Chelsea Cleveland1, Vijay A Patel2, Shari A Steinman3, Reena Razdan4, Michele M Carr5. 1. Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA. 2. Department of Otolaryngology, UPMC Center for Cranial Base Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. 3. Department of Psychology, West Virginia University, Morgantown, West Virginia, USA. 4. West Virginia University School of Medicine, Morgantown, West Virginia, USA. 5. Jacobs School of Medicine and Biomedical Sciences, Department of Otolaryngology, University at Buffalo, Buffalo, New York, USA.
Abstract
OBJECTIVE: To assess the relationship between depression, anxiety, stress, worry, intolerance of uncertainty (IU), and shared decision making (SDM) in parents of pediatric otolaryngology surgical patients with their perceptions of decisional conflict (DC). STUDY DESIGN: Cross-sectional. SETTING: Academic pediatric otolaryngology outpatient clinic. METHODS: Participants were legal guardians of pediatric patients who met criteria for otolaryngologic surgery. Participants completed a demographic survey as well as validated Decisional Conflict Scale (DCS); Shared Decision-Making Scale (SDMS); Depression, Anxiety and Stress Scale-21 (DASS-21); Penn State Worry Questionnaire (PSWQ); and short form of the Intolerance of Uncertainty Scale (IUS-12). RESULTS: A total of 114 participants were enrolled. Respondents were predominantly female (93.0%) and married (60.5%). Most guardians had not consented previously for otolaryngologic surgery for their child (69.3%). Participants reported low levels of DC and depression as well as moderate levels of anxiety and stress. DC scores were not significantly correlated to DASS-21, PSWQ, or SDM. IUS-12 Total and subscale IUS-12 prospective negatively correlated with Total DC. DC was not related to age, sex, education level, previous otolaryngologic surgery, or type of surgery recommended. CONCLUSION: In this group, an association was found between IU and DC. Clinicians should be aware that DC is not modified by previous surgical experience. Interventions aimed at addressing parental IU related to surgery may reduce DC. Further research efforts could help us understand how mental health relates to surgical decision making.
OBJECTIVE: To assess the relationship between depression, anxiety, stress, worry, intolerance of uncertainty (IU), and shared decision making (SDM) in parents of pediatric otolaryngology surgical patients with their perceptions of decisional conflict (DC). STUDY DESIGN: Cross-sectional. SETTING: Academic pediatric otolaryngology outpatient clinic. METHODS: Participants were legal guardians of pediatric patients who met criteria for otolaryngologic surgery. Participants completed a demographic survey as well as validated Decisional Conflict Scale (DCS); Shared Decision-Making Scale (SDMS); Depression, Anxiety and Stress Scale-21 (DASS-21); Penn State Worry Questionnaire (PSWQ); and short form of the Intolerance of Uncertainty Scale (IUS-12). RESULTS: A total of 114 participants were enrolled. Respondents were predominantly female (93.0%) and married (60.5%). Most guardians had not consented previously for otolaryngologic surgery for their child (69.3%). Participants reported low levels of DC and depression as well as moderate levels of anxiety and stress. DC scores were not significantly correlated to DASS-21, PSWQ, or SDM. IUS-12 Total and subscale IUS-12 prospective negatively correlated with Total DC. DC was not related to age, sex, education level, previous otolaryngologic surgery, or type of surgery recommended. CONCLUSION: In this group, an association was found between IU and DC. Clinicians should be aware that DC is not modified by previous surgical experience. Interventions aimed at addressing parental IU related to surgery may reduce DC. Further research efforts could help us understand how mental health relates to surgical decision making.
Entities:
Keywords:
decisional conflict; intolerance of uncertainty; pediatric otolaryngology; surgical decision making
Authors: Samuel Justin Sinclair; Caleb J Siefert; Jenelle M Slavin-Mulford; Michelle B Stein; Megan Renna; Mark A Blais Journal: Eval Health Prof Date: 2011-10-18 Impact factor: 2.651
Authors: Armando J Lorenzo; João L Pippi Salle; Bozana Zlateska; Martin A Koyle; Darius J Bägli; Luis H P Braga Journal: J Urol Date: 2014-03-26 Impact factor: 7.450
Authors: Fania R Gärtner; Hanna Bomhof-Roordink; Ian P Smith; Isabelle Scholl; Anne M Stiggelbout; Arwen H Pieterse Journal: PLoS One Date: 2018-02-15 Impact factor: 3.240
Authors: Anouk M Knops; Astrid Goossens; Dirk T Ubbink; Dink A Legemate; Lukas J Stalpers; Patrick M Bossuyt Journal: Med Decis Making Date: 2012-08-27 Impact factor: 2.583