Panic Attack during Elective Gastrointestinal Endoscopy
Background. Esophagogastroduodenoscopy (EGD) and colonoscopy (CS) can evoke anxiety, embarrassment, and discomfort. These concerns can culminate in panic attacks, which may traumatize patients and significantly decrease their compliance to the procedure. The objective of this study was to evaluate t...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/162574 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850231882210344960 |
|---|---|
| author | Charalampos Mitsonis Nikolaos Dimopoulos Marianna Zavrou Vassiliki Psarra Christos Giofkos Christos Fiorakis Athanasios Dimitriadis Dimitrios Valavanis Eleni Vousoura Iannis Zervas Efstathios Papavassiliou |
| author_facet | Charalampos Mitsonis Nikolaos Dimopoulos Marianna Zavrou Vassiliki Psarra Christos Giofkos Christos Fiorakis Athanasios Dimitriadis Dimitrios Valavanis Eleni Vousoura Iannis Zervas Efstathios Papavassiliou |
| author_sort | Charalampos Mitsonis |
| collection | DOAJ |
| description | Background. Esophagogastroduodenoscopy (EGD) and colonoscopy (CS) can evoke anxiety, embarrassment, and discomfort. These concerns can culminate in panic attacks, which may traumatize patients and significantly decrease their compliance to the procedure. The objective of this study was to evaluate the relationship between preendoscopic anxiety and the possibility of a panic attack during an elective gastrointestinal endoscopy (EGE). Methods. The study population comprised of 79 Greek outpatients. The examination was carried out without the use of conscious sedation. Patients' anxiety levels were assessed before the procedure using the Greek version of the Spielberger State-Trait Anxiety Inventory (STAI-Y). Results. Seventy-nine patients were enrolled: 45 EGD and 34 CS. Females had higher state and trait anxiety levels than males (48.14 ± 7.94 versus 44.17 ± 7.43, 𝑃<0.05; and 43.68 ± 6.95 versus 39.86 ± 7.46, 𝑃<0.05). Patients who experienced panic attack had significantly higher levels of both trait and state anxiety, compared to those who were panic-free. There was no significant relationship between panic attacks and sex or type of procedure. Conclusions. Patients who experience panic attacks during endoscopic procedures appear to have significantly higher anxiety levels before the procedure. Administering the STAI questionnaire prior to the endoscopy seems to be a useful screening method for vulnerable patients. |
| format | Article |
| id | doaj-art-08fffd0b0c1c49b3a0bbf8d078dee1aa |
| institution | OA Journals |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-08fffd0b0c1c49b3a0bbf8d078dee1aa2025-08-20T02:03:23ZengWileyGastroenterology Research and Practice1687-61211687-630X2011-01-01201110.1155/2011/162574162574Panic Attack during Elective Gastrointestinal EndoscopyCharalampos Mitsonis0Nikolaos Dimopoulos1Marianna Zavrou2Vassiliki Psarra3Christos Giofkos4Christos Fiorakis5Athanasios Dimitriadis6Dimitrios Valavanis7Eleni Vousoura8Iannis Zervas9Efstathios Papavassiliou1018th Psychiatric Department, Psychiatric Hospital of Attiki “Dafni”, 374 Athinon Avenue, 12462 Chaidari, Greece6th Psychiatric Department, Psychiatric Hospital of Attiki “Dromokaition”, Iera Odos 243, 12461 Athens, Greece6th Psychiatric Department, Psychiatric Hospital of Attiki “Dromokaition”, Iera Odos 243, 12461 Athens, Greece3rd Psychiatric Department, Psychiatric Hospital of Attiki “Dafni”, 374 Athinon Avenue, 12462 Chaidari, Greece6th Psychiatric Department, Psychiatric Hospital of Attiki “Dromokaition”, Iera Odos 243, 12461 Athens, Greece6th Psychiatric Department, Psychiatric Hospital of Attiki “Dromokaition”, Iera