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Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric Anorectal Manometry

Katherine Lamparyk1, Lori Mahajan1, Christopher Lamparyk2

  • 1Cleveland Clinic Children's Hospital, USA.

International Journal of Pediatrics
|February 5, 2019
PubMed

Insights

Psychoeducation significantly reduced anxiety and distress for pediatric patients and parents undergoing high-resolution anorectal manometry (HRM). This intervention improved procedure efficiency and patient comfort during the HRM test.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Psychology
  • Clinical Intervention Research

Background:

  • High-resolution anorectal manometry (HRM) can induce significant anxiety in pediatric patients and their parents.
  • Patient and parental anxiety can negatively impact HRM procedure success and efficiency.
  • Cooperation from an alert child is essential for successful HRM.

Purpose of the Study:

  • To investigate the effectiveness of a psychoeducation intervention in reducing procedural distress.
  • To assess the impact of psychoeducation on both pediatric patients and their parents.
  • To evaluate the influence of psychoeducation on the efficiency of the HRM procedure.

Main Methods:

  • A prospective randomized study involving 63 children aged 3-12 years undergoing HRM.
  • Intervention group received a child-centric educational video (psychoeducation).
  • Distress assessed via self/parent-reported anxiety (STAIC-S, STAI-S), physiological measures, and observational scale (PBCL).

Main Results:

  • Children receiving psychoeducation showed significantly less observed and self-reported distress and anxiety (PBCL, STAIC-S).
  • Parents in the intervention group reported significantly lower preprocedural anxiety (STAI-S).
  • Physiological arousal effects were mixed: reduced systolic blood pressure but no change in heart rate.

Conclusions:

  • Preprocedural psychoeducation effectively reduced anxiety in pediatric patients and parents undergoing HRM.
  • The intervention shortened procedure time and reduced the number of balloon inflations required.
  • Psychoeducation is a valuable tool for improving the HRM experience for children and families.
Abstract

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