Fears and pre-colonoscopy anxiety: a scoping review

Area of Science:

• Gastroenterology
• Psychology
• Healthcare Research

Background:

• Colonoscopy is a crucial diagnostic procedure.
• Patient emotions and fears can impact procedural outcomes and adherence.
• Understanding these psychological factors is essential for effective patient care.

Purpose of the Study:

• To systematically map existing scientific evidence on patient fears and emotions associated with colonoscopy.
• To identify variables that influence these emotional responses during the procedure.

Main Methods:

• A comprehensive scoping review was conducted following the Joanna Briggs Institute Protocol.
• Literature searches were performed across major databases (PubMed, CINAHL, Scopus, RCAAP).
• Included studies were published in Portuguese, English, or Spanish between 1990 and 2024.

Main Results:

• Analysis of 24 articles revealed common fears including medical complications, diagnostic uncertainty, and pain.
• Patient anxiety levels were significantly influenced by factors such as procedural information, prior colonoscopy experiences, and gender.
• A wide range of emotions, beyond fear, were reported by patients.

Conclusions:

• A biopsychosocial approach is recommended to manage patient anxiety and improve colonoscopy experiences.
• Implementing holistic care strategies can enhance procedural quality and patient adherence.
• Further research can refine interventions for better patient-centered colonoscopy care.