Anxiety In Preschool Children Research Articles

The Effect of Balloon Rocket Play Therapy on Anxiety in Preschool Children During Hospitalization

Preschool children aged 3-6 years are affected exposure environment new when treated At home Sick will result emergence feeling anxious and afraid. One of effort For reduce worried that is with give therapy play balloon rockets. Objective: This study was conducted using the T test which showed the effect of Rocket Balloon Play Therapy on Anxiety in Preschool Children Due to Hospitalization. The P value is <0.001 which means it is less than 0.05 (0.001 <0.05). Method: This study is a quasi-experimental study with a one group pretest-posttest design and uses a purposive sampling technique with a sample size of 20 children. Result: This study was conducted using the T test which showed the effect of Balloon Rocket Play Therapy on Anxiety in Preschool Children Due to Hospitalization. The P value is <0.001, which means it is less than 0.05 (0.001 <0.05). Conclusions: There is an effect of balloon rocket play therapy on preschool children's anxiety during hospitalization in the children's ward of UNS Sukoharjo Hospital.

The Association of Parental Feeding Style and Sociodemographic Characteristics with Child Anxiety in Preschool Children

Objective: This descriptive, cross-sectional study aims to determine the relationship between parent feeding style and anxiety in children. Methods: The research was conducted with 338 mothers with children aged 3-6 years. Sociodemographic Information Form, Revised Preschool Anxiety Scale and the Parent Nutrition Style Questionnaire were used for data collection. Results: The mean Preschool Anxiety Scale scores significantly differed concerning the number of children’s siblings, mothers’ employment, fathers’ employment, mothers’ education, fathers’ education and family income. There was a significant positive weak correlation between anxiety levels and the mean scores on emotional feeding, instrumental feeding and the Parent Nutrition Style Questionnaire. Conclusion: Health professionals should be aware of several sociodemographic features that affect anxiety in children. Therefore, families at risk should be identified, their children should be closely monitored in terms of health problems like anxiety and depression, and appropriate interventions should be designed to prevent anxiety in children. Considering that parental feeding style affects eating habits in children, further studies are needed to examine the relationship between parental feeding behavior and anxiety in children.

Picture Coloring Play Therapy Affects Pre-School Children's Anxiety Levels During Hospitalization in St. Theresia Room Gunung Maria Tomohon Hospital

Hospitalization can be a distressing experience for children, leading to anxiety due to unfamiliar environments, treatments, and procedures. This study aimed to analyze the effect of coloring picture play therapy on anxiety levels in hospitalized preschool children at St. Theresia Room, Gunung Maria Tomohon Hospital. Using a pre-experimental pre-post test design, 15 preschool children were sampled through non-probability sampling. The Wilcoxon test and the Zung-Self Rating Anxiety Scale (ZSAS) were used for analysis. Results showed a significant effect of coloring picture play therapy on reducing anxiety, with a p-value of 0.001 < α = 0.05. The study concludes that coloring picture play therapy effectively reduces anxiety in hospitalized preschool children.

Comparison of the effects of child-centered playful companionship and pharmacological sedation in alleviating preoperative anxiety in preschool children

