AnxietyNCT07559461
Fear and Anxiety in Anesthesia-Naïve Patients Pre-operatively vs Post-operatively
An observational study of Anxiety and Anesthesia Awareness, run by Stony Brook University at 1 site in United States.
Trial summary
The goal of this observational study is to understand how fear and anxiety felt by anesthesia-naive patients compares before versus after their scheduled surgery. Patients who are scheduled to undergo a low-risk surgery/procedure and have never had anesthesia before will be asked to: 1. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Anxiety, Anesthesia Awareness
- What is being tested?
- Survey using a questionnaire.
- How many people
- 40 participants
- Where
- 1 siteUnited States
- Study dates
- 12 Feb 2026to Feb 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients over 18 who have never received anesthesia before that are scheduled to undergo a low-risk surgery/procedure at Stony Brook University Hospital, Stony Brook Ambulatory Surgery Center, or Stony Brook Ambulatory Care Pavilion.
Who may be able to join
- 18 years old or over
- Patients scheduled to undergo surgeries such as but not limited to:
- cholecystectomies, appendectomies, hernia repairs, breast surgeries, plastic surgeries, thyroidectomy, parathyroidectomy, tonsillectomy, adenoidectomy, lithotripsy, stent placement, kidney stone surgeries, cystoscopies, bladder tumors, ovarian cystectomies, hysterectomies, tubal ligation, hysteroscopy, Intrauterine Device (IUD) insertion, knee replacement, hip replacement, fracture pinning, sports injury surgery such as knee and shoulder scopes. OR patients undergoing procedures such as but not limited to: colonoscopies and endoscopies
- Patient undergoing anesthesia for the first time
- Patients who are not pregnant by self report
Who cannot join
- Patients under 18
- Patients who are pregnant
- Patients undergoing high-risk surgeries
- Patients undergoing cancer-related procedures
- Non-English speaking patients
- Patients that experience mental status change postoperatively as determined by the medical teams caring for the patient
- Patients with an existing anxiety disorder, or psychiatric diagnoses
- Patients on benzodiazepines, antidepressants, chronic opioids
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
Stony Brook University Hospital
Stony Brook, New York, 11794
Anna Suske, 631-638-1214, anna.suske@stonybrookmedicine.edu
Ana Costa, MD, 631-358-6513, ana.costa@stonybrookmedicine.edu
About this study
Official title: Fear and Anesthesia: How Anxiety and Fear in Anesthesia-Naïve Patients Changes From Preop to Postop
The goal of this observational study is to understand how fear and anxiety felt by anesthesia-naive patients compares before versus after their scheduled surgery. Patients who are scheduled to undergo a low-risk surgery/procedure and have never had anesthesia before will be asked to:
- Fill out a survey before their surgery in the perioperative setting
- Answer follow-up questions over the phone a few days after their surgery.
Read the detailed description
Patients that fit the inclusion/exclusion criteria and consent to the study will fill out a paper survey that is an adapted version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS) along with additional questions related to anesthesia anxiety for secondary analysis. 7 days (+/-72 hours) after the patient's surgery, they will complete a follow-up survey over the phone that is an adapted version of the APAIS. Results will be recorded on paper and then uploaded into REDCap for data analysis.
- Conditions
- Anxiety, Anesthesia Awareness
- Being tested
- Survey using a questionnaire.
- Keywords
- Anesthesia-naïve, Anxiety
- Medical subject headings
- Anxiety Disorders, Intraoperative Awareness
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Survey using a questionnaire.Other
A preoperative and postoperative survey questionnaire that is adapted from the Amsterdam Preoperative Anxiety and Information Scale and includes additional questions regarding their anesthesia and operative care.
What is being measured
The primary outcome is the main question the study is designed to answer.
Differences in anxiety scale scores pre- and post-operatively in anesthesia-naïve patients
Participants will be given 2 scores based on their pre-operative survey and their post-operative survey. The change in anxiety score will be evaluated.
Measured: From enrollment until 7 days (+/-72 hours) post-operative
Secondary outcomes (2)
Determining if there is an association between a pre-operative desire for information related to anesthesia and the post-operative reality of the individual subject's anesthesia experience.
This data will be collected from the pre-operative and post-operative survey questionnaires and evaluated for correlation.
Measured: From enrollment until 7 days (+/-71 hours) post-operative
Comparing the frequency of specific fears of events pre-operatively versus the post-operative reality of the individual subject's anesthesia experience.
This data will be collected from the pre-operative and post-operative survey questionnaires and will be evaluated.
