Prevalence and treatment of anxiety among emergency department patients with pain

Wells, Katie; Craven, Philip; Steenblik, Jacob; Carlson, Margaret; Cooper, Caitlynn; Madsen, Troy

doi:10.1016/j.ajem.2017.11.042

Cited by 11 publications

(30 citation statements)

References 9 publications

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“…Further, acute medical illnesses including severe pain and shortness of breath may worsen symptoms of distress. [3][4][5][6] Nonpharmacologic treatment of anxiety and distress are well described in the pediatric literature and could represent an avenue for managing distress in adult patients during periods of waiting. [7][8][9] Given that the ED is a stress inducing environment, nonpharmacologic therapy for anxiety in the form of art therapy may be useful.…”

mentioning

confidence: 99%

“…The stressful nature of an unplanned hospital visit may exacerbate underlying anxiety disorders. Further, acute medical illnesses including severe pain and shortness of breath may worsen symptoms of distress . Nonpharmacologic treatment of anxiety and distress are well described in the pediatric literature and could represent an avenue for managing distress in adult patients during periods of waiting …”

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confidence: 99%

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Randomized Controlled Trial of Adult Therapeutic Coloring for the Management of Significant Anxiety in the Emergency Department

Rajendran

Mitra

Shahrestani

et al. 2020

Academic Emergency Medicine

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Background Anxiety and acute distress are significant concerns in the emergency department (ED). Adult coloring books are often utilized as an effective means of relaxation in waiting rooms and newsstands, but there are no reported randomized trials examining their effectiveness as a treatment for anxiety. Methods We set out to examine the effectiveness of adult coloring books using a randomized placebo‐controlled trial at a university‐affiliated tertiary ED. Anxiety was measured using a validated self‐reporting score, the Hospital Anxiety and Depression Scale (HADS‐A), with a range of 0 to 21. Patients with HADS‐A ≥ 7 were randomly assigned to either an adult coloring pack (n = 26) or placebo pack (n = 27). The primary outcome measure was the within‐patient change in HADS‐A scores following 2 hours of exposure. Results A convenience sample of 117 patients were screened, and 53 patients were randomized. Characteristics of allocated groups were similar in terms of sex, diagnosis, and ethnicity. A higher proportion of intervention subjects spent ≥1 hour engaged with their activity (46.2% vs. 4.0%, p = 0.01). For the primary outcome measure, the mean within‐patient decrease in HADS‐A score at 2 hours for intervention subjects was 3.7 (95% confidence interval [CI] = 2.4 to 5.1, p < 0.001) versus a decrease of 0.3 (95% CI = –0.6 to 1.2, p = 0.51) in the placebo group. Conclusions Among ED patients, exposure to adult coloring books resulted in lower self‐reported levels of anxiety at 2 hours compared to placebo.

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confidence: 99%

mentioning

confidence: 99%

Randomized Controlled Trial of Adult Therapeutic Coloring for the Management of Significant Anxiety in the Emergency Department

Rajendran

Mitra

Shahrestani

et al. 2020

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…Por otro lado, la mayor proporción de antecedentes previos de tabaquismo en pacientes con dolor en el área de obstetricia, podría corresponder a una personalidad de mayor ansiedad y menor umbral al dolor 17 .…”

Section: Discussionunclassified

Prevalencia de dolor en la internación en un hospital de alta complejidad de Argentina

Weissbrod¹,

Vicens²,

Giunta³

et al. 2019

Rev. méd. Chile

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“…Anxiety and acute distress are common among emergency department (ED) patients 1–4 . Evidence suggests that unoccupied time in the ED may add to patients’ dissatisfaction, produce negative perceptions of their ED experience, and potentially add to the stress‐inducing environment 5 .…”

Section: Introductionmentioning

confidence: 99%

“…emergency department (ED) patients. [1][2][3][4] Evidence suggests that unoccupied time in the ED may add to patients' dissatisfaction, produce negative perceptions of their ED experience, and potentially add to the stress-inducing environment. 5 Adult coloring books have been used to ease anxiety in the community 6 as well as in clinical settings.…”

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confidence: 99%

Hot Off the Press: SGEM #285—Adult Coloring for Anxiety in the Emergency Department

Heitz

Morgenstern

Bond

et al. 2020

Academic Emergency Medicine

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Prevalence and treatment of anxiety among emergency department patients with pain

Cited by 11 publications

References 9 publications

Randomized Controlled Trial of Adult Therapeutic Coloring for the Management of Significant Anxiety in the Emergency Department

Randomized Controlled Trial of Adult Therapeutic Coloring for the Management of Significant Anxiety in the Emergency Department

Prevalencia de dolor en la internación en un hospital de alta complejidad de Argentina

Hot Off the Press: SGEM #285—Adult Coloring for Anxiety in the Emergency Department

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