{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:19:16Z","timestamp":1777483156636,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T00:00:00Z","timestamp":1650585600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>We investigated whether the severity of anxiety among children undergoing endoscopy could affect sedation. We prospectively recruited patients under 18\u00a0years of age who were scheduled to undergo esophagogastroduodenoscopy (EGD). Baseline anxiety was evaluated using the Spence Children\u2019s Anxiety Scale (SCAS). Our analysis considered the type and dose of sedative drugs, degree of sedation, and complications associated with sedation according to the scale score. The mean total SCAS T-scores and each subscale score were significantly higher in the 6\u201312-year age group. The mean T-score among patients who exhibited irritability during EGD was higher than that among other patients, with significant differences in the Total, Obsessive Disorder, Panic Agoraphobia and General Anxiety subscales. The midazolam doses of children exhibiting irritability were more likely to need higher ( p = 0.006). Other sedation-related complications were not associated with the T-scores in each subscale. Total sleep time was not associated with any T-score subscales. Anxiety levels were significantly higher among 6\u201312-year-olds and children exhibiting irritability. Anxiety was often associated with irritability, difficulties achieving adequate sedation during EGD, and additional sedative drug administration. We recommend higher doses or more potent drugs to facilitate endoscopy for children with high anxiety levels.<\/jats:p>","DOI":"10.1177\/13591045221096308","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T19:30:35Z","timestamp":1650655835000},"page":"793-803","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Effects of anxiety on sedation among pediatric patients undergoing esophagogastroduodenoscopy"],"prefix":"10.1177","volume":"27","author":[{"given":"You Jin","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Inje University Ilsan Paik Hospital, Republic of Korea"},{"name":"Inje University College of Medicine, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Jin","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Inje University Ilsan Paik Hospital, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoo Min","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Republic of Korea"},{"name":"Soonchunhyang University College of Medicine, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soon Chul","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Jeonbuk National University Medical School, Republic of Korea"},{"name":"Jeonbuk National University Hospital, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Kyungpook National University, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung Jae","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hallym University Sacred Heart Hospital, Republic of Korea"},{"name":"Hallym University College of Medicine, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyo-Jeong","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Keimyung University School of Medicine Dongsan Medical Center, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Hye","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nowon Eulji Medical Center, Republic of Korea"},{"name":"Eulji University School of Medicine, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Eulji University Hospital, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"So Yoon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Kosin University Gospel Hospital, Republic of Korea"},{"name":"Kosin University College of Medicine, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun","family":"Jin Kim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Chungnam National University Hospital, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunkoo","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yonsei University Wonju College of Medicine, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byung-Ho","family":"Choe","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Kyungpook National University, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeewon","family":"Lee","sequence":"additional","affiliation":[{"name":"Soonchunhyang University College of Medicine, Republic of Korea"},{"name":"Department of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4168-7131","authenticated-orcid":false,"given":"Dae Yong","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Chung-Ang University Hospital, Republic of Korea"},{"name":"College of Medicine, Chung-Ang University, Republic of 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