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

Article English OPEN
Kola, Susanna ; Walsh, Jane C. ; Hughes, Brian M. ; Howard, Siobhan (2013)

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.
  • References (48)
    48 references, page 1 of 5

    Altekruse, S. F., Kosary, C. L., Krapcho, M., Neyman, N., Aminou, R., Waldron, W., et al. (2010, based on November 2009 SEER data submission, posted to the SEER web site, 2010). SEER Cancer Statistics Review, 1975-2007. Retrieved from

    Boyle, P., & Levin, B. (Eds.). (2008). World Cancer Report 2008. Lyon: International Agency for Research on Cancer.

    Byrom, J., Clarke, T., Neale, J., Dunn, P. D., Hughes, G. M., Redman, C. W., et al. (2002). Can precolposcopy sessions reduce anxiety at the time of colposcopy? A prospective randomised study. Journal of Obstetrics & Gynaecology, 22(4), 415-420.

    Chan, Y. M., Lee, P. W. H., Ng, T. Y., & Ngan, H. Y. S. (2004). Could precolposcopy information and counseling reduce women's anxiety and improve knowledge and compliance to followup? Gynecologic Oncology, 95(2), 341-346.

    Chan, Y. M., Lee, P. W. H., Ng, T. Y., Ngan, H. Y. S., & Wong, L. C. (2003). The use of music to reduce anxiety for patients undergoing colposcopy: a randomized trial. Gynecologic Oncology, 91(1), 213-217.

    Christenfeld, N., Glynn, L. M., Kulik, J. A., & Gerin, W. (1998). The social construction of cardiovascular reactivity. Annals of Behavioral Medicine, 20(4), 317-325.

    Dahlquist, L. M., McKenna, K. D., Jones, K. K., Dillinger, L., Weiss, K. E., & Sonntag Ackerman, C. (2007). Active and passive distraction using a head-mounted display helmet: Effects on cold pressor pain in children. Health Psychology 26(6), 794-801.

    Danhauer, S. C., Marler, B., Rutherford, C. A., Lovato, J. F., Asbury, D. Y., McQuellon, R. P., et al. (2007). Music or guided imagery for women undergoing colposcopy: A randomized controlled study of effects on anxiety, perceived pain, and patient satisfaction. Journal of Lower Genital Tract Disease 11(1), 39-45.

    Domino, E. F., Ni, L., Xu, Y., Koeppe, R. A., Guthrie, S., & Zubieta, J.-K. (2004). Regional cerebral blood flow and plasma nicotine after smoking tobacco cigarettes. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 28, 319-327.

    Forys, K. L., & Dahlquist, L. M. (2007). The influence of preferred coping style and cognitive strategy on laboratory-induced pain. Health Psychology 26(1), 22-29.

  • Similar Research Results (2)
  • Metrics
    views in OpenAIRE
    views in local repository
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    University of Huddersfield Repository - IRUS-UK 0 74
Share - Bookmark