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

A La Fianza, Carolina Dellafiore, Daniele Travaini, Davide Broglia, Francesca Gambini, Luigia Scudeller, Carmine Tinelli, Eduardo Caverzasi, Natascia Brondino
In: The Scientific World Journal · 2014 · vol. 2014 , pp. 1–7 · doi:10.1155/2014/598293 · PMID:24574902 · W1987979997
article OA: gold CC0 ⤵ 8 in-corpus citations
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A single 45-minute education and counseling session 48 hours before a hysterosalpingography reduced anxiety and depression scores in women compared to a control group.

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Abstract

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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