Observational studyBMC anesthesiology2025
Patients' anesthesia preferences for Cesarean delivery: exploring the role of personality beliefs in spinal vs. General anesthesia.
Observational study in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06795321 (Patients' Anesthesia Preferences for Cesarean Delivery), which is not on this map. Not yet cited in PubMed.
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Patients' Anesthesia Preferences for Cesarean Delivery: Exploring the Role of Personality Beliefs in Spinal vs. General Anesthesia
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8 authors.
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Abstract
backgroundThis study aimed to compare the personality belief scores of patients who chose either general or spinal anesthesia during cesarean delivery (CD) and explore the relationship between personality beliefs, and anxiety levels.
methodsThis prospective study included expecting mothers, aged 18-45 years, who were classified as ASA II-III, scheduled for elective CD. Anesthesia (general or spinal) was selected based on the patient's preference. Patients with emergency CD indications, contraindications to either anesthesia type, or inability to complete the evaluation scales were excluded. After collecting sociodemographic data and medical history, patients completed the Spielberger Trait Anxiety Inventory (STAI II) and Personality Belief Questionnaire Short Form (PBQ-SF). On the day of surgery, patients were asked to complete the Spielberger State Anxiety Inventory (STAI I) in the preoperative waiting room. After discharge, the collected results were analyzed and compared based on the women's anesthetic choices (general or spinal anesthesia).
resultsThe study included 150 patients, with 71 expressing a preference for spinal anesthesia and 79 indicating a preference for general anesthesia. The dependent, narcissistic, and borderline personality belief scores, as well as the state anxiety (STAI I) scores, were significantly higher in the spinal anesthesia group than in the general anesthesia group (dependent p = 0.003, narcissistic p = 0.013, borderline = 0.018, STAI I = 0.01). These differences had small to medium effect sizes (η² = 0.053, 0.040, 0.034, respectively). Spearman's correlation analysis revealed weak positive correlations between state anxiety (STAI I) scores and dependent (rho = 0.237, p = 0.004), narcissistic (rho = 0.287, p < 0.001), histrionic (rho = 0.300, p < 0.001), and borderline (rho = 0.231, p = 0.005) personality belief scores.A weak positive correlation was also observed between trait anxiety (STAI II) scores and dependent personality belief scores (rho = 0.193, p = 0.018).
conclusionsWomen who preferred spinal anesthesia had higher scores in dependent, narcissistic, and borderline personality beliefs compared to those who preferred general anesthesia. Although weak, these personality beliefs were also associated with preoperative anxiety. Although these findings are inconclusive, they indicate that personality traits may influence anesthesia preference for CD.
trial registrationThe study was registered on ClinicalTrials.gov (Identifier: NCT06795321).
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