Objective: To investigate the effectiveness of child-centered playful companionship and sedative medication in alleviating preoperative anxiety in preschool children. Methods: A retrospective analysis was conducted on 3 825 preschool children (3-6 years) who underwent elective surgery at Shanghai Children's Medical Center from April 2021 to March 2022. The children were divided into three groups based on the preoperative anxiolytic intervention: child-centered playful companionship group (n=2 198), pharmacological sedation group (n=1 281), and no intervention group (n=346). The pharmacological sedation group received intranasal dexmedetomidine at 2 μg/kg or oral midazolam syrup at 0.5 mg/kg. The child-centered playful companionship group received care from certified preoperative sedation nurses using a child-centered playful nursing model. The no intervention group did not receive any anti-anxiety measures due to various subjective and objective reasons. Preoperative separation anxiety scores (PSAS), sedation medication usage, and Ramsay sedation scores were recorded for all children. The primary outcome was the success rate of separation based on PSAS scores across different anxiolytic intervention groups, while the secondary outcome was the Ramsay sedation score. Results: The child-centered playful companionship group included 1 462 boys and 736 girls, with a median age [M (Q1, Q3)]of 59 (49, 69) months. The pharmacological sedation group included 824 boys and 457 girls, with a median age of 52 (42, 61) months; and the no intervention group included 212 boys and 134 girls, with a median age of 57 (48, 69) months. The success rate of separation in the child-centered playful companionship group was 95.6% (2 102/2 198), and in the pharmacological sedation group was 93.8% (1 202/1 281), both significantly higher than the 43.6% (151/346) of the no intervention group (all P<0.05). Among the 1 281 children in the pharmacological sedation group, 785 received oral midazolam and 496 received intranasal dexmedetomidine. Compared to the intranasal dexmedetomidine group, the oral midazolam group was younger, had a lower body weight and a higher proportion of American Society of Anesthesiologists (ASA) class Ⅲ (all P<0.05). The success rate of separation was 93.4% (733/785) in the oral midazolam group and 94.6% (469/496) in the intranasal dexmedetomidine group, with no statistically significant difference (P=0.392). The Ramsay sedation score was 2 (2, 2) in the intranasal dexmedetomidine group, better than the 2 (2, 2) of the oral midazolam group (P=0.024). Conclusion: Both child-centered playful companionship and pharmacological sedation effectively alleviate preoperative anxiety in preschool children.

Penerapan Terapi Bermain Boneka Tangan terhadap Tingkat Kecemasan Hospitalisasi pada Anak Usia Prasekolah di RSUD Ir. Soekarno Kabupaten Sukoharjo

Hospitalization anxiety experienced by preschool children causes an increase in anxiety due to actions that cause trauma, children's hand puppets can explore the feelings they are experiencing. Objective: To determine the results of the implementation of hand puppet play therapy on the level of hospitalization anxiety in preschool children at the Ir. Soekarno Sukoharjo Regional Hospital. Method: This study used 2 respondents according to the inclusion and exclusion criteria, the method used pre-test and post-test, by providing hand puppet play therapy for 2 days carried out once a day for 30 minutes. Results: Results of the implementation of hand puppet play on hospitalization anxiety in preschool age children on day 1 of An. A got a score of 37 in the heavy category and An. B got a score of 28 in the heavy category. On the 2nd day on An. A got a score of 25 in the medium category and An. B got a score of 15 in the light category. Where the two patients before application were at a severe anxiety score and experienced a decrease in anxiety scores to moderate and mild. Conclusion: Hand puppet play therapy can reduce anxiety levels in children with hospitality.

A Study on the Implementation of Storytelling Therapy on the Level of Hospitalization Anxiety in Preschool Children in the Emergency Room of Kendari City Regional General Hospital

Kecemasan merupakan efek samping rawat inap yang dapat muncul pada usia anak yang terpapar rangsangan di lingkungan perawatan rumah sakit. Rawat inap adalah proses menerima perawatan dan perawatan di rumah sakit sampai kondisi anak membaik. Kecemasan pada anak yang mendapat perawatan di rumah sakit untuk pengobatan dapat memperpanjang terapi, memperburuk kecemasan, dan berdampak negatif pada kesehatan anak. Pengasuh dapat menggunakan terapi bercerita untuk membantu meningkatkan pemikiran anak dan mengalihkan pandangan mereka tentang stres ke lingkungan yang kurang menakutkan. Tujuan dari penelitian ini adalah untuk melihat pengaruh penerapan terapi bercerita terhadap tingkat kecemasan pada anak usia dini yang disebabkan oleh rawat inap. Pendekatan penelitian ini merupakan penerapan studi kasus dengan menggunakan teknik purposive sampling. Bentuk desain yang digunakan adalah desain one-group pretest-posttest. Skala yang digunakan adalah SCAS (Spance Children's Anxiety Scale Preschool). Kecemasan rawat inap anak sebelum dan sesudah perawatan naratif dengan flashcard berbeda secara signifikan dan menunjukkan penurunan tingkat kecemasan setelah memberikan terapi mendongeng pada anak

Preschoolers and anxiety: The effect of parental characteristics.

