'My Parent Is Acting Different, Should I Be Worried?' Child Temperament and Caregiver Emotional Consistency in Predicting Child Anxiety in the Surgical Setting

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Bibliographic Details
Title: 'My Parent Is Acting Different, Should I Be Worried?' Child Temperament and Caregiver Emotional Consistency in Predicting Child Anxiety in the Surgical Setting
Language: English
Authors: Chaeeun Shin (ORCID 0000-0002-1517-5220), Cheryl H. T. Chow, Ryan J. Van Lieshout, Norman Buckley, Louis A. Schmidt
Source: Developmental Psychology. 2026 62(4):726-738.
Availability: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org
Peer Reviewed: Y
Page Count: 13
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Descriptors: Parent Influence, Anxiety, Surgery, Parent Child Relationship, Interaction, Personality Traits, Children, Correlation, Shyness, Foreign Countries
Geographic Terms: Canada
Assessment and Survey Identifiers: State Trait Anxiety Inventory
DOI: 10.1037/dev0002006
ISSN: 0012-1649
1939-0599
Abstract: Parent-child interactions can vary in different contexts contributing to differences in children's behaviors. Using a short-term longitudinal design, we examined whether caregiver emotional consistency (CEC) moderated the relation between children's temperament and preoperative anxiety in a unique real-world, ecologically salient context: the surgical setting. Participants were 102 children (M[subscript age] = 10.5 years, SD[subscript age] = 1.7, range = 8-13 years, 46.1% boys, 67.6% White) who underwent elective surgery and their caregivers (the majority of whom were their biological parents). Children's temperamental shyness and parents' trait anxiety were self-reported 7-10 days prior to surgery during a preoperative clinic visit (Time 1). During the day of surgery (Time 2), children's preoperative state anxiety and parents' state anxiety were self-reported in the hospital prior to surgery, and parents' state anxiety was directly observed in the operating room leading up to surgery. CEC was operationalized as separate difference scores between changes in parent trait anxiety at Time 1 to parent state anxiety during the day of surgery and observed state anxiety in the operating room at Time 2. We found that the CEC measure moderated the relation between children's temperamental shyness and preoperative anxiety during the day of surgery. Shy children were more anxious on the day of surgery when their parents had relatively low CEC than shy children with relatively high CEC parents, whereas low-shy children were relatively unaffected by parents' CEC levels. These findings provide evidence for a diathesis-stress model underlying the relation between individual differences in children's temperament and anxiety in a real-world, ecologically salient stressful context, extending prior work reported in traditional settings.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1503586
Database: ERIC
Description
Abstract:Parent-child interactions can vary in different contexts contributing to differences in children's behaviors. Using a short-term longitudinal design, we examined whether caregiver emotional consistency (CEC) moderated the relation between children's temperament and preoperative anxiety in a unique real-world, ecologically salient context: the surgical setting. Participants were 102 children (M[subscript age] = 10.5 years, SD[subscript age] = 1.7, range = 8-13 years, 46.1% boys, 67.6% White) who underwent elective surgery and their caregivers (the majority of whom were their biological parents). Children's temperamental shyness and parents' trait anxiety were self-reported 7-10 days prior to surgery during a preoperative clinic visit (Time 1). During the day of surgery (Time 2), children's preoperative state anxiety and parents' state anxiety were self-reported in the hospital prior to surgery, and parents' state anxiety was directly observed in the operating room leading up to surgery. CEC was operationalized as separate difference scores between changes in parent trait anxiety at Time 1 to parent state anxiety during the day of surgery and observed state anxiety in the operating room at Time 2. We found that the CEC measure moderated the relation between children's temperamental shyness and preoperative anxiety during the day of surgery. Shy children were more anxious on the day of surgery when their parents had relatively low CEC than shy children with relatively high CEC parents, whereas low-shy children were relatively unaffected by parents' CEC levels. These findings provide evidence for a diathesis-stress model underlying the relation between individual differences in children's temperament and anxiety in a real-world, ecologically salient stressful context, extending prior work reported in traditional settings.
ISSN:0012-1649
1939-0599
DOI:10.1037/dev0002006