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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2017 July;83(7):705-11

DOI: 10.23736/S0375-9393.16.11675-X


language: English

Italian validation of the Amsterdam Preoperative Anxiety and Information Scale

Pasquale BUONANNO 1 , Anna LAIOLA 1, Chiara PALUMBO 1, Gianmario SPINELLI 1, Virginia TERMINIELLO 2, Giuseppe SERVILLO 1

1 Department of Neurologic, Reproductive, and Odontostomatological Sciences, Federico II University, Naples, Italy; 2 Department of Anesthesiology, Surgery, and Emergency Medicine, Second University of Naples, Naples, Italy


BACKGROUND: Preoperative anxiety is usually experienced by patients awaiting surgical procedures and it can negatively impact patient’s outcome. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) is a questionnaire created to identify anxious patients and their need for information: it has been translated and validated in many languages because of its reliability and ease of completion. To date, no Italian version of the APAIS has been produced; our aim was to translate and validate the APAIS in Italian.
METHODS: We produced an Italian version of the APAIS and we administered it to 110 patients undergoing elective surgery; we explored its structure by factor analysis and its reliability by Cronbach’s alpha. We analyzed its external validity by confronting it to the Spielberg’s State-Trait Anxiety Inventory (STAI). Sensitivity, specificity, and positive and negative predictive values of the Italian version of the APAIS were determined.
RESULTS: The Italian version of the APAIS confirmed the original structure of the questionnaire and its internal consistency; it well correlated with the STAI-Y1, the subscale of the STAI which explore the anxiety “state.” An APAIS score of 14 was found as best cutoff to distinguish anxious and non-anxious patients.
CONCLUSIONS: The Italian translation of the APAIS showed psychometric properties similar to the original version. Its reliability and its efficiency make it a powerful tool even in Italian population to detect anxiety and need for information.

KEY WORDS: Preoperative care - Consumer health information - Validation studies - Surverys and questionnaires

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Publication History

Issue published online: July 11, 2017
Article first published online: January 17, 2017
Manuscript accepted: December 31, 2016
Manuscript revised: November 30, 2016
Manuscript received: August 26, 2016

Cite this article as

Buonanno P, Laiola A, Palumbo C, Spinelli G, Terminiello V, Servillo G. Italian validation of the Amsterdam Preoperative Anxiety and Information Scale. Minerva Anestesiol 2017;83:705-11. DOI: 10.23736/S0375-9393.16.11675-X

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