Are Histrionic Personality Traits Associated with Irritability during Conscious Sedation Endoscopy?

Area of Science:

• Gastroenterology
• Psychology
• Clinical Medicine

Background:

• Conscious sedation endoscopy (CSE) requires patient cooperation.
• Patient irritability during CSE can complicate the procedure.
• Understanding factors influencing irritability is crucial for improving patient experience and procedural success.

Purpose of the Study:

• To investigate the association between histrionic personality traits and irritability during CSE.
• To explore the roles of anxiety and alcohol use in CSE-related irritability.

Main Methods:

• A prospective cross-sectional study design was employed.
• Irritability during CSE was graded, with grades III and IV defined as the irritable group.
• Patients completed questionnaires on personality traits, psychological status, and alcohol use history.

Main Results:

• The irritable group exhibited significantly higher histrionic personality trait scores (P=0.001) and anxiety scores (P=0.004).
• Heavy alcohol use was more prevalent in the irritable group (65.6% vs. 28.1%, P=0.003).
• Multivariate analysis confirmed histrionic personality traits, anxiety, and heavy alcohol use as independent predictors of irritability during CSE.

Conclusions:

• Histrionic personality traits are significantly associated with increased irritability during CSE.
• Anxiety and heavy alcohol consumption are also independent factors contributing to irritability during this procedure.
• These findings suggest that psychological and substance use factors play a role in patient behavior during CSE.