Showing papers on "State-Trait Anxiety Inventory published in 1995"

Comparison of anxiety, pain and discomfort in two procedures of hematopoietic stem cell collection: leukacytapheresis and bone marrow harvest.

Abstract: The aim of this study was to compare anxiety, pain and discomfort of cancer patients submitted to either peripheral blood progenitor cell collection (PBPCC) or bone marrow harvest (BMH). Patients, randomized (7/1993-2/1994), in view of autograft, to receive the first procedure or the second one, completed self-administered questionnaires. Anxiety was assessed by the State Trait Anxiety Inventory and pain using visual analogical scale (VAS) and McGill Pain questionnaire. Before the procedure, BMH patients (n = 25) experienced more anxiety (P < 0.01) and more trouble or inconvenience for having to come and stay at the hospital (P < 0.0001) than PBPCC patients (n = 40). Pain due to BMH is significantly higher than pain induced by PBPCC (P < 0.001 for VAS and total McGill score). However, patients submitted to PBPCC with a femoral catheter (n = 19) had significantly higher total McGill scores and sensory sub-scores than patients without it (n = 21). At discharge from the hospital, PBPCC patients expressed more positive judgements towards the collection procedure than BMH patients. These results suggest that a better patient acceptability of high-dose chemotherapy followed by autograft may be obtained by substituting PBPCC for BMH for stem cell collection.

Psychometric Comparability of the English-and Spanish-Language Versions of the State-Trait Anxiety Inventory:

Abstract: The psychometric adequacy of the English-and Spanish-language versions of the State-Trait Anxiety Inventory (STAI) was compared across English-speaking Latino American women (n = 17) and men (n = 1...

Assessment of anxiety in hospital patients.

Abstract: There has been research in North America to validate the nursing diagnosis of anxiety. As part of this work, Young used the defining characteristics and developed a tool to measure anxiety. The present research sought to extend that study in the United Kingdom, assess the anxiety-defining characteristics tool and identify key indicators of anxiety that might be useful in clinical practice. Four anxiety measurement tools, drawn from the literature, were used. These were the state trait anxiety inventory, the graphic anxiety scale, the hospital anxiety and depression scale, and the anxiety-defining characteristics tool. A random sample of 79 hospitalized patients were interviewed and their anxiety rated using all four measures. Calculation of Spearman's correlation co-efficients revealed convergent validity between the anxiety-defining characteristics tool and the state trait anxiety inventory and the anxiety score on the hospital anxiety and depression scale. Anxiety levels were found not to be affected by the age or sex of the respondent, or the length of stay or number of previous admissions. Discriminant analysis suggested that six characteristics adequately discriminated anxious subjects: sweating, faintness, tendency to blame others, continual review of things in their mind, focus on self and a lack of self-confidence. The study concluded that there is a scope for further research into these characteristics and their use in clinical practice.

Reducing anxiety in newly diagnosed cancer patients: a pilot program.

Abstract: This study tested the efficacy of a pilot orientation program in reducing distress levels of patients with newly diagnosed cancer. Thirty-three consecutive patients were randomly assigned to an intervention or to a usual-care control group. The intervention group received a clinic tour, general information, and the opportunity to pose questions to an oncology counselor. The dependent variables were measured by the Profile of Mood States-Short Form-Total Mood Disturbance Scale and the State Trait Anxiety Inventory. Scores on the dependent measures were significantly lower in the intervention group. These results suggest that a simple orientation can greatly benefit patients with newly diagnosed cancer. The orientation may reduce anxiety and overall distress by helping patients manage novelty and unpredictability in the unfamiliar clinic setting. This intervention can be delivered within the context of a busy hematology/oncology outpatient clinic.

The effects of home visits on anxiety levels of the client with a coronary artery bypass graft and of the family.

Abstract: This study compared the anxiety scores of 30 clients and their spouses who had received home visits from the nurse with 30 clients and spouses who did not receive home visits. All clients had undergone coronary artery bypass graft surgery. Anxiety was measured by the State Trait Anxiety Inventory, Form Y-1, and the Affect Adjective Check List, Today Form. Analysis of variance investigated differences between anxiety scores of clients and six demographic variables. Type A behavior pattern was assessed by the Jenkins Activity Survey and a tool based on the Framingham Type A Scale. A t-test showed that clients and families who received home visits had significantly lower anxiety levels than those who did not receive visits (P < 0.05). A t-test also showed that Type A clients and families had the same or even lower anxiety scores than Type B clients and families, but was not significant (P < 0.05). Results of the study indicate the value of home visits to the client with a coronary artery bypass graft and to the family by the nurse as a method of decreasing anxiety and preventing costly rehospitalization.

[Psychological assessment of patients who have ++undergone breast reconstruction using 2 different technics: autologous tissue versus prosthesis].

Abstract: Breast reconstruction has become an available option for most patients undergoing mastectomy: in fact many authors agree that breast reconstruction does not interfere with possible therapies and improves the quality of life of women. The aim of the study was to evaluate the psychological adjustment of patients who had immediate or delayed reconstruction using 2 different methods: implants and autologous tissues. The study population (115 patients) was derived from patients who underwent breast reconstruction in the period January 1988-December 1991, in follow-up at the Department of Plastic and Reconstructive Surgery; no patient was undergoing psychological therapy. 58 patients underwent breast reconstruction using implants and 57 using Transverse Rectus Abdominis Myocutaneous Flap (TRAMF). Informations were gathered, including the patient's age, the number of offspring, the marital status, the scholastic education, the job and the relapse between mastectomy and reconstruction. The psychological instruments consisted in three standardized self-administered questionnaires: Psychological Distress Inventory (PDI), State Trait Anxiety Inventory form Y (STAI), Eysenk Personality Inventory (EPQ-R). These tests were chosen to gauge the psychological distress, such anxiety, anger, depression and psychosocial maladjustment. To better perform the changes of body image after breast reconstruction, women were requested to answer three more specific questions about the sexual desire, physical image and social relationships. The 102 patients assessed in this study indicate low incidence of psychological distress and adaptive coping strategies. Impairment was reported, regarding body image, by patients undergoing delayed reconstruction; in these patients higher scores in distress tests were observed.

How blood pressure in patients with non-insulin-dependent diabetes mellitus is influenced by stress

Abstract: The effects of reducing stress on blood pressure were investigated in 20 patients with non-insulin-dependent diabetes mellitus. An anxiolytic, fludiazepam, was administered to the patients for 12 weeks and their blood pressures and State Trait Anxiety Inventory scores at the beginning and end of treatment were compared. Systolic and diastolic blood pressures and trait and state anxiety scores were all significantly reduced during the treatment period. There was also a weak correlation between the extent of the improvement in the same anxiety score and the improvement in diastolic blood pressures.