The Effect of Information Level and Coping Style on Pain and Anxiety in Needle Liver Biopsy

Hilzenrat, Nir; Yesovitch, Rose; Shrier, Ian; Stavrakis, Maria; Deschênes, Marc

doi:10.1155/2006/610489

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…Potential mechanisms to account for these associations include impaired inflammatory response to injury in chronic (Kiecolt-Glaser et al, 1995) or acute stress (Marucha et al, 1998), aversive conditioning related to stress (Robinson et al, 2013), neuro-endocrine alterations (Catania et al, 2009) and shared genetic susceptibility (Zhou et al, 2008). It remains to be prospectively determined if technical factors designed to reduce complications (Hilzenrat et al, 2006; Patout et al, 2015) will impact state anxiety and individuals’ LP experience. Future studies aimed at improving pre-LP perception to enhance the experience of patients and study participants should examine other factors which impact anxiety.…”

Section: Discussionmentioning

confidence: 99%

Research Lumbar Punctures among African Americans and Caucasians: Perception Predicts Experience

Howell

Parker

Watts

et al. 2016

Front. Aging Neurosci.

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African Americans are under-represented in Alzheimer’s disease (AD)-related biomarker studies, and it has been speculated that mistrust plays a major factor in the recruitment of African Americans for studies involving invasive procedures such as the lumbar puncture (LP). We set out to determine factors associated with non-participation in a biomarker study aiming to explore cerebrospinal fluid (CSF) AD biomarker differences between older African Americans and Caucasians. We also surveyed participants’ procedure-related perception (a standard medical procedure vs. a frightening invasive procedure) and reluctance, as well as the rate and type of post-procedure discomfort and complications. Among 288 subjects approached for study participation, 145 (50.3%) refused participation with concerns over LP being the most commonly reported reason. Relatively more African Americans than Caucasians reported concerns over LP as the main reason for non-participation (46% vs. 25%, p = 0.03), but more African Americans also did not provide a specific reason for non-participation. Among those who completed study participation (including the LP), African Americans and Caucasians were similar in pre-LP perceptions and reluctance, as well as post-LP rates of discomfort or complication. Perceiving LP as a frightening invasive procedure, not race, is associated with increased likelihood of post-LP discomfort or complication (RR 6.2, 95% confidence interval 1.1–37.0). Our results indicate that LP is a well perceived procedure in a cohort of African American and Caucasian research participants, and is associated with few serious complications. The pre-procedure perception that the LP is a frightening invasive procedure significantly increases the risk of self-reported discomfort of complications, and African Americans may be more likely to turn down study participation because of the LP. Future studies will need to address factors associated with negative LP perceptions to further assure participants and reduce complication rates.

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Section: Discussionmentioning

confidence: 99%

Research Lumbar Punctures among African Americans and Caucasians: Perception Predicts Experience

Howell

Parker

Watts

et al. 2016

Front. Aging Neurosci.

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“…The fear-avoidance model of Vlayen and Linton [ 41 ] would provide a good vehicle by which to empirically test such questions. Finally, sample size and power calculations for our study were based on similar studies in this area [ 42 ]. Effect sizes observed were mainly medium which suggests that the present sample size, whilst adequate, could have been increased slightly.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Coping Style and the Effectiveness of Distraction or Sensation-Focused Instructions in Chronic Pain Patients

et al. 2016

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AimThis study set out to investigate whether cognitive coping strategies that match participants’ preferred coping style effectively reduce pain intensity and situational anxiety in a population of people with chronic pain.MethodChronic pain patients (N = 43) completed questionnaires on coping style, pain intensity, self-efficacy, and situational/trait anxiety. Participants were classified as Monitors (n = 16) or Blunters (n = 19) based on their Miller Behavioural Style Scale score. Participants were then provided with an audiotaped intervention in which they were instructed to focus on pain sensations or to engage in a distraction task and then to rate the pain intensity and their anxiety during and after the attentional focus and distraction conditions. The two interventions were each completed by all participants, having been presented in counterbalanced order.ResultsFindings revealed that Monitors’ level of anxiety decreased following a congruent (i.e., sensation-focused) intervention. No effects were obtained in terms of perceived pain. For blunters, however, their perceived levels of anxiety and pain did not attenuate following a congruent, distraction-focused intervention.ConclusionAmong persons experiencing chronic pain, tailoring coping strategies to match an individual’s preferred coping style–in particular, those with a high level of monitoring–may enhance the benefit of psychological approaches to management of anxiety.

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“…Not surprisingly, monitors and blunters are affected differently by information. Although the findings are not conclusive [ 23 ], it appears that individuals who prefer to have information and are given information tend to become less anxious, while those who have a low preference for information but are given information tend to become more anxious [ 13 , 24 - 29 ]. For example, Morgan et al [ 30 ] found that, before a colonoscopy, patients given information congruent with their coping style experienced significantly less self-reported anxiety after the information intervention and spent less time in recovery.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Preference for Information on Consumers’ Online Health Information Search Behavior

Zhang¹

2013

J Med Internet Res

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BackgroundPreference for information is a personality trait that affects people’s tendency to seek information in health-related situations. Prior studies have focused primarily on investigating its impact on patient-provider communication and on the implications for designing information interventions that prepare patients for medical procedures. Few studies have examined its impact on general consumers’ interactions with Web-based search engines for health information or the implications for designing more effective health information search systems.ObjectiveThis study intends to fill this gap by investigating the impact of preference for information on the search behavior of general consumers seeking health information, their perceptions of search tasks (representing information needs), and user experience with search systems.MethodsForty general consumers who had previously searched for health information online participated in the study in our usability lab. Preference for information was measured using Miller’s Monitor-Blunter Style Scale (MBSS) and the Krantz Health Opinion Survey-Information Scale (KHOS-I). Each participant completed four simulated health information search tasks: two look-up (fact-finding) and two exploratory. Their behaviors while interacting with the search systems were automatically logged and ratings of their perceptions of tasks and user experience with the systems were collected using Likert-scale questionnaires.ResultsThe MBSS showed low reliability with the participants (Monitoring subscale: Cronbach alpha=.53; Blunting subscale: Cronbach alpha=.35). Thus, no further analyses were performed based on the scale. KHOS-I had sufficient reliability (Cronbach alpha=.77). Participants were classified into low- and high-preference groups based on their KHOS-I scores. The high-preference group submitted significantly shorter queries when completing the look-up tasks (P=.02). The high-preference group made a significantly higher percentage of parallel movements in query reformulation than did the low-preference group (P=.04), whereas the low-preference group made a significantly higher percentage of new concept movements than the high-preference group when completing the exploratory tasks (P=.01). The high-preference group found the exploratory tasks to be significantly more difficult (P=.05) and the systems to be less useful (P=.04) than did the low-preference group.ConclusionsPreference for information has an impact on the search behavior of general consumers seeking health information. Those with a high preference were more likely to use more general queries when searching for specific factual information and to develop more complex mental representations of health concerns of an exploratory nature and try different combinations of concepts to explore these concerns. High-preference users were also more demanding on the system. Health information search systems should be tailored to fit individuals’ information preferences.

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The Effect of Information Level and Coping Style on Pain and Anxiety in Needle Liver Biopsy

Cited by 7 publications

References 12 publications

Research Lumbar Punctures among African Americans and Caucasians: Perception Predicts Experience

Research Lumbar Punctures among African Americans and Caucasians: Perception Predicts Experience

Cognitive Coping Style and the Effectiveness of Distraction or Sensation-Focused Instructions in Chronic Pain Patients

The Effects of Preference for Information on Consumers’ Online Health Information Search Behavior

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