Psychological preparation for endoscopy

Shipley, Robert H.; Butt, James H.; Farbry, John E.; Horwitz, Bruce H.

doi:10.1016/s0016-5107(77)73427-3

Cited by 20 publications

(3 citation statements)

References 8 publications

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“…Shipley et al (12) investigated the use of a psychological preparation program on adult patients (50 men, 10 women; mean age, 53 years) undergoing upper endoscopy. Patients were randomly assigned to one of three groups.…”

Section: Discussionmentioning

confidence: 99%

The Effects of a Psychological Preparation Program on Anxiety in Children and Adolescents Undergoing Gastrointestinal Endoscopy

Mahajan,

Wyllie,

Steffen

et al. 1998

J. pediatr. gastroenterol. nutr.

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Background:Like adults, children often experience anxiety associated with medical procedures. The purpose of this study was to investigate the effects of a program of psychological preparation for children undergoing endoscopy.Methods:Sixty patients aged 6 to 19 years (mean, 12.2 years) were randomized into one of two groups. Group 1 received routine preparation before endoscopy. Group 2 received psychological preparation consisting of demonstration of materials that would be encountered during the procedure, use of a doll as a model, or use of a book with photographs of a child who had previously undergone endoscopy. Patients in both groups completed the Spielberger State‐Trait Anxiety Inventory in the clinic and just before endoscopy. The Observational Scale of Behavioral Distress was completed by a blinded observer during each procedure. The attending physician (blinded) assessed patient cooperation. Vital signs were recorded in clinic and just before endoscopy. Parents and patients completed questionnaires after endoscopy.Results:Analysis of the Spielberger State‐Trait Anxiety Inventory showed patients in group 2 were significantly less anxious before endoscopy (p< 0.0001). They also required less meperidine (p < eq 0.04) per kilogram body weight and were more cooperative during the examination(p = 0.042). There was significantly less autonomic nervous system stimulation in those who had undergone psychological preparation (change in heart rate, p < 0.001; change in systolic blood pressure,p = 0.04). Statistically significant differences were found in the patients' response to questions after endoscopy regarding perceived anxiety during the procedure (p = 0.003) and the parents' response to questions regarding their own conditions (p = 0.026) and that of their child (p < 0.001).Conclusion:Psychological preparation before endoscopy significantly decreases patient and parental anxiety. Such preparation may allow for a reduction in sedative medications and thereby enhance procedural safety.

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Section: Discussionmentioning

confidence: 99%

The Effects of a Psychological Preparation Program on Anxiety in Children and Adolescents Undergoing Gastrointestinal Endoscopy

Mahajan,

Wyllie,

Steffen

et al. 1998

J. pediatr. gastroenterol. nutr.

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“…Furthermore, reducing anxiety may reduce medical phobia (disproportionate fears) which might otherwise lead to avoidance of beneficial procedures [4]. This is especially true for patients undergoing their first endoscopic exam [5]. When patients feel lack of control, anxiety is increased.…”

Section: Introductionmentioning

confidence: 99%

“…It is important to realize that patients vary in terms of the extent of worry over EGD. For example, younger patients have been shown to be most concerned about EGD-related pain and procedural complications whereas elderly patients were most concerned about potential findings [5]. Also key is to identify specific groups of patients who have a high risk of elevated anxiety levels prior to procedures.…”

Section: Introductionmentioning

confidence: 99%

Patient stress and satisfaction when allowed the presence of an accompanying person during endoscopy

Lachter¹,

Bluen²

2013

OJGas

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Introduction: Patients undergoing esophagogastroduodenoscopy (EGD) have variable stress and anxiety and therefore commonly receive medications as sedative-anxiolytics. These medications have small but significant risks. To possibly make procedures safer and to increase patient satisfaction, this study aimed to measure the effects of allowing an accompanying person (AP) to be present in the endoscopy suite during EGD. Patients and Methods: Forty-two patients were randomly divided into two groups who would either be or not be offered to have an AP during endoscopy. Spielberger’s well-validated state and trait anxiety evaluations were administered to patients before and after EGD. APs also completed questionnaires as to their reactions after EGD. Results: 84.2% of the patients after EGD recommended accompaniment. Patients who underwent EGD with an AP tended (p < 0.06) to have decreased measurable anxiety compared to patients who were not offered an AP. The benefit was significant for persons with higher levels of anxiety prior to EGD (p < 0.04). Patients undergoing EGD for the first time had significantly more anxiety than those with previous EGD experience (p < 0.034). There was no significant reduction in sedative dosage when APs were present. Conclusions: Offering to permit the presence of an accompanying person during EGD was often shown to improve patient satisfaction and reduce anxiety.

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