Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial

Hysterosalpingography (HSG) is generally considered a stressful and painful procedure; we aimed to evaluate whether a single education and counseling intervention could reduce women’s distress and pain after undergoing HSG for infertility. Patients were randomized into control group (n=108) and inte...

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Main Authors: Alfredo La Fianza, Carolina Dellafiore, Daniele Travaini, Davide Broglia, Francesca Gambini, Luigia Scudeller, Carmine Tinelli, Edgardo Caverzasi, Natascia Brondino
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/598293
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author Alfredo La Fianza
Carolina Dellafiore
Daniele Travaini
Davide Broglia
Francesca Gambini
Luigia Scudeller
Carmine Tinelli
Edgardo Caverzasi
Natascia Brondino
author_facet Alfredo La Fianza
Carolina Dellafiore
Daniele Travaini
Davide Broglia
Francesca Gambini
Luigia Scudeller
Carmine Tinelli
Edgardo Caverzasi
Natascia Brondino
author_sort Alfredo La Fianza
collection DOAJ
description Hysterosalpingography (HSG) is generally considered a stressful and painful procedure; we aimed to evaluate whether a single education and counseling intervention could reduce women’s distress and pain after undergoing HSG for infertility. Patients were randomized into control group (n=108) and intervention group (n=109). All patients filled the following questionnaires before and after HSG: Zung self-rating anxiety scale (Z-SAS), Zung self-rating depression scale (Z-SDS), and an ad hoc questionnaire designed to evaluate HSG procedure knowledge. Pain was scored using a visual analog scale. The intervention consisted in a 45-minute individualised session 48 h before HSG. We observed a reduction of anxiety and depression scores in the intervention arm compared to the control group. After controlling for potential confounding variables, intervention was an independent predictor of the difference of Z-SAS score before and after HSG. This is the first randomised controlled trial to assess the potential effectiveness of a single education and counseling intervention to lower anxiety in a diagnostic setting.
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publishDate 2014-01-01
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series The Scientific World Journal
spelling doaj-art-b4f65576e7e64e5ca61740745b6a273b2025-08-20T03:39:22ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/598293598293Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled TrialAlfredo La Fianza0Carolina Dellafiore1Daniele Travaini2Davide Broglia3Francesca Gambini4Luigia Scudeller5Carmine Tinelli6Edgardo Caverzasi7Natascia Brondino8Department of Radiology, IRCCS Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100 Pavia, ItalyDepartment of Radiology, IRCCS Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100 Pavia, ItalyDepartment of Radiology, IRCCS Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100 Pavia, ItalyDepartment of Brain and Behavioral Sciences, University of Pavia, Via Bassi 21, 27100 Pavia, ItalyDepartment of Brain and Behavioral Sciences, University of Pavia, Via Bassi 21, 27100 Pavia, ItalyScientific Direction, IRCCS Policlinico San Matteo, 27100 Pavia, ItalyScientific Direction, IRCCS Policlinico San Matteo, 27100 Pavia, ItalyDepartment of Brain and Behavioral Sciences, University of Pavia, Via Bassi 21, 27100 Pavia, ItalyDepartment of Brain and Behavioral Sciences, University of Pavia, Via Bassi 21, 27100 Pavia, ItalyHysterosalpingography (HSG) is generally considered a stressful and painful procedure; we aimed to evaluate whether a single education and counseling intervention could reduce women’s distress and pain after undergoing HSG for infertility. Patients were randomized into control group (n=108) and intervention group (n=109). All patients filled the following questionnaires before and after HSG: Zung self-rating anxiety scale (Z-SAS), Zung self-rating depression scale (Z-SDS), and an ad hoc questionnaire designed to evaluate HSG procedure knowledge. Pain was scored using a visual analog scale. The intervention consisted in a 45-minute individualised session 48 h before HSG. We observed a reduction of anxiety and depression scores in the intervention arm compared to the control group. After controlling for potential confounding variables, intervention was an independent predictor of the difference of Z-SAS score before and after HSG. This is the first randomised controlled trial to assess the potential effectiveness of a single education and counseling intervention to lower anxiety in a diagnostic setting.http://dx.doi.org/10.1155/2014/598293
spellingShingle Alfredo La Fianza
Carolina Dellafiore
Daniele Travaini
Davide Broglia
Francesca Gambini
Luigia Scudeller
Carmine Tinelli
Edgardo Caverzasi
Natascia Brondino
Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
The Scientific World Journal
title Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_full Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_fullStr Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_full_unstemmed Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_short Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_sort effectiveness of a single education and counseling intervention in reducing anxiety in women undergoing hysterosalpingography a randomized controlled trial
url http://dx.doi.org/10.1155/2014/598293
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