Emotion‐centered versus fact‐centered medical information to alleviate pain and anxiety in prostate biopsy: A randomized trial
Background To test the efficacy of emotion‐centered (EC) versus fact‐centered (FC) written medical information for prostate biopsy to alleviate pain and anxiety in a randomized controlled trial. Methods In a single‐center, single‐blinded study participants were randomized to receive FC or EC (DRKS00...
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| Veröffentlicht in: | The Prostate 2024-03, Vol.84 (4), p.389-394 |
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| creator | Krausewitz, Philipp Schmeller, Helene Spitzer, Carsten Ellinger, Jörg Ritter, Manuel Petrowski, Katja Conrad, Rupert |
| description | Background
To test the efficacy of emotion‐centered (EC) versus fact‐centered (FC) written medical information for prostate biopsy to alleviate pain and anxiety in a randomized controlled trial.
Methods
In a single‐center, single‐blinded study participants were randomized to receive FC or EC (DRKS00022361; 2020). In the EC, the focus was on possible stress reactions and stress‐reducing strategies. Participants were asked to complete questionnaires on the day of MRI acquisition (T0) directly before (T1) and after the procedure (T2). The primary outcome measure was the assessment of worst pain in the last 2 h measured by the adapted brief pain inventory. Secondary outcome measures included state anxiety measured by the state‐trait anxiety inventory and the subjective evaluation of the impact of the written medical information at T2. For statistical analysis, mixed models were calculated.
Results
Of 137 eligible patients, 108 (79%) could be recruited and were randomized. There was a significant effect for time for the outcome variables pain and anxiety. Regarding the comparison for the primary outcome variable worst pain there was a significantly lower increase from T1 to T2 after FC compared to EC (p |
| doi_str_mv | 10.1002/pros.24659 |
| format | Article |
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To test the efficacy of emotion‐centered (EC) versus fact‐centered (FC) written medical information for prostate biopsy to alleviate pain and anxiety in a randomized controlled trial.
Methods
In a single‐center, single‐blinded study participants were randomized to receive FC or EC (DRKS00022361; 2020). In the EC, the focus was on possible stress reactions and stress‐reducing strategies. Participants were asked to complete questionnaires on the day of MRI acquisition (T0) directly before (T1) and after the procedure (T2). The primary outcome measure was the assessment of worst pain in the last 2 h measured by the adapted brief pain inventory. Secondary outcome measures included state anxiety measured by the state‐trait anxiety inventory and the subjective evaluation of the impact of the written medical information at T2. For statistical analysis, mixed models were calculated.
Results
Of 137 eligible patients, 108 (79%) could be recruited and were randomized. There was a significant effect for time for the outcome variables pain and anxiety. Regarding the comparison for the primary outcome variable worst pain there was a significantly lower increase from T1 to T2 after FC compared to EC (p < 0.004). The course of anxiety displayed no overall group differences. The FC was evaluated as significantly more helpful regarding stress, pain, and anxiety with moderate effect sizes.
Conclusions
FC was favorable with regard to worst experienced pain, assuming that the brief introduction of emotional issues such as stress and coping in written information might be counterproductive particularly in men not used to these subjects.</description><identifier>ISSN: 0270-4137</identifier><identifier>EISSN: 1097-0045</identifier><identifier>DOI: 10.1002/pros.24659</identifier><identifier>PMID: 38116739</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Anxiety ; Anxiety - psychology ; Biopsy ; Emotions ; Humans ; Male ; Mathematical models ; medical information ; MRI ; narrative ; Pain ; Pain Management ; Prostate ; prostate biopsy ; Statistical analysis</subject><ispartof>The Prostate, 2024-03, Vol.84 (4), p.389-394</ispartof><rights>2023 The Authors. The Prostate published by Wiley Periodicals LLC.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3939-63805b97f0c72f36c9bda5467c99dbe23315734c2b7eec54f59e35a22301e4f83</citedby><cites>FETCH-LOGICAL-c3939-63805b97f0c72f36c9bda5467c99dbe23315734c2b7eec54f59e35a22301e4f83</cites><orcidid>0000-0002-8213-9975 ; 0000-0002-7526-0857</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpros.24659$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpros.24659$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38116739$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krausewitz, Philipp</creatorcontrib><creatorcontrib>Schmeller, Helene</creatorcontrib><creatorcontrib>Spitzer, Carsten</creatorcontrib><creatorcontrib>Ellinger, Jörg</creatorcontrib><creatorcontrib>Ritter, Manuel</creatorcontrib><creatorcontrib>Petrowski, Katja</creatorcontrib><creatorcontrib>Conrad, Rupert</creatorcontrib><title>Emotion‐centered versus fact‐centered medical information to alleviate pain and anxiety in prostate biopsy: A randomized trial</title><title>The Prostate</title><addtitle>Prostate</addtitle><description>Background
To test the efficacy of emotion‐centered (EC) versus fact‐centered (FC) written medical information for prostate biopsy to alleviate pain and anxiety in a randomized controlled trial.
