L A Shafer1,2,3, J R Walker3,4, C Waldman1,5, C Yang1, V Michaud1, C N Bernstein1,3, L Hathout1, J Park6,7, J Sisler7,8, G Restall9, K Wittmeier10, H Singh11,12,13,14. 1. Department of Internal Medicine, Section of Gastroenterology, University of Manitoba, 805-715 McDermot Avenue, Winnipeg, MB, R3E3P4, Canada. 2. Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada. 3. IBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada. 4. Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada. 5. Faculty of Nursing, University of Manitoba, Winnipeg, MB, Canada. 6. Department of Surgery, University of Manitoba, Winnipeg, MB, Canada. 7. Department of Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, MB, Canada. 8. Department of Family Medicine, University of Manitoba, Winnipeg, MB, Canada. 9. Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada. 10. Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada. 11. Department of Internal Medicine, Section of Gastroenterology, University of Manitoba, 805-715 McDermot Avenue, Winnipeg, MB, R3E3P4, Canada. Harminder.Singh@umanitoba.ca. 12. Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada. Harminder.Singh@umanitoba.ca. 13. IBD Clinical and Research Centre, University of Manitoba, Winnipeg, MB, Canada. Harminder.Singh@umanitoba.ca. 14. Department of Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, MB, Canada. Harminder.Singh@umanitoba.ca.
Abstract
BACKGROUND: Previous research has assessed anxiety around colonoscopy procedures, but has not considered anxiety related to different aspects related to the colonoscopy process. AIMS: Before colonoscopy, we assessed anxiety about: bowel preparation, the procedure, and the anticipated results. We evaluated associations between patient characteristics and anxiety in each area. METHODS: An anonymous survey was distributed to patients immediately prior to their outpatient colonoscopy in six hospitals and two ambulatory care centers in Winnipeg, Canada. Anxiety was assessed using a visual analog scale. For each aspect, logistic regression models were used to explore associations between patient characteristics and high anxiety. RESULTS: A total of 1316 respondents completed the questions about anxiety (52% female, median age 56 years). Anxiety scores > 70 (high anxiety) were reported by 18% about bowel preparation, 29% about the procedure, and 28% about the procedure results. High anxiety about bowel preparation was associated with female sex, perceived unclear instructions, unfinished laxative, and no previous colonoscopies. High anxiety about the procedure was associated with female sex, no previous colonoscopies, and confusing instructions. High anxiety about the results was associated with symptoms as an indication for colonoscopy and instructions perceived as confusing. CONCLUSIONS: Fewer people had high anxiety about preparation than about the procedure and findings of the procedure. There are unique predictors of anxiety about each colonoscopy aspect. Understanding the nuanced differences in aspects of anxiety may help to design strategies to reduce anxiety, leading to improved acceptance of the procedure, compliance with preparation instructions, and less discomfort with the procedure.
BACKGROUND: Previous research has assessed anxiety around colonoscopy procedures, but has not considered anxiety related to different aspects related to the colonoscopy process. AIMS: Before colonoscopy, we assessed anxiety about: bowel preparation, the procedure, and the anticipated results. We evaluated associations between patient characteristics and anxiety in each area. METHODS: An anonymous survey was distributed to patients immediately prior to their outpatient colonoscopy in six hospitals and two ambulatory care centers in Winnipeg, Canada. Anxiety was assessed using a visual analog scale. For each aspect, logistic regression models were used to explore associations between patient characteristics and high anxiety. RESULTS: A total of 1316 respondents completed the questions about anxiety (52% female, median age 56 years). Anxiety scores > 70 (high anxiety) were reported by 18% about bowel preparation, 29% about the procedure, and 28% about the procedure results. High anxiety about bowel preparation was associated with female sex, perceived unclear instructions, unfinished laxative, and no previous colonoscopies. High anxiety about the procedure was associated with female sex, no previous colonoscopies, and confusing instructions. High anxiety about the results was associated with symptoms as an indication for colonoscopy and instructions perceived as confusing. CONCLUSIONS: Fewer people had high anxiety about preparation than about the procedure and findings of the procedure. There are unique predictors of anxiety about each colonoscopy aspect. Understanding the nuanced differences in aspects of anxiety may help to design strategies to reduce anxiety, leading to improved acceptance of the procedure, compliance with preparation instructions, and less discomfort with the procedure.
Authors: Harminder Singh; Alain A Demers; Lin Xue; Donna Turner; Charles N Bernstein Journal: Am J Gastroenterol Date: 2008-01-11 Impact factor: 10.864
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Authors: Ferdinando D'Amico; David T Rubin; Paulo Gustavo Kotze; Fernando Magro; Britta Siegmund; Taku Kobayashi; Pablo A Olivera; Peter Bossuyt; Lieven Pouillon; Edouard Louis; Eugeni Domènech; Subrata Ghosh; Silvio Danese; Laurent Peyrin-Biroulet Journal: United European Gastroenterol J Date: 2021-05-07 Impact factor: 4.623
Authors: Eugene Lee; Leigh Anne Shafer; John R Walker; Celeste Waldman; Valerie Michaud; Chengyue Yang; Charles N Bernstein; Linda Hathout; Jason Park; Jeff Sisler; Kristy Wittmeier; Gayle Restall; Harminder Singh Journal: Medicine (Baltimore) Date: 2019-05 Impact factor: 1.817
Authors: Laura J Neilson; Joanne Patterson; Christian von Wagner; Paul Hewitson; Lesley M McGregor; Linda Sharp; Colin J Rees Journal: Frontline Gastroenterol Date: 2020-01-13