Odos 243, 12461 Athens, Greece6th Psychiatric Department, Psychiatric Hospital of Attiki “Dromokaition”, Iera Odos 243, 12461 Athens, GreeceF. P. Ps. Program of Psychology, Zografou University Campus, 15703 Athens, GreeceFirst Department of Psychiatry, Eginition Hospital, Athens University Medical School, Vas. Sofias 72-74, 11528 Athens, GreeceFirst Department of Psychiatry, Eginition Hospital, Athens University Medical School, Vas. Sofias 72-74, 11528 Athens, GreeceDepartment of Gastroenterology, Amalia Fleming Hospital, 25 Martiou 14, 15127 Melissia, GreeceBackground. Esophagogastroduodenoscopy (EGD) and colonoscopy (CS) can evoke anxiety, embarrassment, and discomfort. These concerns can culminate in panic attacks, which may traumatize patients and significantly decrease their compliance to the procedure. The objective of this study was to evaluate the relationship between preendoscopic anxiety and the possibility of a panic attack during an elective gastrointestinal endoscopy (EGE). Methods. The study population comprised of 79 Greek outpatients. The examination was carried out without the use of conscious sedation. Patients' anxiety levels were assessed before the procedure using the Greek version of the Spielberger State-Trait Anxiety Inventory (STAI-Y). Results. Seventy-nine patients were enrolled: 45 EGD and 34 CS. Females had higher state and trait anxiety levels than males (48.14 ± 7.94 versus 44.17 ± 7.43, 𝑃<0.05; and 43.68 ± 6.95 versus 39.86 ± 7.46, 𝑃<0.05). Patients who experienced panic attack had significantly higher levels of both trait and state anxiety, compared to those who were panic-free. There was no significant relationship between panic attacks and sex or type of procedure. Conclusions. Patients who experience panic attacks during endoscopic procedures appear to have significantly higher anxiety levels before the procedure. Administering the STAI questionnaire prior to the endoscopy seems to be a useful screening method for vulnerable patients.http://dx.doi.org/10.1155/2011/162574 |
| spellingShingle | Charalampos Mitsonis Nikolaos Dimopoulos Marianna Zavrou Vassiliki Psarra Christos Giofkos Christos Fiorakis Athanasios Dimitriadis Dimitrios Valavanis Eleni Vousoura Iannis Zervas Efstathios Papavassiliou Panic Attack during Elective Gastrointestinal Endoscopy Gastroenterology Research and Practice |
| title | Panic Attack during Elective Gastrointestinal Endoscopy |
| title_full | Panic Attack during Elective Gastrointestinal Endoscopy |
| title_fullStr | Panic Attack during Elective Gastrointestinal Endoscopy |
| title_full_unstemmed | Panic Attack during Elective Gastrointestinal Endoscopy |
| title_short | Panic Attack during Elective Gastrointestinal Endoscopy |
| title_sort | panic attack during elective gastrointestinal endoscopy |
| url | http://dx.doi.org/10.1155/2011/162574 |
| work_keys_str_mv | AT charalamposmitsonis panicattackduringelectivegastrointestinalendoscopy AT nikolaosdimopoulos panicattackduringelectivegastrointestinalendoscopy AT mariannazavrou panicattackduringelectivegastrointestinalendoscopy AT vassilikipsarra panicattackduringelectivegastrointestinalendoscopy AT christosgiofkos panicattackduringelectivegastrointestinalendoscopy AT christosfiorakis panicattackduringelectivegastrointestinalendoscopy AT athanasiosdimitriadis panicattackduringelectivegastrointestinalendoscopy AT dimitriosvalavanis panicattackduringelectivegastrointestinalendoscopy AT elenivousoura panicattackduringelectivegastrointestinalendoscopy AT ianniszervas panicattackduringelectivegastrointestinalendoscopy AT efstathiospapavassiliou panicattackduringelectivegastrointestinalendoscopy |