Document Detail


Influence of coping style and precolonoscopy information on pain and anxiety of colonoscopy.
MedLine Citation:
PMID:  9717776     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study assessed the relationship between patient coping style, precolonoscopy information, and anxiety and pain associated with colonoscopy. METHODS: Eighty consecutive adult patients undergoing initial colonoscopy were classified into two groups on the basis of coping style: information seekers or information avoiders. All were given standardized information about colonoscopy. Half of each group was randomly assigned to receive additional sensory information describing what they could expect to feel. Self-report, physiologic, and behavioral indices of anxiety and pain were measured. RESULTS: Patients given information congruent with coping style experienced significantly less self-report anxiety immediately after the information intervention and spent less time in recovery. In contrast, patients given information not congruent with coping style maintained their pre-intervention anxiety level. Patients given information congruent with coping style scored lower on behavioral indices of pain, but there were no differences with respect to patient perception of pain or the dosage of sedative drugs. Most patients reported that the bowel preparation was the most distressing part of the colonoscopy. CONCLUSIONS: Assessment of coping style and provision of congruent information reduces anxiety, recovery time, and observed behavioral indices of pain of colonoscopy but has no effect on sedation dose or patient perception of pain.
Authors:
J Morgan; L Roufeil; S Kaushik; M Bassett
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  48     ISSN:  0016-5107     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-10-21     Completed Date:  1998-10-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  119-27     Citation Subset:  IM    
Affiliation:
School of Social Sciences and Liberal Studies, Charles Sturt University, Bathurst, New South Wales, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Adult
Aged
Analysis of Variance
Anxiety / prevention & control,  psychology*
Colonoscopy / psychology*,  statistics & numerical data
Humans
Middle Aged
Multivariate Analysis
Pain / prevention & control,  psychology*
Patient Education as Topic* / statistics & numerical data
Patient Satisfaction / statistics & numerical data
Psychological Tests / statistics & numerical data
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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