Matching intra-procedural information with coping style reduces psychophysiological arousal in women undergoing colposcopy

Susanna Kola, Jane C. Walsh, Brian M. Hughes, Siobhán Howard

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

This study assessed the combined effects of coping style and intra-procedural information on indices of distress (physiological measures, observed distress, self-report measures of anxiety and affect) among a group of patients undergoing colposcopy. High and low monitors were exposed to one of three interventions: high information (live video feed of colposcopy); low information (complete audiovisual distraction); and control. Results revealed a 2 (monitoring style) × 3 (information level) × 2 (time) interaction for systolic blood pressure (SBP), F(2, 111) = 3.55, p =.032. Among low monitors, patients in the low-information group exhibited significant SBP reductions during colposcopy, while those in the high-information group exhibited SBP increases. Among high monitors, patients in the high-information and control groups exhibited SBP reductions. Further, significant differences in observed signs of distress were found between groups with high monitors in the low-information group faring best overall, F(2, 111) = 4.41, p =.014. These findings indicate that tailoring information to suit individual coping style may maximize the apparent efficacy of interventions aimed at reducing stress during medical examinations.

Original languageEnglish
Pages (from-to)401-412
Number of pages12
JournalJournal of Behavioral Medicine
Volume36
Issue number4
DOIs
Publication statusPublished - 1 Aug 2013

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Colposcopy
Arousal
Blood Pressure
Self Report
Anxiety
Control Groups

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abstract = "This study assessed the combined effects of coping style and intra-procedural information on indices of distress (physiological measures, observed distress, self-report measures of anxiety and affect) among a group of patients undergoing colposcopy. High and low monitors were exposed to one of three interventions: high information (live video feed of colposcopy); low information (complete audiovisual distraction); and control. Results revealed a 2 (monitoring style) × 3 (information level) × 2 (time) interaction for systolic blood pressure (SBP), F(2, 111) = 3.55, p =.032. Among low monitors, patients in the low-information group exhibited significant SBP reductions during colposcopy, while those in the high-information group exhibited SBP increases. Among high monitors, patients in the high-information and control groups exhibited SBP reductions. Further, significant differences in observed signs of distress were found between groups with high monitors in the low-information group faring best overall, F(2, 111) = 4.41, p =.014. These findings indicate that tailoring information to suit individual coping style may maximize the apparent efficacy of interventions aimed at reducing stress during medical examinations.",
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Matching intra-procedural information with coping style reduces psychophysiological arousal in women undergoing colposcopy. / Kola, Susanna; Walsh, Jane C.; Hughes, Brian M.; Howard, Siobhán.

In: Journal of Behavioral Medicine, Vol. 36, No. 4, 01.08.2013, p. 401-412.

Research output: Contribution to journalArticle

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