+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Measuring preoperative anxiety in patients with intracranial tumors: the Amsterdam preoperative anxiety and information scale



Measuring preoperative anxiety in patients with intracranial tumors: the Amsterdam preoperative anxiety and information scale



Journal of Neurosurgical Anesthesiology 23(4): 297-303



Preoperative anxiety is a major problem in patients with brain tumors and is of high clinical relevance. However, to date no instruments have been validated for the assessment of preoperative anxiety for this patient group. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) has shown promising results for the assessment of preoperative anxiety. The aim of this study was to determine its psychometric properties and the optimal cutoff score for patients with intracranial tumors to make it applicable in the neurosurgical setting. The sample totaled 180 neurosurgical patients with intracranial tumors. Patients were administered the APAIS along with the Hospital Anxiety and Depression Scale as the gold standard against which the APAIS was compared. Patients scoring 11 or above in the anxiety subscale of the Hospital Anxiety and Depression Scale were defined as clinical cases having anxiety. The psychometric properties of the APAIS were evaluated for a postulated 2-factor structure, Cronbach α, and correlations. The postulated 2-factor structure could not be replicated. Instead, we found a 3-factor solution (anxiety about the operation, anxiety about the anesthesia, information requirement). The area under the receiver operating characteristics curve ranged from ≥0.65 to ≥0.77. Optimal cutoff scores were calculated. The cutoff score for the anxiety scale was ≥10 for the whole sample and men only, and was ≥11 for women only. Analysis of the psychometric properties yielded satisfactory results (eg. Cronbach α for the anxiety scale >0.84). Despite its brevity, the APAIS is valid and recommendable for the assessment of preoperative anxiety in patients with intracranial tumors. As this is the first validation study focusing on patients with severe diseases and major surgeries, we recommend the application of our cutoff scores also for patients similar to our study population with regard to disease and surgery severity.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054289274

Download citation: RISBibTeXText

PMID: 21691216

DOI: 10.1097/ana.0b013e318222b787


Related references

The Amsterdam preoperative anxiety and information scale provides a simple and reliable measure of preoperative anxiety. Canadian Journal of Anaesthesia 49(8): 792-798, 2002

Validation of the Amsterdam Preoperative Anxiety and Information Scale among patients scheduled for cardiac surgery. Journal of Cardiovascular Surgery 59(3): 483-485, 2018

The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesthesia and Analgesia 82(3): 445-451, 1996

Italian validation of the Amsterdam Preoperative Anxiety and Information Scale. Minerva Anestesiologica 83(7): 705-711, 2017

The Amsterdam Preoperative Anxiety and Information Scale (APAIS) - the first trial of a German version. Psycho-SocialMedicine4:Doc01, 2007

Translation and validation of the Amsterdam preoperative anxiety and information scale (APAIS) for use in Japan. Quality of Life Research 11(4): 361-364, 2002

Translation and Validation of the Amsterdam Preoperative Anxiety and Information Scale (Apais) for Use in Japan. Quality of Life Research 11(4): 361-364, 2002

Validation of the Spanish version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Health and Quality of Life Outcomes 15(1): 120, 2017

Validity and reliability of the Amsterdam Preoperative Anxiety and Information Scale in the Turkish population. Turkish Journal of Medical Sciences 49(1): 178-183, 2019

Validation of the French version of the Amsterdam preoperative anxiety and information scale (APAIS). Health and Quality of Life Outcomes 11: 166, 2013

Validation of the Malay version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Medical Journal of Malaysia 70(4): 243-248, 2015

Translation and validation of the Amsterdam Preoperative Anxiety and Information Scale (APAIS) for Iranian population. 2007

Validity and Reliability of the Czech Version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Journal of Perianesthesia Nursing 32(5): 429-437, 2017

Measurement tool for preoperative anxiety in young children: The yale preoperative anxiety scale. Child Neuropsychology 1(3): 203-210, 1995

Measuring of preoperative anxiety by three self-reporting scales: State Trait Anxiety Inventory, Symptoms CheckList 92 and visual analogue scale. Ugeskrift for Laeger 165(6): 569-574, 2003