Methods
In a single‐center, single‐blinded study participants were randomized to receive FC or EC (DRKS00022361; 2020). In the EC, the focus was on possible stress reactions and stress‐reducing strategies. Participants were asked to complete questionnaires on the day of MRI acquisition (T0) directly before (T1) and after the procedure (T2). The primary outcome measure was the assessment of worst pain in the last 2 h measured by the adapted brief pain inventory. Secondary outcome measures included state anxiety measured by the state‐trait anxiety inventory and the subjective evaluation of the impact of the written medical information at T2. For statistical analysis, mixed models were calculated.
Results
Of 137 eligible patients, 108 (79%) could be recruited and were randomized. There was a significant effect for time for the outcome variables pain and anxiety. Regarding the comparison for the primary outcome variable worst pain there was a significantly lower increase from T1 to T2 after FC compared to EC (p < 0.004). The course of anxiety displayed no overall group differences. The FC was evaluated as significantly more helpful regarding stress, pain, and anxiety with moderate effect sizes.
Conclusions
FC was favorable with regard to worst experienced pain, assuming that the brief introduction of emotional issues such as stress and coping in written information might be counterproductive particularly in men not used to these subjects.</description><subject>Anxiety</subject><subject>Anxiety - psychology</subject><subject>Biopsy</subject><subject>Emotions</subject><subject>Humans</subject><subject>Male</subject><subject>Mathematical models</subject><subject>medical information</subject><subject>MRI</subject><subject>narrative</subject><subject>Pain</subject><subject>Pain Management</subject><subject>Prostate</subject><subject>prostate biopsy</subject><subject>Statistical analysis</subject><issn>0270-4137</issn><issn>1097-0045</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp90c1qFTEUB_BQlPZa3fQBSsCNCFNPviY33ZVSP6BQ8WM9ZDJnIGVmcptkqteV-AQ-o09ixttKcWEgBJJf_pzkEHLE4IQB8FebGNIJl7Uye2TFwOgKQKpHZAVcQyWZ0AfkSUrXAIUD3ycHYs1YrYVZkR8XY8g-TL--_3Q4ZYzY0VuMaU60ty4_3B6x884O1E99iKNdbtEcqB0GvPU2I91YP1E7dWV-9Zi3RdKltrwctj5s0vaUntFYSBj9txKZo7fDU_K4t0PCZ3frIfn8-uLT-dvq8urNu_Ozy8oJI0xVizWo1ugenOa9qJ1pO6tkrZ0xXYtcCKa0kI63GtEp2SuDQlnOBTCU_Vockhe73FLTzYwpN6NPDofBThjm1HADkikDoi70-T_0OsxxKtUVxXQZUsqiXu6UK49MEftmE_1o47Zh0CydaZbXN386U_DxXeTclp_8S-9bUQDbgS9-wO1_opr3H64-7kJ_A0dlnIg</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Krausewitz, Philipp</creator><creator>Schmeller, Helene</creator><creator>Spitzer, Carsten</creator><creator>Ellinger, Jörg</creator><creator>Ritter, Manuel</creator><creator>Petrowski, Katja</creator><creator>Conrad, Rupert</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8213-9975</orcidid><orcidid>https://orcid.org/0000-0002-7526-0857</orcidid></search><sort><creationdate>202403</creationdate><title>Emotion‐centered versus fact‐centered medical information to alleviate pain and anxiety in prostate biopsy: A randomized trial</title><author>Krausewitz, Philipp ; Schmeller, Helene ; Spitzer, Carsten ; Ellinger, Jörg ; Ritter, Manuel ; Petrowski, Katja ; Conrad, Rupert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3939-63805b97f0c72f36c9bda5467c99dbe23315734c2b7eec54f59e35a22301e4f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anxiety</topic><topic>Anxiety - psychology</topic><topic>Biopsy</topic><topic>Emotions</topic><topic>Humans</topic><topic>Male</topic><topic>Mathematical