Risk factors for postoperative anxiety in adults

• DOI: 10.1046/j.1365-2044.2001.01842.x
• Publication Date: 2003-03-11T02:15:53Z
• Authors: W. Caumo; A. P. Schmidt; C. N. Schneider; J. Bergmann; C. W. Iwamoto; L. C. Adamatti; D. Bandeira; M. B. C. Ferreira
• Keywords: McGill Pain Questionnaire; Depression

We identified risk factors for postoperative anxiety and quantified their effect on 712 adults between 18 60 years of age (ASA I–III physical status) undergoing elective surgery under general anaesthesia, neural blockade or both. The measuring instruments were a structured questionnaire, pain visual analogue scale, the McGill Pain Questionnaire, State‐Trait Anxiety Inventory, Montgomery–Äsberg Depression Rating Scale, Self‐Reporting Questionnaire‐20, Self‐Perception Future Questionnaire. Multivariate conditional regression modelling taking into account hierarchical relationship revealed that was associated with ASA status III (OR = 1.48), history smoking (1.62), moderate to intense 2.62) high rating index 2.35), minor psychiatric disorders 1.87), pre‐operative state‐anxiety 2.65), negative future perception 2.20). Neural block anaesthesia 0.72), systemic multimodal analgesia 0.62) neuroaxial opioids without local 0.63) found be protective against anxiety.