Effects of respiratory and applied muscle tensing interventions on responses to a simulated blood draw among individuals with high needle fear
Abstract
Fear of blood and needles increases risk for presyncopal symptoms. Applied muscle tension can prevent or attenuate presyncopal symptoms; however, it is not universally effective. This study examined the effects of applied muscle tension, a respiratory intervention, and a no treatment control condition, on presyncopal symptoms and cerebral oxygenation, during a simulated blood draw with individuals highly fearful of needles. Participants (n = 95) completed questionnaires, physiological monitoring, and two trials of a simulated blood draw with recovery. Presyncopal symptoms decreased across trials; however, no group differences emerged. Applied muscle tension was associated with greater cerebral oxygenation during trial two, and greater end-tidal carbon dioxide during both trials. The respiratory intervention did not differ from the no treatment control. Applied muscle tension is an intervention that can increase cerebral oxygenation and end-tidal carbon dioxide. While the respiratory intervention is promising within therapeutic settings, it was not efficacious after a brief audio training.
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A recent study using a simulated blood draw paradigm demonstrated that applied muscle tension resulted in significant elevation of cerebral oxygenation and end-tidal CO2 partial pressure.
“A recent study used a simulated blood draw paradigm and demonstrated that applied muscle tension resulted in significant elevation of cerebral oxygenation and end-tidal CO2 partial pressure.”
From Combined Fainting and Psychogenic Non-epileptic Seizures as Significant Therapy Hurdles in Blood-Injury-Injection Phobia: A Mini-Review and Case Report (2022) · cites this paper as [78]
Overall, but especially in a time critical setting, applied muscle tension seems to be more effective than breathing techniques.
“Overall, but especially in a time critical setting, applied muscle tension seems to be more effective than breathing techniques (78).”
From Combined Fainting and Psychogenic Non-epileptic Seizures as Significant Therapy Hurdles in Blood-Injury-Injection Phobia: A Mini-Review and Case Report (2022) · cites this paper as [78]
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“Overall, but especially in a time critical setting, applied muscle tension seems to be more effective than breathing techniques (78).”
BackgroundEFFECT OF DISTRACTION METHODS ON ACUTE PAIN IN ADULTS: RANDOMIZED CONTROLLED TRIAL
Çamlıca, T., & Aslan, F. E. (2023) · SDÜ Tıp Fakültesi Dergisi · doi:10.17343/sdutfd.1371829
- Authors
- Kowalsky, J. M., Conatser, R., Ritz, T., & France, C. R.
- Affiliations
- Ohio University (US)
- Southern Methodist University (US)
- Corresponding author
- France, Christopher R.
- Venue
- Journal of Behavioral Medicine
- Published
- 2018-04-20
- Volume
- 41
- Issue
- 6
- Pages
- 771-783
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2802817455
- Cited by
- 7
- References
- 47
- Citations by year
- 2023: 1 · 2022: 3 · 2020: 2 · 2018: 1
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ohio University (Student Enhancement Award)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Keywords
- needle fear, fear of blood, respiratory interventions, cerebral oxygenation, end-tidal carbon dioxide, phobia treatment
- MeSH terms
- Adult, Anxiety, Blood Donors, Fear, Female, Humans, Male, Muscle Tonus, Needles, Phobic Disorders, Surveys and Questionnaires, Syncope, Case-Control Studies
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