All participants completed the child depression inventory(CDI), State Anxiety (SA) and Trait Anxiety (TA) inventories, and ChildhoodAnxiety Sensitivity Index (CASI) before the operation as well as the ChildPosttraumatic Stress Reaction Index (CPSRI) one month after the operation.The CDI, CASI and TA scores of the children were similar in both groups,while the SA scores of the LA group were higher than those in GA group(p
📌 3 Key Takeaways
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Objective & Hypothesis:The aim of this study was to investigate the impact of general versus localanesthesia on the Posttraumatic Stress Disorder (PTSD) symptoms aftercircumcision.
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Key Findings & Data:Of the 134 consecutive children (7-12 years of age) whounderwent circumcision, 71 had general anesthesia (GA) and 63 had localanesthesia (LA).
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Conclusion & Impact:All participants completed the child depression inventory(CDI), State Anxiety (SA) and Trait Anxiety (TA) inventories, and ChildhoodAnxiety Sensitivity Index (CASI) before the operation as well as the ChildPosttraumatic Stress Reaction Index (CPSRI) one month after the operation.The CDI, CASI and TA scores of the children were similar in both groups,while the SA scores of the LA group were higher than those in GA group(p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
The aim of this study was to investigate the impact of general versus localanesthesia on the Posttraumatic Stress Disorder (PTSD) symptoms aftercircumcision. Of the 134 consecutive children (7-12 years of age) whounderwent circumcision, 71 had general anesthesia (GA) and 63 had localanesthesia (LA). All participants completed the child depression inventory(CDI), State Anxiety (SA) and Trait Anxiety (TA) inventories, and ChildhoodAnxiety Sensitivity Index (CASI) before the operation as well as the ChildPosttraumatic Stress Reaction Index (CPSRI) one month after the operation.The CDI, CASI and TA scores of the children were similar in both groups,while the SA scores of the LA group were higher than those in GA group(p
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Cite This Article
KOZANHAN, B., KOCAOĞLU, C., GÜNDÜZ, M., AKÇA, Ö. F. (2022). Posttraumatic stress disorder symptoms in children exposed to circumcision under general or local anesthesia. Turkish Journal of Pediatrics, Cilt: 60 - Sayı: 6, 718–725. https://ajindex.com/articles/613272
Wiswell TE. Circumcision circumspection. N Engl J Med 1997; 336: 1244-1245. 2. World Health Organization. Male Circumcision: Global Trends and Determinants of Prevalence, Safety, and Acceptability. Geneva, Switzerland: World Health Organization, 2007 3. Verma (Chairman) R, Alladi R, Jackson I, et al; Association of Anaesthetists of Great Britain and Ireland; British Association of Day Surgery. Day case and short stay surgery: 2. Anaesthesia 2011; 66: 417- 434. 4. Paix BR, Peterson SE. Circumcision of neonates and children without appropriate anaesthesia is unacceptable practice. Anaesth Intensive Care 2012; 40: 511-516. 5. Serour F, Cohen A, Mandelberg A, Mori J, Ezra S. Dorsal penile nerve block in children undergoing circumcision in a day-care surgery. Can J Anaesth 1996; 43: 954-958. 6. Cansever G. Psychological effects of circumcision. Br J Med Psychol 1965; 38: 321-331. 7. Ramos S, Boyle GJ. Ritual and medical circumcision among Filipino boys: Evidence of post-traumatic stress disorder. Eds: Denniston GC, Hodges FM, Milos MF. Understanding Circumcision: A Multi-Disciplinary Approach to a Multi-Dimensional Problem. New York, Plenum, 2001. 8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychological Association Press, 1994. 9. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association, 2013. 10. Jordan GH, Schlossberg SM, Devine C. Surgery of the penis and urethra. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders, Elsevier, 2007. 11. Kovacs M. Rating scales to assess depression in schoolaged children. Acta Paedopsychiatr 1981; 46: 305-315. 12. Öy B. Çocuklar için depresyon ölçeği: Geçerlik ve güvenirlik çalışması. Türk Psikiyatri Dergisi 1991; 2: 132-136. 13. Spielberger CD. The measurement of state and trait anxiety: Conceptual and methodological issues. In: Levi L (ed). Emotions: Their parameters and measurement. New York, NY: Raven. 1975: 713-725. 14. Özusta HŞ. Çocuklar için durumluk-sürekli kaygı envanteri uyarlama, geçerlik ve güvenirlik çalışması. Türk Psikoloji Dergisi 1995; 10: 32-44. 15. Silverman WK, Fleisig W, Rabian B, Peterson RA. Childhood anxiety sensitivity index. J Clin Child Adolesc Psychol 1991; 20: 162-168. 16. Yılmaz S, Kılıç EZ. Çocuklar için anksiyete duyarlılığı indeksinin türkçe formunun geçerlik ve güvenirlik çalışması. Türk Psikiyatri Dergisi 2015; 26: 197-203. 17. Pyno