Anxiety is a common phenomenon among children that can lead to adverse developmental outcomes. A challenging parent-child relationship and its characteristics may negatively impact the development of a child's internalizing problems. However, theoretical models on children's anxiety have not fully emphasized the contribution of parenting and environmental factors. Therefore, the aim of this study is to explore the possible correlations between parenting styles and other parental characteristics with children's anxiety. The sample consisted of 443 parents of preschool children who completed the Parenting Styles and Dimension Questionnaire and the Child Behavior Checklist 1.5-5. The univariate analysis included differences between demographic groups, assessed with independent sample t-tests. Associations between demographic evidence and child anxiety were estimated using χ2 tests. Binomial logistic regression analysis assessed the most important parenting characteristics contributing to a child's anxiety. A total of 24.6% of the children had borderline or clinical symptoms of anxiety. Parents whose children were anxious were more permissive than parents of nonanxious children (p < 0.001). Mothers were more authoritative compared to fathers. In addition, permissive parenting style increased the probability of a child's anxiety and maternal permissive style emerged as a significant predictor of anxiety in preschoolers (p < 0.003). This study revealed that the permissive parenting style is associated with anxiety in preschool children. Furthermore, the maternal permissive style was identified as a predictor of anxiety. Future research may address its causal effect on anxiety and other behavioral problems, focusing on multiple perspective relationships and cultural dimensions.

Comparison of dexmedetomidine and a dexmedetomidine-esketamine combination for reducing dental anxiety in preschool children undergoing dental treatment under general anesthesia: A randomized controlled trial

BackgroundDental anxiety is a widespread complication occurring in pediatric patients during dental visits and may lead to undesirable complications. Esketamine may be effective in anxiety. ObjectiveThe objective of this study was to investigate the effect of premedication with a dexmedetomidine-esketamine combination compared with dexmedetomidine alone on dental anxiety in preschool children undergoing dental treatment under general anesthesia. MethodsThis is a prospective, double-blinded, randomized controlled trial. A total of 84 patients were scheduled for elective outpatient dental caries treatment under general anesthesia. Patients were randomly premedicated with intranasal dexmedetomidine (group D) or intranasal dexmedetomidine-esketamine (group DS).The primary outcome was the level of dental anxiety assessed by the Modified Child Dental Anxiety Scale (MCDAS) at 2 h after surgery. Secondary outcomes included level of dental anxiety at 1 day and 7 days after surgery, the incidence of dental anxiety at 2 h, 1 day, and 7 days after surgery, sedation onset time, overall success of sedation, acceptance of mask induction, postoperative pain intensity, incidence of emergence agitation in PACU, adverse reactions, HR, and SpO2 before premedication (baseline) and at 10, 20, and 30 min after the end of study drug delivery. ResultsThe dental anxiety in group DS was lower than that in group D at 2 h, 1 day, and 7 days postoperatively (P = 0.04, 0.004, and 0.006, respectively). The incidences of dental anxiety in group DS were lower than those in group D at 2 h (53 % vs 76 %, P = 0.03), 1 day (47 % vs 71 %, P = 0.04), and 7 days (44 % vs 71 %, P = 0.02) after surgery. Group DS had a higher success rate of sedation (P = 0.03) but showed a lower MAS score (P = 0.005) and smoother hemodynamics (P < 0.01) after drug administration than group D. Group DS showed a significantly lower incidence rate of emergence agitation (P = 0.03) and postoperative pain intensity (P = 0.006) than that in group D during the anesthesia recovery time. The occurrence of adverse reactions was similar in both groups (P > 0.05). LimitationsWe did not analyze and correct for the learning effect caused by repeated applications of the MCDAS and MCDAS scores on the 1 day after surgery were obtained by telephone follow-up. ConclusionsCompared to premedication with dexmedetomidine alone, premedication with intranasal dexmedetomidine combined with esketamine could significantly improve dental anxiety in preschool children undergoing dental treatment under general anesthesia.