models</topic><topic>medical information</topic><topic>MRI</topic><topic>narrative</topic><topic>Pain</topic><topic>Pain Management</topic><topic>Prostate</topic><topic>prostate biopsy</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krausewitz, Philipp</creatorcontrib><creatorcontrib>Schmeller, Helene</creatorcontrib><creatorcontrib>Spitzer, Carsten</creatorcontrib><creatorcontrib>Ellinger, Jörg</creatorcontrib><creatorcontrib>Ritter, Manuel</creatorcontrib><creatorcontrib>Petrowski, Katja</creatorcontrib><creatorcontrib>Conrad, Rupert</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Prostate</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krausewitz, Philipp</au><au>Schmeller, Helene</au><au>Spitzer, Carsten</au><au>Ellinger, Jörg</au><au>Ritter, Manuel</au><au>Petrowski, Katja</au><au>Conrad, Rupert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emotion‐centered versus fact‐centered medical information to alleviate pain and anxiety in prostate biopsy: A randomized trial</atitle><jtitle>The Prostate</jtitle><addtitle>Prostate</addtitle><date>2024-03</date><risdate>2024</risdate><volume>84</volume><issue>4</issue><spage>389</spage><epage>394</epage><pages>389-394</pages><issn>0270-4137</issn><eissn>1097-0045</eissn><abstract>Background
To test the efficacy of emotion‐centered (EC) versus fact‐centered (FC) written medical information for prostate biopsy to alleviate pain and anxiety in a randomized controlled trial.
Methods
In a single‐center, single‐blinded study participants were randomized to receive FC or EC (DRKS00022361; 2020). In the EC, the focus was on possible stress reactions and stress‐reducing strategies. Participants were asked to complete questionnaires on the day of MRI acquisition (T0) directly before (T1) and after the procedure (T2). The primary outcome measure was the assessment of worst pain in the last 2 h measured by the adapted brief pain inventory. Secondary outcome measures included state anxiety measured by the state‐trait anxiety inventory and the subjective evaluation of the impact of the written medical information at T2. For statistical analysis, mixed models were calculated.
Results
Of 137 eligible patients, 108 (79%) could be recruited and were randomized. There was a significant effect for time for the outcome variables pain and anxiety. Regarding the comparison for the primary outcome variable worst pain there was a significantly lower increase from T1 to T2 after FC compared to EC (p < 0.004). The course of anxiety displayed no overall group differences. The FC was evaluated as significantly more helpful regarding stress, pain, and anxiety with moderate effect sizes.
Conclusions
FC was favorable with regard to worst experienced pain, assuming that the brief introduction of emotional issues such as stress and coping in written information might be counterproductive particularly in men not used to these subjects.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38116739</pmid><doi>10.1002/pros.24659</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8213-9975</orcidid><orcidid>https://orcid.org/0000-0002-7526-0857</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Anxiety Anxiety - psychology Biopsy Emotions Humans Male Mathematical models medical information MRI narrative Pain Pain Management Prostate prostate biopsy Statistical analysis |
| title | Emotion‐centered versus fact‐centered medical information to alleviate pain and anxiety in prostate biopsy: A randomized trial |
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