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Journal of Behavioral Medicine

, Volume 36, Issue 4, pp 401–412 | Cite as

Matching intra-procedural information with coping style reduces psychophysiological arousal in women undergoing colposcopy

  • Susanna Kola
  • Jane C. Walsh
  • Brian M. Hughes
  • Siobhán Howard
Article

Abstract

This study assessed the combined effects of coping style and intra-procedural information on indices of distress (physiological measures, observed distress, self-report measures of anxiety and affect) among a group of patients undergoing colposcopy. High and low monitors were exposed to one of three interventions: high information (live video feed of colposcopy); low information (complete audiovisual distraction); and control. Results revealed a 2 (monitoring style) × 3 (information level) × 2 (time) interaction for systolic blood pressure (SBP), F(2, 111) = 3.55, p = .032. Among low monitors, patients in the low-information group exhibited significant SBP reductions during colposcopy, while those in the high-information group exhibited SBP increases. Among high monitors, patients in the high-information and control groups exhibited SBP reductions. Further, significant differences in observed signs of distress were found between groups with high monitors in the low-information group faring best overall, F(2, 111) = 4.41, p = .014. These findings indicate that tailoring information to suit individual coping style may maximize the apparent efficacy of interventions aimed at reducing stress during medical examinations.

Keywords

Coping style Intervention Treatment matching Invasive medical procedure 

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Susanna Kola
    • 1
    • 4
  • Jane C. Walsh
    • 1
  • Brian M. Hughes
    • 2
  • Siobhán Howard
    • 3
  1. 1.School of PsychologyNational University of Ireland, GalwayGalwayIreland
  2. 2.Centre for Research on Occupational and Life StressNational University of Ireland, GalwayGalwayIreland
  3. 3.Department of PsychologyMary Immaculate College, University of LimerickLimerickIreland
  4. 4.Department of Behavioural and Social SciencesUniversity of HuddersfieldHuddersfieldUK

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