pain catastrophizing | Ricerc@Sapienza

Intolerance of Uncertainty, Anxiety Sensitivity and Health Distress Predicted Self-Reported and Clinician Rated Pain During Upper Endoscopy Though Pain Catastrophizing

CONTROL ID: 2910419
CURRENT CATEGORY: Clinical Practice
CURRENT SUBCATEGORY/DESCRIPTORS: Patient Reported Outcomes: IBD, GERD, Functional Disorders, Other
PRESENTATION TYPE: AGA Institute Oral or Poster
PRESENTER: Rossella Palma
PRESENTER (EMAIL ONLY): rossellapalma89@gmail.com
Abstract

Intolerance of uncertainty and anxiety-related dispositions predict pain during upper endoscopy

Although sedatives can defuse anxiety and relieve pain, Esophagogastroduodenoscopy (EGD) still is uncomfortable and threatening for some patients. Identifying patients who tolerate digestive endoscopy less well remains difﬁcult. Using a prospective design and a multimodal assessment of pain, the present study evaluated how anxiety-related variables predicted subsequent pain outcomes. Sixty-two consecutive patients referred for elective EGD were assessed for intolerance of uncertainty (IU), procedure-related worries, anxiety sensitivity and health distress before endoscopy.

Procedural anxiety, pain catastrophizing, and procedure-related pain during EGD and colonoscopy

Objectives Although sedatives and analgesic drugs defuse anxiety and relieve pain, digestive endoscopy still is uncomfortable and painful for some patients. Identifying patients who tolerate digestive endoscopy less well remains difficult. The present study evaluated the relations between procedural anxiety, catastrophizing thoughts, and pain, using a prospective design and multimodal assessments of pain. Methods A total of 118 consecutive patients were assessed for procedural anxiety before endoscopy. During endoscopy, a doctor rated the patients' pain behavior.