title: Assessing Temperament as a Predictor of Oral Sedation Success Using the Children's Behavior Questionnaire Short Form.
abstract: OBJECTIVE
  The purpose of this study was to investigate whether temperament, as measured by the Children's Behavior Questionnaire Short Form (CBQ-SF), was associated with success in oral sedation.
  
  
  METHODS
  Child-caregiver dyads were enrolled from patients presenting for midazolam, meperidine, and hydroxyzine oral sedation. Children between 36 and 95 months of age, American Society of Anesthesiology (ASA) classification I or II, with diagnostic radiographs, whose parents believed he/she would swallow oral medications, were enrolled. To assess child temperament, caregivers completed the CBQ-SF. Behavior during sedation and overall sedation results were recorded using the Houpt Behavior Rating Scale. Failure was defined by Houpt overall ratings of fair or worse. The presence of disruptive behavior was also quantified.
  
  
  RESULTS
  The sample population consisted of 61 patient-caregiver dyads. The overall sedation success rate was 87 percent (N equals 53). Disruptive behavior was present during 28 percent (N equals 17) of total cases. There was not a significant difference in failure rate or presence of disruptive behavior by age, sex, ASA status, insurance status, reason for sedation, or type of treatment provided. High impulsivity scores were significantly associated with disruptive behavior (P=.04).
  
  
  CONCLUSIONS
  Impulsivity may be a determinant of a child's behavior during sedation.
authors.affiliation: Department of Pediatric Dentistry, University of Washington, Seattle, Wa., USA. katlanedmd@gmail.com.
authors.forename: Katherine J
authors.initials: KJ
authors.lastname: Lane
authors.affiliation: Department of Pediatric Dentistry, University of Washington, Seattle, Wa., USA.
authors.forename: Travis M
authors.initials: TM
authors.lastname: Nelson
authors.affiliation: Division of Pediatric Dentistry and Orthodontics, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
authors.forename: Sarat
authors.initials: S
authors.lastname: Thikkurissy
authors.affiliation: Department of Pediatric Dentistry, University of Washington, Seattle, Wa., USA.
authors.forename: JoAnna M
authors.initials: JM
authors.lastname: Scott
mesh_terms: D000766:Anesthesia, Dental; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D016292:Procedural Sedation; D005260:Female; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D011795:Surveys and Questionnaires; D013694:Temperament