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Anesthesiology24 papers

Childhood and adolescent disturbance with shyness

Last edited: 4/15/2026

Overview

Shyness in childhood and adolescence can manifest as behavioral traits affecting procedural tolerability, such as during medical imaging requiring sedation. Temperament characteristics like adaptability and persistence play significant roles in procedural success and sedation outcomes. 1

Diagnosis

  • Assess behavioral traits using standardized questionnaires (e.g., Behavioural Style Questionnaire). 1
  • Evaluate adaptability and persistence levels in children undergoing procedures requiring sedation. 1
  • Management

  • Consider temperament assessment before sedation to predict procedural success. 1
  • Tailor sedation strategies based on individual temperament profiles (specific drug classes/doses not detailed). 1
  • Special Populations

  • Pediatrics: Temperament significantly influences sedation outcomes in children undergoing MRI and CT scans. 1
  • Key Recommendations

  • Conduct a presedation temperament assessment in children to evaluate adaptability and persistence levels to improve procedural success rates. (Evidence: Moderate) 1
  • Use temperament profiles to guide decisions regarding the necessity and approach to sedation in pediatric imaging procedures. (Evidence: Moderate) 1
  • References

    1 Voepel-Lewis T, Malviya S, Prochaska G, Tait AR. Sedation failures in children undergoing MRI and CT: is temperament a factor?. Paediatric anaesthesia 2000. link

    Original source

    1. [1]
      Sedation failures in children undergoing MRI and CT: is temperament a factor?Voepel-Lewis T, Malviya S, Prochaska G, Tait AR Paediatric anaesthesia (2000)

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