Pediatric anesthesia & critical care

Development of the Japanese Version of the Modified Yale Preoperative Anxiety Scale (mYPAS) in Pediatric Anesthesia: A Pilot Study for Psychometric Evaluation

Paediatr AnaesthPublished Pilot psychometric validation study

Authors' conclusion

The Japanese version of the scale was successfully developed, and pilot findings indicated its feasibility in Japanese clinical settings

Study context

Population
Children aged 5–12 years undergoing elective surgery under GA
Participants
15 children
Outcome
Feasibility, psychometric properties (reliability: internal consistency, inter-rater, intra-rater; concurrent validity vs STAIC) and sample size requirements
Methodological detailstranslation and cultural adaptation (ISPOR Task Force Guidelines)
  • Translation and cultural adaptation (ISPOR Task Force Guidelines)

Performance

As reported in the abstract

Psychometric properties of the Japanese version

Internal consistency (Cronbach's α), high

0.954

Inter-rater reliability (weighted Kappa), moderate-to-very-good

0.42-0.92

Intra-rater reliability (intraclass correlation coefficient), excellent

0.86-0.97

Correlation with STAIC-State (rs), poor

−0.20 to −0.01

Further findings

Sample size required for future reliability studies (Walter's formula)

Patients required
99

Original publication

Development of the Japanese Version of the Modified Yale Preoperative Anxiety Scale (mYPAS) in Pediatric Anesthesia: A Pilot Study for Psychometric Evaluation. Paediatr Anaesth. Published 2 August 2025. doi:10.1111/pan.70020

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