Measured: From enrollment until 7 days (+/-71 hours) post-operative
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Apr 2026
- Study start12 Feb 2026
- Primary completionFeb 2027 (estimated)
- Study completionFeb 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for AnxietyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Stony Brook University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ana Costa, Stony Brook University
- Investigators
- Ana Costa, MD, Principal investigator, Stony Brook University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07559461
- Sponsor's protocol ID
- IRB2024-00359
- Status last verified
- Apr 2026
- First submitted
- 23 Apr 2026
- Last updated
- 5 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Dost B, Komurcu O, Bilgin S, Turunc E, Ozden GG, Hancioglu S, Baris S. Is Preoperative Anxiety Affected by Watching Short Videos on Social Media? A Prospective Randomized Study. J Perianesth Nurs. 2023 Oct;38(5):758-762. doi: 10.1016/j.jopan.2023.01.006. Epub 2023 Feb 16.
PubMed 36803738Tatli U, Kalkan T. Does Social Media Increase Perioperative Anxiety in Patients Undergoing Impacted Third Molar Surgery? J Oral Maxillofac Surg. 2025 Mar;83(3):344-352. doi: 10.1016/j.joms.2024.11.010. Epub 2024 Nov 22.
PubMed 39653328Eberhart L, Aust H, Schuster M, Sturm T, Gehling M, Euteneuer F, Rusch D. Preoperative anxiety in adults - a cross-sectional study on specific fears and risk factors. BMC Psychiatry. 2020 Mar 30;20(1):140. doi: 10.1186/s12888-020-02552-w.
PubMed 32228525Mavridou P, Dimitriou V, Manataki A, Arnaoutoglou E, Papadopoulos G. Patient's anxiety and fear of anesthesia: effect of gender, age, education, and previous experience of anesthesia. A survey of 400 patients. J Anesth. 2013 Feb;27(1):104-8. doi: 10.1007/s00540-012-1460-0. Epub 2012 Aug 3.
PubMed 22864564Heyman B, Wigzell H. Immunoregulation by monoclonal sheep erythrocyte-specific IgG antibodies: suppression is correlated to level of antigen binding and not to isotype. J Immunol. 1984 Mar;132(3):1136-43.
PubMed 6363534Shafer A, Fish MP, Gregg KM, Seavello J, Kosek P. Preoperative anxiety and fear: a comparison of assessments by patients and anesthesia and surgery residents. Anesth Analg. 1996 Dec;83(6):1285-91. doi: 10.1097/00000539-199612000-00027.
PubMed 8942601Celik F, Edipoglu IS. Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. Eur J Med Res. 2018 Sep 11;23(1):41. doi: 10.1186/s40001-018-0339-4.
PubMed 30205837Kilinc M, Ozer AB. Fear of going under general anesthesia: A cross-sectional study. Saudi J Anaesth. 2017 Jan-Mar;11(1):128-129. doi: 10.4103/1658-354X.197361. No abstract available.
PubMed 28217078
Study at a glance
From the registry record, last updated by the sponsor on 5 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Fear and Anesthesia: How Anxiety and Fear in Anesthesia-Naïve Patients Changes From Preop to Postop
- ClinicalTrials.gov ID
- NCT07559461
- Acronym / sponsor ID
- IRB2024-00359
- Conditions
- Anxiety, Anesthesia Awareness
- Keywords
- Anesthesia-naïve, Anxiety
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Stony Brook UniversityUniversity, hospital or other
- Study start
- 12 Feb 2026 (actual)
- Primary completion
- Feb 2027 (estimated)
- Study completion
- Feb 2027 (estimated)
- First posted
- 30 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this observational study is to understand how fear and anxiety felt by anesthesia-naive patients compares before versus after their scheduled surgery. Patients who are scheduled to undergo a low-risk surgery/procedure and have never had anesthesia before will be asked to:
- Fill out a survey before their surgery in the perioperative setting
- Answer follow-up questions over the phone a few days after their surgery.
Detailed description
Patients that fit the inclusion/exclusion criteria and consent to the study will fill out a paper survey that is an adapted version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS) along with additional questions related to anesthesia anxiety for secondary analysis. 7 days (+/-72 hours) after the patient's surgery, they will complete a follow-up survey over the phone that is an adapted version of the APAIS. Results will be recorded on paper and then uploaded into REDCap for data analysis.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients over 18 who have never received anesthesia before that are scheduled to undergo a low-risk surgery/procedure at Stony Brook University Hospital, Stony Brook Ambulatory Surgery Center, or Stony Brook Ambulatory Care Pavilion.
