[abstract] IDENTIFICATION OF ANXIETY PRONE PATIENTS PRIOR TO TREATMENT IN HBO.

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[abstract] IDENTIFICATION OF ANXIETY PRONE PATIENTS PRIOR TO TREATMENT IN HBO.

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Title: [abstract] IDENTIFICATION OF ANXIETY PRONE PATIENTS PRIOR TO TREATMENT IN HBO.
Author: Karczewski, D; Curtis, S; Stenson, K; Capelli-Schellpfeffer, M
Abstract: BACKGROUND: On retrospective review of 3 service years we identified 22percent of patients seen with multiple visit perscriptions in a monoplace HBO treatment unit presented with anxiety related symptoms at some time in their HBO clinical course. Treatment defferal, panic attacks and the requirement for pharmocologic intervention were consequences which interrupted HBO. METHODS: To identify anxiety prone patients, prior to each HBO treatment the "State-Trait" Anxiety Inventory self-evaluation questionnaire (Consulting Psychologists Press, Inc. , Palo Alto, CA) was administered on a pilot basis to 8 consecutive patients. State and trait scores were assessed along with blood pressure (BP), heart rate (HR) and respiratory rate (RR) observations at the beginning of each treatment period. For group analysis, data was blinded to patient indentifiers and compared to published ranges (CD Spielberger, 1983). RESULTS: All patients were cancer survivors with radiation late effect wounds engaged in surgical and HBO care. Ages ranged 20-65 years; trait scores ranged from 40-50, with norms for comparable age cohorts of working adults not exceeding 36.54. BP, HR, and RR were not suggestive of physical stress and entirely within normal limits for all patients throughout monitoring. One patient was treated with anti-anxiety oral therapy, however self-report and physical observations did not change over time. CONCLUSIONS: Further study is warranted to determine the predictive value of the self-report question form and the implications for treatment success. However, in pilot use we learned that the survey permitted a patient-centered approach to otherwise unexpressed anxiety symptoms.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/863
Date: 1999

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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