Article Psychologists in preoperative programmes for children undergoing surgery Francesca Cuzzocrea, Sebastiano Costa, Maria Cristina Gugliandolo and Rosalba Larcan Abstract This study aimed to verify whether psychologists and game activities could reduce preoperative anxiety and promote compliance in paediatric patients. More specifically, we sought to evaluate whether it would be better to propose contextualized games or just distracting activities. A total of 104 children undergoing surgery were assigned to the following 4 conditions of treatment: (1) contextual games and psychological accompaniment, (2) only contextual games, (3) distracting activities, and (4) only psychological accompaniment. Observed children’s anxiety was assessed using modified Yale Preoperative Anxiety Scale and compliant behaviours with modified form of Induction Compliance Checklist. Children in the first condition (complete intervention – con- textual games and psychological accompaniment) were less anxious and more cooperative in the preoperative period and during the induction of anaesthesia than in the other three conditions. In particular, contextual activities (second condition) were found to be more efficient than psy- chological accompaniment (fourth condition), whereas the worst condition was proposing only distracting activities (third condition). In order to help young hospitalized patients in paediatric surgery structures, it is necessary to propose games that can prepare them for what will happen as well as the support of a psychologist. Keywords Anxiety, contextual games, distracting activities, patient compliance, psychological accompaniment, psychological preparation Department of Human and Social Sciences, University of Messina, Messina, Italy Corresponding author: Francesca Cuzzocrea, Department of Human and Social Sciences, University of Messina, Via Tommaso Cannizzaro, 278, Messina, Italy. Email: fcuzzocrea@unime.it Journal of Child Health Care 1–10 ª The Author(s) 2014 Reprints and permission: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1367493514557726 chc.sagepub.com at PENNSYLVANIA STATE UNIV on May 17, 2016 chc.sagepub.com Downloaded from