Key inclusion criteria (5 listed)
- 18 years old or over
- Patients scheduled to undergo surgeries such as but not limited to:
- cholecystectomies, appendectomies, hernia repairs, breast surgeries, plastic surgeries, thyroidectomy, parathyroidectomy, tonsillectomy, adenoidectomy, lithotripsy, stent placement, kidney stone surgeries, cystoscopies, bladder tumors, ovarian cystectomies, hysterectomies, tubal ligation, hysteroscopy, Intrauterine Device (IUD) insertion, knee replacement, hip replacement, fracture pinning, sports injury surgery such as knee and shoulder scopes. OR patients undergoing procedures such as but not limited to: colonoscopies and endoscopies
- Patient undergoing anesthesia for the first time
- Patients who are not pregnant by self report
Key exclusion criteria (8 listed)
- Patients under 18
- Patients who are pregnant
- Patients undergoing high-risk surgeries
- Patients undergoing cancer-related procedures
- Non-English speaking patients
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Survey using a questionnaire.A preoperative and postoperative survey questionnaire that is adapted from the Amsterdam Preoperative Anxiety and Information Scale and includes additional questions regarding their anesthesia and operative care. | Other | – |
Primary outcome
Differences in anxiety scale scores pre- and post-operatively in anesthesia-naïve patients
Time frame: From enrollment until 7 days (+/-72 hours) post-operative
Participants will be given 2 scores based on their pre-operative survey and their post-operative survey. The change in anxiety score will be evaluated.
2 secondary outcomes
Determining if there is an association between a pre-operative desire for information related to anesthesia and the post-operative reality of the individual subject's anesthesia experience.
Time frame: From enrollment until 7 days (+/-71 hours) post-operative
Comparing the frequency of specific fears of events pre-operatively versus the post-operative reality of the individual subject's anesthesia experience.
Time frame: From enrollment until 7 days (+/-71 hours) post-operative
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 May 2026.
- Background: PubMed 36803738Dost B, Komurcu O, Bilgin S, Turunc E, Ozden GG, Hancioglu S, Baris S. Is Preoperative Anxiety Affected by Watching Short Videos on Social Media? A Prospective Randomized Study. J Perianesth Nurs. 2023 Oct;38(5):758-762. doi: 10.1016/j.jopan.2023.01.006. Epub 2023 Feb 16.
- Background: PubMed 39653328Tatli U, Kalkan T. Does Social Media Increase Perioperative Anxiety in Patients Undergoing Impacted Third Molar Surgery? J Oral Maxillofac Surg. 2025 Mar;83(3):344-352. doi: 10.1016/j.joms.2024.11.010. Epub 2024 Nov 22.
- Background: PubMed 32228525Eberhart L, Aust H, Schuster M, Sturm T, Gehling M, Euteneuer F, Rusch D. Preoperative anxiety in adults - a cross-sectional study on specific fears and risk factors. BMC Psychiatry. 2020 Mar 30;20(1):140. doi: 10.1186/s12888-020-02552-w.
- Background: PubMed 22864564Mavridou P, Dimitriou V, Manataki A, Arnaoutoglou E, Papadopoulos G. Patient's anxiety and fear of anesthesia: effect of gender, age, education, and previous experience of anesthesia. A survey of 400 patients. J Anesth. 2013 Feb;27(1):104-8. doi: 10.1007/s00540-012-1460-0. Epub 2012 Aug 3.
- Background: PubMed 6363534Heyman B, Wigzell H. Immunoregulation by monoclonal sheep erythrocyte-specific IgG antibodies: suppression is correlated to level of antigen binding and not to isotype. J Immunol. 1984 Mar;132(3):1136-43.
- Background: PubMed 8942601Shafer A, Fish MP, Gregg KM, Seavello J, Kosek P. Preoperative anxiety and fear: a comparison of assessments by patients and anesthesia and surgery residents. Anesth Analg. 1996 Dec;83(6):1285-91. doi: 10.1097/00000539-199612000-00027.
- Background: PubMed 30205837Celik F, Edipoglu IS. Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. Eur J Med Res. 2018 Sep 11;23(1):41. doi: 10.1186/s40001-018-0339-4.
- Background: PubMed 28217078Kilinc M, Ozer AB. Fear of going under general anesthesia: A cross-sectional study. Saudi J Anaesth. 2017 Jan-Mar;11(1):128-129. doi: 10.4103/1658-354X.197361. No abstract available.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Ana Costa, MD principal investigator
Stony Brook University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Anxiety and Anesthesia Awareness, run by Stony Brook University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 5 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Anna Suske (631-638-1214, anna.suske@stonybrookmedicine.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Differences in anxiety scale scores pre- and post-operatively in anesthesia-naïve patients (time frame: From enrollment until 7 days (+/-72 hours) post-operative). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07559461, which also lists 8 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 May 2026.