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Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial

Hysterosalpingography (HSG) is generally considered a stressful and painful procedure; we aimed to evaluate whether a single education and counseling intervention could reduce women's distress and pain after undergoing HSG for infertility. Patients were randomized into control group (n = 108) a...

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Autores principales: La Fianza, Alfredo, Dellafiore, Caterina, Travaini, Daniele, Broglia, Davide, Gambini, Francesca, Scudeller, Luigia, Tinelli, Carmine, Caverzasi, Edgardo, Brondino, Natascia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915489/
https://www.ncbi.nlm.nih.gov/pubmed/24574902
http://dx.doi.org/10.1155/2014/598293
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author La Fianza, Alfredo
Dellafiore, Caterina
Travaini, Daniele
Broglia, Davide
Gambini, Francesca
Scudeller, Luigia
Tinelli, Carmine
Caverzasi, Edgardo
Brondino, Natascia
author_facet La Fianza, Alfredo
Dellafiore, Caterina
Travaini, Daniele
Broglia, Davide
Gambini, Francesca
Scudeller, Luigia
Tinelli, Carmine
Caverzasi, Edgardo
Brondino, Natascia
author_sort La Fianza, Alfredo
collection PubMed
description Hysterosalpingography (HSG) is generally considered a stressful and painful procedure; we aimed to evaluate whether a single education and counseling intervention could reduce women's distress and pain after undergoing HSG for infertility. Patients were randomized into control group (n = 108) and intervention group (n = 109). All patients filled the following questionnaires before and after HSG: Zung self-rating anxiety scale (Z-SAS), Zung self-rating depression scale (Z-SDS), and an ad hoc questionnaire designed to evaluate HSG procedure knowledge. Pain was scored using a visual analog scale. The intervention consisted in a 45-minute individualised session 48 h before HSG. We observed a reduction of anxiety and depression scores in the intervention arm compared to the control group. After controlling for potential confounding variables, intervention was an independent predictor of the difference of Z-SAS score before and after HSG. This is the first randomised controlled trial to assess the potential effectiveness of a single education and counseling intervention to lower anxiety in a diagnostic setting.
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spelling pubmed-39154892014-02-26 Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial La Fianza, Alfredo Dellafiore, Caterina Travaini, Daniele Broglia, Davide Gambini, Francesca Scudeller, Luigia Tinelli, Carmine Caverzasi, Edgardo Brondino, Natascia ScientificWorldJournal Clinical Study Hysterosalpingography (HSG) is generally considered a stressful and painful procedure; we aimed to evaluate whether a single education and counseling intervention could reduce women's distress and pain after undergoing HSG for infertility. Patients were randomized into control group (n = 108) and intervention group (n = 109). All patients filled the following questionnaires before and after HSG: Zung self-rating anxiety scale (Z-SAS), Zung self-rating depression scale (Z-SDS), and an ad hoc questionnaire designed to evaluate HSG procedure knowledge. Pain was scored using a visual analog scale. The intervention consisted in a 45-minute individualised session 48 h before HSG. We observed a reduction of anxiety and depression scores in the intervention arm compared to the control group. After controlling for potential confounding variables, intervention was an independent predictor of the difference of Z-SAS score before and after HSG. This is the first randomised controlled trial to assess the potential effectiveness of a single education and counseling intervention to lower anxiety in a diagnostic setting. Hindawi Publishing Corporation 2014-01-16 /pmc/articles/PMC3915489/ /pubmed/24574902 http://dx.doi.org/10.1155/2014/598293 Text en Copyright © 2014 Alfredo La Fianza et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
La Fianza, Alfredo
Dellafiore, Caterina
Travaini, Daniele
Broglia, Davide
Gambini, Francesca
Scudeller, Luigia
Tinelli, Carmine
Caverzasi, Edgardo
Brondino, Natascia
Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_full Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_fullStr Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_full_unstemmed Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_short Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial
title_sort effectiveness of a single education and counseling intervention in reducing anxiety in women undergoing hysterosalpingography: a randomized controlled trial
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915489/
https://www.ncbi.nlm.nih.gov/pubmed/24574902
http://dx.doi.org/10.1155/2014/598293
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