A parent-report measure of children’s anxiety: psychometric properties of the Macquarie Anxiety Behavioural Scale (MABS) in a Chinese sample of preschool children

ObjectiveThe Macquarie Anxiety Behavioural Scale (MABS) is a newly developed scale to assess anxiety in children and teenagers. The present study aimed to evaluate the reliability and validity of the Chinese version of the MABS, as well as the measurement invariance across different age groups in a preschool-aged sample.MethodsA total of 1007 parents with children aged 3–6 years participated in the study. Internal consistency was assessed by calculating Cronbach’s alpha, McDonald’s omega and average inter-item correlation values. Confirmatory factor analysis (CFA) was conducted to examine the five-factor model. Multi-group CFA was conducted to test the measurement equivalence across different age groups (3- and 4-year-olds and 5- and 6-year-olds). Convergent, divergent, and criterion-related validity were assessed with Pearson correlation coefficients.ResultsInternal consistency for the MABS total score was good and that of the subscales was acceptable. The CFA results showed that the five-factor structure of the MABS was supported in preschoolers (e.g., CFI = 0.929, TLI = 0.914, RMSEA = 0.050). In addition, scalar invariance of the MABS was supported across different age groups (e.g., ΔCFI = − 0.003, ΔTLI = 0, ΔRMSEA = 0). Furthermore, the MABS showed good convergent and divergent validity as well as criterion-related validity.ConclusionThe Chinese version of the MABS demonstrated satisfactory psychometric properties and appeared to be a valid and reliable instrument for measuring anxiety in preschool children.

Effect of art painting on preschool children with from psychological anxiety the perspective of art psychology

BackgroundIn recent years, the psychological anxiety problem among preschool children has received widespread attention from parents, educators, and researchers. From learning pressure to social interaction with peers, these factors can all lead to the accumulation of psychological stress, resulting in psychological anxiety. Art painting is seen as a way to facilitate individual emotional expression and psychological adjustment, providing children with a stress-free environment where they can freely express their emotions and thoughts without worrying about being judged or misunderstood. The research aims to explore the impact of art painting on the psychological anxiety of contemporary preschool children from the perspective of art psychology.Subjects and Methods The study randomly divided 88 preschool children with psychological anxiety into an experimental group and a control group. The control group received routine intervention, while the experimental group received art painting from the perspective of art psychology on the basis of routine intervention. The study used the Preschool Anxiety Scale (PAS) to assess the level of psychological anxiety in preschool children.ResultsAfter the experiment, the psychological anxiety scores of the experimental group children were significantly lower than before (P&lt;0.05), and meanwhile significantly lower than the psychological anxiety scores of the control group students after the experiment (P&lt;0.05).ConclusionsFrom the perspective of art psychology, art painting has a positive and positive effect on alleviating psychological anxiety in preschool children, and can serve as an auxiliary means of intervention.AcknowledgementResearch results of the Teaching Reform Research project of Colleges and Universities in Hunan Province, (Hunan Jiaotong (2021) No. 298:HNJG-2021-0200).

Association between sleep change patterns and mental health among preschoolers: The mediating role of resilience

Sleep disturbance has been recognized as an important factor influencing mental health problems in preschool children. However, no longitudinal studies have investigated the association between sleep change patterns and mental health in preschoolers or the mediating role of resilience. Here, data were collected from 1595 preschool children in 26 kindergartens in four counties in Anhui Province, China, who were followed up (T2) 1 year apart based on baseline surveys (T1). The primary caregivers of the children were asked to complete a structured questionnaire through face-to-face interviews or by completing it themselves. Pearson's correlation and linear regression were used to analyze the relationships among sleep patterns, mental health, and resilience in preschoolers. A structural equation model was used for the mediation analysis. Four patterns of sleep change were identified: persistent-low pattern (1.7%), decreasing pattern (9.8%), increasing pattern (7.3%), and persistent-high pattern (81.3%). Compared to the persistent-low pattern, the increasing pattern and persistent-high pattern were associated with emotional behavioral problems (EBPs) and anxiety. Resilience played a fully mediating role in the relationship between increasing pattern, persistent-high pattern, and EBPs. Resilience partially mediated the effects of increasing and persistent-high pattern on anxiety. More attention should be paid to sleep problems in children with increasing and persistent-high sleep patterns. Resilience is important for understanding the mechanism underlying the correlation between sleep patterns, EBPs, and anxiety. Considering the EBPs and anxiety of preschool children, early intervention for resilience should be considered.

