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Updated: Mar 11, 2026

Psychophysiological Stress Assessment Using Biofeedback
Published on: July 31, 2009
Evaluation of Stress Scores Throughout Radiological Biopsies.
Ozlem Turkoglu1, Hasan Huseyin Mutlu2
1Department of Radiology, Kartal Dr Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
Patients undergoing neck and bone biopsies experience significant stress and anxiety. Active patient briefing by healthcare professionals can effectively manage psychological distress and improve treatment outcomes.
Area of Science:
- Radiology
- Psychological Medicine
- Medical Procedures
Background:
- Ultrasound-guided biopsies are common but induce patient trauma, stress, and anxiety.
- Assessing patient stress levels during radiologic biopsy waiting periods is crucial.
Purpose of the Study:
- To evaluate stress and anxiety levels in patients awaiting radiologic biopsy procedures.
- To identify factors contributing to patient stress during biopsy waiting periods.
Main Methods:
- A prospective study of 100 patients (35 female, 65 male) undergoing biopsy procedures.
- Utilized the Adult Resilience Scale, Depression-Anxiety-Stress Scale (DASS 42), and State-Trait Anxiety Inventory (STAI-I and STAI-II).
- Analyzed data based on biopsy site (neck, thorax, abdomen, bone), number of procedures, and education level.
Main Results:
- Patients undergoing neck biopsies exhibited moderate to severe depression and stress.
- Significantly high rates of severe and extremely severe anxiety were observed, particularly for neck biopsies.
- Anxiety scores followed the order: neck > bone > thorax > abdomen.
Conclusions:
- Neck and bone biopsies are associated with the highest levels of patient anxiety.
- Proactive communication and briefing by healthcare personnel can mitigate psychological distress.
- Effective patient communication is vital for managing anxiety and enhancing treatment efficacy.
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