Pasquale Buonanno1, Anna Laiola2, Chiara Palumbo2, Gianmario Spinelli2, Virginia Terminiello3, Giuseppe Servillo2. 1. Department of Neurologic, Reproductive, and Odontostomatological Sciences, Federico II University, Naples, Italy - pasqualebuonanno19@libero.it. 2. Department of Neurologic, Reproductive, and Odontostomatological Sciences, Federico II University, Naples, Italy. 3. Department of Anesthesiology, Surgery, and Emergency Medicine, Second University of Naples, Naples, Italy.
Abstract
BACKGROUND: Preoperative anxiety is usually experienced by patients awaiting surgical procedures and it can negatively impact patient's outcome. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) is a questionnaire created to identify anxious patients and their need for information: it has been translated and validated in many languages because of its reliability and ease of completion. To date, no Italian version of the APAIS has been produced; our aim was to translate and validate the APAIS in Italian. METHODS: We produced an Italian version of the APAIS and we administered it to 110 patients undergoing elective surgery; we explored its structure by factor analysis and its reliability by Cronbach's alpha. We analyzed its external validity by confronting it to the Spielberg's State-Trait Anxiety Inventory (STAI). Sensitivity, specificity, and positive and negative predictive values of the Italian version of the APAIS were determined. RESULTS: The Italian version of the APAIS confirmed the original structure of the questionnaire and its internal consistency; it well correlated with the STAI-Y1, the subscale of the STAI which explore the anxiety "state." An APAIS score of 14 was found as best cutoff to distinguish anxious and non-anxious patients. CONCLUSIONS: The Italian translation of the APAIS showed psychometric properties similar to the original version. Its reliability and its efficiency make it a powerful tool even in Italian population to detect anxiety and need for information.
BACKGROUND: Preoperative anxiety is usually experienced by patients awaiting surgical procedures and it can negatively impact patient's outcome. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) is a questionnaire created to identify anxiouspatients and their need for information: it has been translated and validated in many languages because of its reliability and ease of completion. To date, no Italian version of the APAIS has been produced; our aim was to translate and validate the APAIS in Italian. METHODS: We produced an Italian version of the APAIS and we administered it to 110 patients undergoing elective surgery; we explored its structure by factor analysis and its reliability by Cronbach's alpha. We analyzed its external validity by confronting it to the Spielberg's State-Trait Anxiety Inventory (STAI). Sensitivity, specificity, and positive and negative predictive values of the Italian version of the APAIS were determined. RESULTS: The Italian version of the APAIS confirmed the original structure of the questionnaire and its internal consistency; it well correlated with the STAI-Y1, the subscale of the STAI which explore the anxiety "state." An APAIS score of 14 was found as best cutoff to distinguish anxious and non-anxiouspatients. CONCLUSIONS: The Italian translation of the APAIS showed psychometric properties similar to the original version. Its reliability and its efficiency make it a powerful tool even in Italian population to detect anxiety and need for information.
Authors: Stefan Salzmann; Stephen Rienmüller; Stefan Kampmann; Frank Euteneuer; Dirk Rüsch Journal: BMC Anesthesiol Date: 2021-05-17 Impact factor: 2.217
Authors: Anna Valenzano; Fiorenzo Moscatelli; Antonietta Messina; Vincenzo Monda; Raffaele Orsitto; Giovanna Zezza; Giovanni Fiorentino; Monica Salerno; Antonio I Triggiani; Andrea Viggiano; Maria P Mollica; Marco Carotenuto; Marcellino Monda; Giuseppe Cibelli; Giovanni Messina Journal: Front Physiol Date: 2018-05-07 Impact factor: 4.566