{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:25:01Z","timestamp":1753892701285,"version":"3.41.2"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T00:00:00Z","timestamp":1704240000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Guidelines from the European Society of Anesthesia (ESA) insist on the importance of preoperative anxiety management. However, its assessment currently relies on questionnaires that are long to submit and sometimes difficult to interpret. Exploring the balance between sympathetic and parasympathetic neural systems through the use of pupillometry is a promising path to identify anxiety and thus provides an objective and reproducible assessment tool. A single-center prospective observational study was conducted in a population of ambulatory ophthalmological surgery patients. Preoperative anxiety was assessed using the Surgical Fear Questionnaire (SFQ). Measurements were taken using an Algiscan<jats:sup>\u00ae<\/jats:sup> (IDMed) type pupillometer before, during, and after insertion of the peripheral IV catheter. A statistical correlation test was carried out between the different evaluations of anxiety and the coefficient of variation of the pupillary diameter (VCPD). A total of 71 patients were included in the study between July 2020 and February 2021, with a median SFQ score of 23 [IQR 11-34]. No significant statistical correlation was found between the baseline pupillary diameter, or VCPD, and preoperative anxiety levels. Similarly, the pupillometric variables did not differ significantly when adjusting for the level of anxiety during and after painful stimulation due to canulation. More studies are necessary to explore the potential correlation between preoperative anxiety and pupillometry.<\/jats:p>","DOI":"10.3389\/fpsyg.2023.1296387","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T04:34:03Z","timestamp":1704256443000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Investigating pupillometry to detect preoperative anxiety: a pilot study"],"prefix":"10.3389","volume":"14","author":[{"given":"Jason","family":"Richez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre-Rapha\u00ebl","family":"Rothschild","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christophe","family":"Baillard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles","family":"Guerrier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,1,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"80","DOI":"10.3389\/fpsyt.2014.00080","article-title":"Anxiety disorders are associated with reduced heart rate variability: a meta-analysis","volume":"5","author":"Chalmers","year":"2014","journal-title":"Front. Psych."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e322","DOI":"10.1016\/j.bja.2018.09.031","article-title":"Assessing pain in the postoperative period: analgesia nociception IndexTMversus pupillometry","volume":"123","author":"Charier","year":"2019","journal-title":"Br. J. Anaesth."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1346","DOI":"10.1016\/j.jpain.2017.06.006","article-title":"Assessing pain using the variation coefficient of pupillary diameter","volume":"18","author":"Charier","year":"2017","journal-title":"J. Pain"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1097\/EJA.0000000000000817","article-title":"Pre-operative evaluation of adults undergoing elective noncardiac surgery: updated guideline from the European Society of Anaesthesiology","volume":"35","author":"de Hert","year":"2018","journal-title":"Eur. J. Anaesthesiol. Suppl."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1080\/15622975.2021.1935316","article-title":"Investigating pupillometry to detect emotional regulation difficulties in post-traumatic stress disorder","volume":"23","author":"Ginton","year":"2022","journal-title":"World J. Biol. Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1016\/s0022-3999(00)00189-6","article-title":"Preoperative anxiety and postoperative pain in women undergoing hysterectomy. a repeated-measures design","volume":"49","author":"Kain","year":"2000","journal-title":"J. Psychosomat. Res."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1097\/EJA.0b013e3283631751","article-title":"Assessing preoperative anxiety using a questionnaire and clinical rating: a prospective observational study","volume":"30","author":"Laufenberg-Feldmann","year":"2013","journal-title":"Eur. J. Anaesthesiol."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1111\/j.1365-2044.1989.tb11349.x","article-title":"Daycase anaesthesia and anxiety. A study of anxiety profiles amongst patients attending a day bed unit","volume":"44","author":"Mackenzie","year":"1989","journal-title":"Anaesthesia"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"16","DOI":"10.5334\/joc.18","article-title":"Pupillometry: psychology, physiology, and function","volume":"1","author":"Math\u00f4t","year":"2018","journal-title":"J. Cogn."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1213\/00000539-199108000-00013","article-title":"A survey of 800 patients\u2019 knowledge, attitudes, and concerns regarding anesthesia","volume":"73","author":"Shevde","year":"1991","journal-title":"Anesth. Analg."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2023.1296387\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T04:34:06Z","timestamp":1704256446000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2023.1296387\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,3]]},"references-count":10,"alternative-id":["10.3389\/fpsyg.2023.1296387"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2023.1296387","relation":{},"ISSN":["1664-1078"],"issn-type":[{"type":"electronic","value":"1664-1078"}],"subject":[],"published":{"date-parts":[[2024,1,3]]},"article-number":"1296387"}}