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Behavior Modification
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Prevention and Intervention Strategies to Alleviate Preoperative Anxiety in Children

A Critical Review

Kristi D. Wright

Dalhousie University, Halifax, Nova Scotia

Sherry H. Stewart

Dalhousie University, Halifax, Nova Scotia, sstewart{at}dal.ca

G. Allen Finley

Dalhousie University, Halifax, Nova Scotia

Susan E. Buffett-Jerrott

Dalhousie University, Halifax, Nova Scotia

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.

Key Words: children • anxiety • surgery • prevention • interventions

Behavior Modification, Vol. 31, No. 1, 52-79 (2007)
DOI: 10.1177/0145445506295055
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Home page
 Behav ModifHome page
N. B. Schmidt and M. J. Zvolensky
Risk Factor Research and Prevention for Anxiety Disorders: Introduction to the Special Series on Risk and Prevention of Anxiety Pathology
Behav Modif, January 1, 2007; 31(1): 3 - 7.
[Abstract] [PDF]