Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal Manometry
Background and Aims. High-resolution anorectal manometry (HRM) is associated with significant patient and parent anxiety, which can impact the success and efficiency of the procedure. The nature of HRM necessitates cooperation of an alert child. This study examined effects of psychoeducation interve...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2019/7569194 |
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| author | Katherine Lamparyk Lori Mahajan Christopher Lamparyk Ashley Debeljak Laura Aylward Kimberly Flynt Rita Steffen |
| author_facet | Katherine Lamparyk Lori Mahajan Christopher Lamparyk Ashley Debeljak Laura Aylward Kimberly Flynt Rita Steffen |
| author_sort | Katherine Lamparyk |
| collection | DOAJ |
| description | Background and Aims. High-resolution anorectal manometry (HRM) is associated with significant patient and parent anxiety, which can impact the success and efficiency of the procedure. The nature of HRM necessitates cooperation of an alert child. This study examined effects of psychoeducation intervention on decreasing procedural distress in both pediatric patients and their parents. Methods. A prospective randomized study of children aged 3–12 years, undergoing HRM, was performed utilizing child-centric educational video. Patients received either psychological preparation intervention or treatment-as-usual. Distress was assessed through self-reported and parent-reported anxiety measures (STAIC-S; STAI-S), physiological arousal measurements, and an observational scale of procedural distress (PBCL). Results. A total of 63 children, aged 3–12 yrs (6.7 ± 2.5), completed the study. Measures of observed and reported distress and anxiety (PBCL; STAIC-S) were significantly less in children receiving intervention. Parents of children in the intervention group also reported significantly less preprocedural anxiety (STAI-S). Effects on physiological arousal were mixed, with significant preprocedural decrease in systolic blood pressure but no difference in heart rate from baseline. Conclusions. Preprocedural psychological preparation was effective in decreasing pediatric patient and parental self-reported anxiety associated with HRM. Intervention decreased physician time necessary to successfully complete the study and significantly decreased the number of times patients had to endure balloon inflation. |
| format | Article |
| id | doaj-art-da2c5f276aab40f2818a26acd1b158bd |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-da2c5f276aab40f2818a26acd1b158bd2025-02-03T07:24:47ZengWileyInternational Journal of Pediatrics1687-97401687-97592019-01-01201910.1155/2019/75691947569194Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal ManometryKatherine Lamparyk0Lori Mahajan1Christopher Lamparyk2Ashley Debeljak3Laura Aylward4Kimberly Flynt5Rita Steffen6Cleveland Clinic Children’s Hospital, USACleveland Clinic Children’s Hospital, USAUH Cleveland Medical Center, USAWright State School of Professional Psychology, USARosalind Franklin University of Medicine and Science, USACleveland Clinic Children’s Hospital, USACleveland Clinic Children’s Hospital, USABackground and Aims. High-resolution anorectal manometry (HRM) is associated with significant patient and parent anxiety, which can impact the success and efficiency of the procedure. The nature of HRM necessitates cooperation of an alert child. This study examined effects of psychoeducation intervention on decreasing procedural distress in both pediatric patients and their parents. Methods. A prospective randomized study of children aged 3–12 years, undergoing HRM, was performed utilizing child-centric educational video. Patients received either psychological preparation intervention or treatment-as-usual. Distress was assessed through self-reported and parent-reported anxiety measures (STAIC-S; STAI-S), physiological arousal measurements, and an observational scale of procedural distress (PBCL). Results. A total of 63 children, aged 3–12 yrs (6.7 ± 2.5), completed the study. Measures of observed and reported distress and anxiety (PBCL; STAIC-S) were significantly less in children receiving intervention. Parents of children in the intervention group also reported significantly less preprocedural anxiety (STAI-S). Effects on physiological arousal were mixed, with significant preprocedural decrease in systolic blood pressure but no difference in heart rate from baseline. Conclusions. Preprocedural psychological preparation was effective in decreasing pediatric patient and parental self-reported anxiety associated with HRM. Intervention decreased physician time necessary to successfully complete the study and significantly decreased the number of times patients had to endure balloon inflation.http://dx.doi.org/10.1155/2019/7569194 |
| spellingShingle | Katherine Lamparyk Lori Mahajan Christopher Lamparyk Ashley Debeljak Laura Aylward Kimberly Flynt Rita Steffen Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal Manometry International Journal of Pediatrics |
| title | Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal Manometry |
| title_full | Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal Manometry |
| title_fullStr | Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal Manometry |
| title_full_unstemmed | Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal Manometry |
| title_short | Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal Manometry |
| title_sort | effects of a psychological preparation intervention on anxiety associated with pediatric anorectal manometry |
| url | http://dx.doi.org/10.1155/2019/7569194 |
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