Penerapan Terapi Bermain Mewarnai Pada Anak Prasekolah Terhadap Kecemasan Akibat Hospitalisasi di RS PKU Muhammadiyah Karanganyar

Hospitalization is a form of stressor in children that lasts as long as the child is hospitalized, hospitalization becomes a crisis that must be faced by children. Feelings of anxiety are the impact of hospitalization experienced by pre-school children. This impact has the risk of interfering with child development and the healing process in children. To reduce children's anxiety, we need a media that can express anxiety, one of which is play therapy. Forms of games that are suitable for children aged 3-6 years are coloring pictures. The purpose of this application is to find out the results of applying play therapy to reducing anxiety due to hospitalization. The application method was carried out using a case study descriptive method to 3 respondents and the coloring play therapy was carried out once in 30 minutes. The results of the application that has been carried out are a decrease in anxiety due to hospitalization. The conclusion in this study is that coloring play therapy can be used as a technique to reduce feelings of anxiety in preschool children due to hospitalization.

Application Of Medical Play To Reduce The Level Of Hospitalization Anxiety In Preschool Children

Application Of Medical Play To Reduce The Level Of Hospitalization Anxiety In Preschool Children

Examination of preschool children's anxiety with a mediator model: the effect of mother's emotion regulation skills and child's emotion expression styles

ABSTRACT Aim The aim of this study is to determine the relationship between emotional regulation difficulties of mothers with preschool children and children's anxiety with a mediator model. Method The study, which is a cross-sectional survey study. ‘Mother–Child Descriptive Information Form', ‘Emotion Regulation Skills Questionnaire (ERSQ)', ‘Revised Preschool Anxiety Scale (RPAS)', ‘Child Emotion Expression Styles Questionnaire (CEEQ) – Maternal Form' were used to collect data. Results The path coefficients between total ERSQ points of mothers with child happy (β = 1.338; p = <0.001), sad (β = –0.582; p = 0.02), angry (β = –0.993; p = 0.001), and fear (β = –0.993; p<0.001) emotion points were found to be statistically significant (β = 1.338; p = <0.001). Path analysis was used to examine the effects of scales on each other. Conclusion As a result, it was determined that as mothers’ emotion regulation skills increased, the child's total anxiety level, the child's angry feeling, and the child's scared feeling decreased, and the child's sense of happiness increased.

The effect of active distraction compared to midazolam in preschool children in the perioperative setting: A randomized controlled trial

PurposeThe primary purpose of this study was to compare the effect of active distraction to midazolam as a non-pharmacological method of reducing preoperative anxiety in preschool children. A secondary purpose was to compare emergence delirium, sedation/agitation, and length of stay between groups. Design and methodsPreschool children (N = 99) scheduled for elective surgery participated in this 2-group randomized controlled trial: the active distraction (tablet) group (n = 52) had unlimited playtime with a tablet and the midazolam group (n = 47) were medicated approximately 10 min before mask induced anesthesia. Data were collected using the modified Yale Preoperative Anxiety Scale, Pediatric Anesthesia Emergence Delirium scale, and Richmond Agitation Sedation Score. Length of stay (LOS) was measured in minutes from PACU admission to discharge. Wilcoxon rank sum, Pearson's chi square, and Fischer's exact tests were used in analysis. ResultsPreschool children (3–5 years old), predominantly male (61%) and White (85%) presented for ear, nose, throat, ophthalmology, urology, and general surgery at a pediatric surgical center within a large Midwestern hospital. There was no significant difference in anxiety, emergence delirium, or sedation/agitation scores between midazolam and tablet groups. Children assigned to the tablet group had shorter LOS (p = 0.021). ConclusionActive distraction with a tablet as an anxiolytic was as effective as midazolam for pre-school aged children with no side effects and reduced length of stay. Practice implicationsPreoperatively, non-pharmacological methods such as active distraction with a tablet should be considered for preschool children as an alternative to medication.

