than men's. 11 participants without any lifetime psychiatric illness experienced psychiatric symptoms and consulted to a psychiatrist. The state anxiety of those who have children, nurses and those working in branches directly related to the pandemic (Infectious Diseases, Respiratory Diseases, Emergency Medicine, Internal Medicine, Radiology, Anesthesiology and Reanimation) was higher than others. The state anxiety of those who thought they were not protected with personal protective equipment and those who did not stay in their own home was higher than others. Conclusions At the forefront of the fight against COVID-19, there are medical personnel who pay a serious psychological cost. Especially in terms of anxiety, we should pay attention to women, workers with children, nurses and people working in branches that are directly related to pandemics.


1999 ◽  
Vol 13 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Rudolf Stark ◽  
Alfons Hamm ◽  
Anne Schienle ◽  
Bertram Walter ◽  
Dieter Vaitl

Abstract The present study investigated the influence of contextual fear in comparison to relaxation on heart period variability (HPV), and analyzed differences in HPV between low and high anxious, nonclinical subjects. Fifty-three women participated in the study. Each subject underwent four experimental conditions (control, fear, relaxation, and a combined fear-relaxation condition), lasting 10 min each. Fear was provoked by an unpredictable aversive human scream. Relaxation should be induced with the aid of verbal instructions. To control for respiratory effects on HPV, breathing was paced at 0.2 Hz using an indirect light source. Besides physiological measures (HPV measures, ECG, respiration, forearm EMG, blood pressure), emotional states (pleasure, arousal, dominance, state anxiety) were assessed by subjects' self-reports. Since relaxation instructions did not have any effect neither on the subjective nor on the physiological variables, the present paper focuses on the comparison of the control and the fear condition. The scream reliably induced changes in both physiological and self-report measures. During the fear condition, subjects reported more arousal and state anxiety as well as less pleasure and dominance. Heart period decreased, while EMG and diastolic blood pressure showed a tendency to increase. HPV remained largely unaltered with the exception of the LF component, which slightly decreased under fear induction. Replicating previous findings, trait anxiety was negatively associated with HPV, but there were no treatment-specific differences between subjects with low and high trait anxiety.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sultan Ucuk ◽  
Gulay Yildirim

PurposeThe aim of this study was to determine the effect of coronavirus disease 2019 (COVID-19) prevention methods training given by distance learning technique on the state anxiety level of the workers of a company serving in the communication sector.Design/methodology/approachThe sample of this experimental and cross-sectional study consisted of 52 people working in the communication sector. Data were collected using a questionnaire and the state anxiety inventory. Data were analyzed using descriptive statistics, t-test, variance analysis, Kruskal–Wallis, Mann–Whitney U and Tukey’s test.FindingsWhile the state anxiety scores of the workers working in the communication sector were 47.94 ± 4.90 before the training, they were found to be 43.98 ± 5.20 after the training.Research limitations/implicationsAs in every study, this study has some limitations. Although a homogeneous sample is tried to be formed since it only covers this group, it should be considered that there is a limitation in terms of generalizability. In addition, the fact that the knowledge score is not measured and the relationship between the knowledge score and the anxiety score is not evaluated should be considered as a limitation. Finally, it is also a limitation that the questionnaire form, which includes measurement tools, is applied online. It is thought that measuring errors can be minimized if questionnaires are applied face to face.Practical implicationsThe results of the study showed that the training given to the workers in the communication sector contributed positively to the reduction of anxiety levels. It is important to provide training and support to those with high anxiety levels. After providing effective protection for nurses/midwives under pandemic conditions and preventing their uncertainties, they can contribute to the reduction of anxiety levels by providing training to individuals who serve the society. It is recommended to plan health trainings for the anxiety of other sector workers serving the society and to focus on these groups. Thus, the effective protection of individuals and their service quality will increase and their anxiety may decrease.Originality/valueInformative support from nurses/midwives can make it easier to control anxiety arising from the COVID-19 pandemic. The results are important in order to draw attention to the anxiety of other sector workers serving the society and the importance of informative roles of nurses. In order to reduce the anxiety levels of workers in different sectors, it is recommended to conduct more supportive training activities and to draw attention to the workers serving the society.


2021 ◽  
Vol 5 (1) ◽  
pp. 55
Author(s):  
Christella Ruslan ◽  
Monty P. Satiadarma ◽  
Untung Subroto

Cancer is caused by the uncontrolled development of cells in the body and can cause death in someone who experiences it. This condition can affect the physical and psychological health of parents, especially mothers who look after and care for their children. Seeing this, having a child with cancer can certainly cause anxiety in a mother. At the same time, a mother is certainly required to provide emotional support to her child who is sick. This study aims to examine the effectiveness of art therapy in reducing anxiety in mothers of children with cancer. Art therapy that is applied to mothers who have children with cancer can help reduce the anxiety they feel because through this therapy participants are assisted in exploring, releasing their emotions and feelings of anxiety. Through this intervention, mothers who have children with cancer can experience catharsis and express their feelings. Participants in this study consisted of two mothers who have children with cancer. The design of this study is a quasi-experimental study by testing the pretest and posttest using the State-Trait Anxiety Inventory (STAI) measurement tool in measuring state and trait anxiety from mothers who have children with cancer. The results of the study found that there was a decrease in the number of state anxiety by 14 in the R participant and 8 in the RS participant. Based on this, it can be concluded that art therapy intervention can reduce the state anxiety in mothers who have children with cancer. Kanker disebabkan oleh adanya perkembangan sel yang tidak terkendali dalam tubuh dan dapat menyebabkan kematian pada seseorang yang mengalaminya. Kondisi ini dapat memengaruhi kesehatan secara fisik dan psikologis dari orang tua, terutama ibu yang menjaga serta merawat anaknya. Melihat hal ini, memiliki anak penderita kanker tentu dapat menimbulkan kecemasan dalam diri seorang ibu. Pada saat yang bersamaan, seorang ibu tentu dituntut untuk memberi dukungan secara emosional kepada anaknya yang sedang sakit. Penelitian ini bertujuan untuk meneliti efektivitas dari art therapy dalam menurunkan kecemasan pada ibu yang memiliki anak penderita kanker. Art therapy yang diterapkan pada ibu yang memiliki anak penderita kanker dapat membantu menurunkan kecemasan yang dirasakan karena melalui terapi ini partisipan dibantu agar bisa mengeksplorasi dan mengeluarkan emosi serta perasaan cemas yang dimiliki. Melalui intervensi art therapy ini, ibu yang memiliki anak penderita kanker dapat melakukan katarsis dan mengungkapkan perasaannya. Partisipan dalam penelitian ini terdiri atas dua orang ibu yang memiliki anak penderita kanker. Adapun desain penelitian ini adalah kuasi-eksperimental dengan menguji pretest dan posttest yang menggunakan alat ukur State-Trait Anxiety Inventory (STAI) dalam mengukur kecemasan secara state dan trait dari ibu yang memiliki anak penderita kanker. Hasil penelitian menemukan adanya penurunan angka dari skor state anxiety sebesar 14 pada partisipan R dan 8 pada partisipan RS. Berdasarkan hal tersebut, dapat disimpulkan bahwa intervensi art therapy dapat membantu menurunkan kecemasan secara state anxiety pada ibu yang memiliki anak penderita kanker.


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