|Title:||Investigating Child, Parent and Family Characteristics as Predictors of Child Clinical Anxiety and Postoperative Pain|
|Publisher:||University of Sydney|
Faculty of Science.
School of Psychology.
|Abstract:||This study has three primary aims: to investigate whether child (clinical anxiety symptoms, behavioural inhibition), parent (conflict over parenting, overprotection and anxiety) and family (adaptability and cohesion) characteristics predict child clinical anxiety symptoms over time; to identify whether a stressful life experience (paediatric tonsillectomy) is associated with elevated anxiety over time; and to determine whether clinical anxiety symptoms predict postoperative pain in children. Participants were 100 children aged 1 to 10 years (M = 4 years 9 months; SD = 2 years 5 months) undergoing elective tonsillectomy. Baseline data were obtained prior to surgery and measures of pain, state anxiety and clinical anxiety were obtained one-day, two weeks and three months postoperative. Preoperative clinical anxiety symptoms were significantly associated with child behavioural inhibition, overprotective parenting and conflict over parenting, controlling for state anxiety. An increase in child clinical anxiety symptoms over three months was significantly predicted by child behavioural inhibition and conflict over parenting, controlling for preoperative state anxiety. Child behavioural inhibition, parental emotional difficulties, parental conflict and overprotection significantly differentiated between children high and low in preoperative clinical anxiety symptoms. There was no evidence for the influence of family adaptability or cohesion on anxiety. No significant change in postoperative clinical anxiety symptoms was obtained after three months for the total sample or children low in preoperative anxiety; however, children high in preoperative anxiety had significantly elevated clinical anxiety difficulties over time. Finally, child pain ratings were significantly higher and slower to decline over two weeks for children high in preoperative clinical anxiety symptoms compared with children low in preoperative clinical anxiety symptoms. These findings have implications for enhancing both child anxiety preventive programs and paediatric operative contexts. Future research is required to implement and examine such preventive programs in context.|
|Access Level:||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions:||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work:||Masters Thesis|
|Type of Publication:||Master of Science M.Sc.|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
|lowinger_jt_thesis.pdf||MSc Thesis||3.12 MB||Adobe PDF|
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