On the Application of Picture Book Reading Therapy to the Psychological Intervention of Single-Parent Children Aged 5-6

Emotional regulation has a critical influence on an individual’s mental health and personality. In the long run, negative coping styles will create antisocial personalities. In recent years, the data on single-parent families has increased significantly, resulting in a sharp increase in the number of single-parent children. Without positive guidance of adults, children are usually unable to get rid of the negative effects brought by single-parent families, let alone acquiring good emotional development. Therefore, given the age development characteristics of children aged 5-6 and the anxiety and loneliness behavior of single-parent children aged 5-6, this study selected some picture books that these children could understand as the therapy medium, and preliminarily proposed a reading plan. Based on the revised Spence (2001) Preschool Children Anxiety Questionnaire and the UCLA Loneliness Scale Questionnaire, the anxiety and loneliness scores of 20 children in the experimental group and the emotional scores of 20 children in the control group were continuously compared. Finally, a four-stage picture book reading therapy suitable for single-parent children aged 5-6 was established, its four stage tasks including anxiety and loneliness recognition, self-awareness building, anxiety and loneliness settlement and peer sharing”.

Assessing the effectiveness of animal-assisted therapy on alleviation of anxiety in pre-school children: A randomized controlled trial

Objective & backgroundHuman-animal interactions are considered as being valuable and beneficial for the psychological health. Recently Animal-Assisted Therapy (AAT) has been included for client-therapist interaction. The purpose of the present study was to assess the effectiveness of animal-assisted therapy in alleviation of anxiety in pre-school children. MethodThe study was carried out as a randomized controlled trail with pre-test and post-test design and control group. The trial was registered in the Chinese Clinical Trial Registry with the registration id of ChiCTR2000034145. The study consisted of 33 anxious 5–7years old children (participated in a welfare anxiety screening plan held by Counseling Center, Tehran-Iran) between 2018 and 2019. The participants took part in the study voluntarily. The subjects were randomly divided into experimental and control groups (10 in each group). The experimental group was exposed to 8 sessions of animal therapy. The research instrument used in the present study was Spence Preschool Anxiety Scale (Parent Form) and the data were analyzed on SPSS 21 software. ResultsThe results showed that animal therapy had a significant effect on general anxiety after adjusting for post-test assessments (f = 32.49 and p = 0.001) with the effect equal to 0.70. In addition, the effect of animal therapy on anxiety of separation (f = 5.63, p = 0.03), generalized anxiety disorder (f = 8.56, p = 0.01), social phobia (f = 14.58, p = 0.002) and specific anxiety (f = 11.63, p = 0.005) was significant with effects equal to 0.30, 0.40, 0.53, and 0.47, respectively. The results also showed that the effect of animal therapy on obsession was not significant (p > 0.05). ConclusionTherefore, it can be concluded that Animal therapy is effective in alleviating anxiety in children. It supports for the inclusion of AAT in therapeutic practice with children having anxiety.

The influence of parental variables and child behavioral inhibition on social anxiety in preschool children: The moderator effects of gender

The influence of parental variables and child behavioral inhibition on social anxiety in preschool children: The moderator effects of gender

Art therapy as a method of correction of negative emotions at dental appointment

In this article, a study is made on the correction of the emotional sphere of children of primary school age. The presented modern correctional program of art therapy-neuro graphics, the objectives of which are the removal of internal constraints, the harmonization of the emotional state, the transformation of reality and modeling of the future, based on the methods of art therapy, aimed at reducing the level of anxiety in children. Neurographics doesn’t require artistic or visual art skills, so every child can participate in this work. Neurographics helps to reduce the anxiety of preschool children, helping to emotionally and personally cognize oneself and other people, promotes knowledge of the world around, helps to realize one’s abilities, the ability to become more active, relax, express one’s emotions and feelings, establish new trust levels of communication. The developed program aimed at reducing anxiety through neurographics, with longer corrective work, will lead to the fact that the level of anxiety manifestations in preschool children will decrease to a minimum.

An Evaluation of Mothers’ Feeding Attitudes and Anxiety in Preschool Children

An Evaluation of Mothers’ Feeding Attitudes and Anxiety in Preschool Children