Impact of social-psychological factors on anxiety before gastrointestinal endoscopy and quality of life

IntroductionThis study aimed to examine the impact of social-psychological factors on anxiety before gastrointestinal endoscopy and its effect on patients’ quality of life (QoL).MethodsPatients scheduled for gastrointestinal endoscopy were recruited for the study. Demographic characteristics, social...

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Main Authors: Zhen-peng Huang, Kong-jin Quan, Bin-bin Wen, Jia-feng Lin, Tao Liu, Li-ping Yang, Li-ping Meng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1624437/full
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author Zhen-peng Huang
Kong-jin Quan
Bin-bin Wen
Jia-feng Lin
Tao Liu
Li-ping Yang
Li-ping Meng
author_facet Zhen-peng Huang
Kong-jin Quan
Bin-bin Wen
Jia-feng Lin
Tao Liu
Li-ping Yang
Li-ping Meng
author_sort Zhen-peng Huang
collection DOAJ
description IntroductionThis study aimed to examine the impact of social-psychological factors on anxiety before gastrointestinal endoscopy and its effect on patients’ quality of life (QoL).MethodsPatients scheduled for gastrointestinal endoscopy were recruited for the study. Demographic characteristics, social factors, lifestyle information and endoscopy-related data were obtained through self-reports and the hospital information system. The 7-item Generalized Anxiety Disorder Questionnaire (GAD-7) was used to assess anxiety, while depression and somatization were evaluated using the Patient Health Questionnaire-9 (PHQ-9) and PHQ-15, respectively. Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI), social support was assessed using the Social Support Rating Scale (SSRS), and QoL was evaluated through the 12-item Short Form Survey (SF-12).ResultsThe prevalence of anxiety before gastrointestinal endoscopy was 34.44%. Gender, age, sleep quality, social support, depression, and somatization were associated with anxiety (all P<0.05). Independent predictors of anxiety were gender, age, PSQI, SSRS, PHQ-9 and PHQ-15 scores (all P<0.05). Furthermore, PSQI, PHQ-9, and PHQ-15 scores were positively correlated with the severity of anxiety (all P<0.05). Patients with anxiety exhibited lower scores in domains of the SF-12, including general health (GH), physical functioning (PF), role-physical (RP), bodily pain (BP), role-emotional (RE), mental health (MH), vitality (VT), and social functioning (SF). Both physical component summary (PCS) and mental component summary (MCS) scores were reduced. Notably, GH, RP, RE, MH, VT, SF, and MCS scores were negatively correlated with varying levels of anxiety (all P<0.05).ConclusionSocial-psychological factors play a role in anxiety before gastrointestinal endoscopy; anxiety can negatively affect patients’ QoL.
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spelling doaj-art-e4b518a3e44545efa327b27e319e5cfa2025-08-20T05:32:32ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.16244371624437Impact of social-psychological factors on anxiety before gastrointestinal endoscopy and quality of lifeZhen-peng Huang0Kong-jin Quan1Bin-bin Wen2Jia-feng Lin3Tao Liu4Li-ping Yang5Li-ping Meng6Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, ChinaFaculty of Nursing, Guangxi University of Chinese Medicine, Nanning, ChinaFaculty of Nursing, Guangxi University of Chinese Medicine, Nanning, ChinaDepartment of Gastrointestinal Endoscopy, Guangxi International Zhuang Medical Hospital, Nanning, ChinaDepartment of Gastrointestinal Endoscopy, Guangxi International Zhuang Medical Hospital, Nanning, ChinaDepartment of Gastrointestinal Endoscopy, Guangxi International Zhuang Medical Hospital, Nanning, ChinaDepartment of Gastrointestinal Endoscopy, Guangxi International Zhuang Medical Hospital, Nanning, ChinaIntroductionThis study aimed to examine the impact of social-psychological factors on anxiety before gastrointestinal endoscopy and its effect on patients’ quality of life (QoL).MethodsPatients scheduled for gastrointestinal endoscopy were recruited for the study. Demographic characteristics, social factors, lifestyle information and endoscopy-related data were obtained through self-reports and the hospital information system. The 7-item Generalized Anxiety Disorder Questionnaire (GAD-7) was used to assess anxiety, while depression and somatization were evaluated using the Patient Health Questionnaire-9 (PHQ-9) and PHQ-15, respectively. Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI), social support was assessed using the Social Support Rating Scale (SSRS), and QoL was evaluated through the 12-item Short Form Survey (SF-12).ResultsThe prevalence of anxiety before gastrointestinal endoscopy was 34.44%. Gender, age, sleep quality, social support, depression, and somatization were associated with anxiety (all P<0.05). Independent predictors of anxiety were gender, age, PSQI, SSRS, PHQ-9 and PHQ-15 scores (all P<0.05). Furthermore, PSQI, PHQ-9, and PHQ-15 scores were positively correlated with the severity of anxiety (all P<0.05). Patients with anxiety exhibited lower scores in domains of the SF-12, including general health (GH), physical functioning (PF), role-physical (RP), bodily pain (BP), role-emotional (RE), mental health (MH), vitality (VT), and social functioning (SF). Both physical component summary (PCS) and mental component summary (MCS) scores were reduced. Notably, GH, RP, RE, MH, VT, SF, and MCS scores were negatively correlated with varying levels of anxiety (all P<0.05).ConclusionSocial-psychological factors play a role in anxiety before gastrointestinal endoscopy; anxiety can negatively affect patients’ QoL.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1624437/fullsocial factorspsychological factorsanxietygastrointestinal endoscopyquality of life
spellingShingle Zhen-peng Huang
Kong-jin Quan
Bin-bin Wen
Jia-feng Lin
Tao Liu
Li-ping Yang
Li-ping Meng
Impact of social-psychological factors on anxiety before gastrointestinal endoscopy and quality of life
Frontiers in Psychiatry
social factors
psychological factors
anxiety
gastrointestinal endoscopy
quality of life
title Impact of social-psychological factors on anxiety before gastrointestinal endoscopy and quality of life
title_full Impact of social-psychological factors on anxiety before gastrointestinal endoscopy and quality of life
title_fullStr Impact of social-psychological factors on anxiety before gastrointestinal endoscopy and quality of life
title_full_unstemmed Impact of social-psychological factors on anxiety before gastrointestinal endoscopy and quality of life
title_short Impact of social-psychological factors on anxiety before gastrointestinal endoscopy and quality of life
title_sort impact of social psychological factors on anxiety before gastrointestinal endoscopy and quality of life
topic social factors
psychological factors
anxiety
gastrointestinal endoscopy
quality of life
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1624437/full
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