DO ANXIETY AND DEPRESSION BEFORE ENDOMETRIAL BIOPSY INCREASE PAIN PERCEPTION ?
Journal Title: Kocatepe Medical Journal - Year 2024, Vol 25, Issue 3
Abstract
OBJECTIVE: The aim of this study is to determine the effect of pre-procedure anxiety and depression levels on pain perception in women undergoing endometrial curettage and to investigate the possible factors contributing to pain perception in these women. MATERIAL AND METHODS: In this study, 82 premenopausal women who underwent endometrial curettage due to abnormal uterine bleeding were reviewed. The Turkish version of the Hospital Anxiety and Depression Scale (HADS) was used to assess the psychological status of the participants. Patients were asked to evaluate the pain they felt during the procedure and 60 minutes after the procedure by using a visual analog scale. RESULTS: The VAS (Visual Analog Scale) scores during the procedure showed a positive and significant correlation with the pre-procedural HADS anxiety scores (r=0.255, p=0.021) and depression scores (r=0.424, p=0.001). The VAS scores recorded 60 minutes after the procedure also showed a positive and significant correlation with pre-procedural anxiety scores (r=0.213, p=0.045) and depression scores (r=0.191, p=0.046). The VAS scores related to the procedure were significantly influenced by the waiting time in the hospital (p=0.001) and anxiety scores (p=0.001). The VAS scores recorded 60 minutes after the procedure (p=0.001) were significantly influenced by the duration of the procedure (p=0.002), anxiety scores (p=0.128), and depression scores (p=0.002) CONCLUSIONS: Anxious and/or depressive mood may increase the perception of endometrial biopsy-related pain. Various precautions such as reducing the waiting time or informing the patient during the waiting period might be beneficial in terms of reducing pre-procedural anxiety and depression levels.
Authors and Affiliations
Fatih Çelik Ayşe Yalçınkaya Yılmaz
Keywords
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- EP ID EP740661
- DOI https://doi.org/10.18229/kocatepetip.1374056
- Views 15
- Downloads 0
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