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Related Experiment Videos

Pain perception in patients undergoing bone marrow puncture--a pilot study.

R Naumann1, V Köllner, F Einsle

  • 1Department of Medicine I, University Hospital Carl Gustav Carus, Dresden University of Technology, Germany. ralph.naumann@uniklinikum-dresden.de

Perceptual and Motor Skills
|April 3, 2004
PubMed
Summary

Patients undergoing bone marrow puncture experience more pain and fear if they have higher anxiety or depression. Pain intensity, not general anxiety, most strongly predicts fear of the procedure.

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Area of Science:

  • Oncology
  • Psychology
  • Pain Management

Background:

  • Bone marrow puncture is a common procedure in hematological oncology.
  • Patients undergoing invasive procedures may experience significant psychological distress.
  • Understanding the interplay of pain, anxiety, and depression is crucial for patient care.

Purpose of the Study:

  • To investigate the relationship between pain perception, anxiety, and depressive tendency in patients undergoing bone marrow puncture.
  • To identify key psychological factors influencing patient experience during bone marrow aspiration.

Main Methods:

  • A cohort of 93 oncology outpatients (ages 20-85) were surveyed.
  • The Hospital Depression and Anxiety Scale (HADS-D) measured depression and anxiety.

Related Experiment Videos

  • Visual analog scales assessed fear of puncture and pain intensity/tolerability.

    • Main Results:

    • Higher HADS-D scores for anxiety and depression correlated with increased fear and pain during bone marrow puncture.
    • Fear related to the puncture was more strongly associated with pain intensity and tolerability than with general anxiety or depression.
    • Patients with elevated anxiety or depressive symptoms reported more severe pain and fear.

    Conclusions:

    • Psychological interventions for patients undergoing bone marrow puncture should address pain management and tolerability.
    • Pain perception is a primary driver of procedure-related fear, exceeding the impact of general anxiety or depressive symptoms.
    • Clinical planning for psychological support must prioritize pain-focused interventions for this patient group.