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Wei WH, Smith M, Vera A, Meads K, Hessell J, Reid L, Scott L, Burge A, Kirwan S, Charlewood R, Sadani D, Walkden D, Chand A. Novel risk patterns of vasovagal reactions in NZ blood donations complicated by COVID-19 restrictions. Front Public Health 2023; 11:1180279. [PMID: 37304099 PMCID: PMC10248232 DOI: 10.3389/fpubh.2023.1180279] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 05/12/2023] [Indexed: 06/13/2023] Open
Abstract
Introduction Vasovagal reactions (VVRs) are common but complex donor adverse reactions (DAEs) in blood donations. VVRs have been extensively studied with a multitude of risk factors identified including young age, female gender and first-time donor status. How they may interplay remains obscure. Methods A total of 1,984,116 blood donations and 27,952 immediate VVRs (iVVRs) and 1,365 delayed VVRs (dVVRs) reported between 2011 and 2021 in NZ were used in multivariate logistic regression analyses each concerning donations with iVVRs as cases and those free of DAEs as controls. For each analysis stepwise selection was used to identify the best model and risk factors carrying significant main effects and/or interactions. Identified interactions informed further in-depth regression analyses to dissect iVVR risk patterns. Results Over 95% of VVRs were iVVRs that had lower female preponderance and deferrals than dVVRs. iVVRs had a school seasonal pattern in whole blood donations driven by first-time donors from schools/colleges, and interactions between gender and age group differentiating the first-time from repeat donations. Subsequent regression analyses identified the known and novel risk factors of year and mobile collection sites and their interactions. iVVR rates were roundly elevated in 2020 and 2021 probably because of COVID-19 restrictions like facemask wearing. Exclusion of the 2020 and 2021 data removed the interactions with year, but confirmed interactions of gender with mobile collection sites (p = 6.2e-07) in first-time donations only and with age group in repeat donations only (p < 2.2e-16), together indicating young female donors at the highest risk of iVVRs. Our results also revealed that donation policy changes contributed to the year effects; donors had a lower iVVR risk at mobile sites than well-medicalized donation centers probably because of under-reporting. Conclusion Modeling statistical interactions is valuable in identifying odds and revealing novel iVVR risk patterns and insights into blood donations.
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Affiliation(s)
- Wen-Hua Wei
- New Zealand Blood Service, Auckland, New Zealand
- Centre for Biostatistics, Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, United Kingdom
| | | | - Amber Vera
- New Zealand Blood Service, Auckland, New Zealand
| | - Kelly Meads
- New Zealand Blood Service, Auckland, New Zealand
| | | | - Laura Reid
- New Zealand Blood Service, Auckland, New Zealand
| | - Lisa Scott
- New Zealand Blood Service, Auckland, New Zealand
| | - Asuka Burge
- New Zealand Blood Service, Auckland, New Zealand
| | - Susy Kirwan
- New Zealand Blood Service, Auckland, New Zealand
| | | | | | | | - Anup Chand
- New Zealand Blood Service, Auckland, New Zealand
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2
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Reports of acute adverse events in mRNA COVID-19 vaccine recipients after the first and second doses in Japan. Sci Rep 2022; 12:15510. [PMID: 36109582 PMCID: PMC9476447 DOI: 10.1038/s41598-022-19936-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Accepted: 09/06/2022] [Indexed: 12/29/2022] Open
Abstract
Mass vaccination against coronavirus disease 2019 (COVID-19) is ongoing in many countries worldwide. This study reports the occurrence of acute adverse events among vaccine recipients at a mass vaccination center in Japan. Between August and November 2021, approximately 130,000 individuals received two mRNA vaccine doses (mRNA-1273; Moderna) at the vaccination center. Acute adverse events at the site were observed in 1.1% of the recipients after the first dose and in 0.4% of the recipients after the second dose. The most common event was vasovagal syncope/presyncope, followed by acute allergic reactions. The occurrence rate of vasovagal syncope/presyncope was highest in the young population of those aged 16–29 years, but such age-dependency was not apparent in acute allergic reactions. Both symptoms were more prevalent in women than in men. Vasovagal syncope/presyncope occurred mainly within 20 min of the injection, whereas nearly half of the episodes of acute allergic reactions occurred after 20 min. The vaccine being injected while the recipient was in the supine position effectively reduced the occurrence of vasovagal syncope/presyncope. In summary, the suggested risk factors for vasovagal syncope/presyncope included a young age and female sex. The vaccine being injected while the recipient was in the supine position would reduce the risk of vasovagal syncope/presyncope.
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3
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Trabucchi P, Savoldelli A, Mourot L, Vacher P, Pellegrini B, Schena F. Relationship Between Cognitive Appraisal of Control and Cardiac Vagal Regulation During an Unsupported Ski Crossing of Greenland. Front Physiol 2022; 13:804710. [PMID: 35464079 PMCID: PMC9024293 DOI: 10.3389/fphys.2022.804710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 02/15/2022] [Indexed: 11/22/2022] Open
Abstract
Purpose The aim of the present study was to investigate the relationships between Perceived Control (PC) and Heart rate variability (HRV) during a 27-day expedition, during which an unsupported crossing was made from the west coast to the east coast of Greenland (across the Ice Sheet); and that therefore a high PC represents a favourable factor for recovery and stress management. Methods Four subjects participated in the study. PC was measured on alternated days in the evening at the end of the day, using the Pearlin Mastery Scale; and the next day, upon waking, heart rate using a wrist heart rate monitor and a chest strap. Together with the PC, the perceived effort was measured through the CR-100 Borg scale and each subject was asked to indicate the most emotionally significant event of the day. Time and frequency domain indices for heart rate variability were calculated. Results Several correlations were observed between PC and HRV indices. In particular two indices in the time domain, standard deviation of all NN intervals (SDNN) (rrm = 0.51) and root mean square of successive (RMSSD) (rrm = 0.46), showed a significant and strong positive correlation. Conclusion The existence of a positive correlation between PC and cardiac vagal regulation is of great interest to individuals immerged into extreme situations, because it can affect performance or prevents maladaptive states or injuries. To improve stress management, it could be convenient for members of extreme expeditions to adopt forms of cognitive training that modify their cognitive appraisal in order to raise their perception of control.
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Affiliation(s)
- Pietro Trabucchi
- Dipartimento Neuroscienze, Biomedicina e Movimento, Università di Verona, Verona, Italy
- Centro di Ricerca “Sport, Montagna e Salute”, Università di Verona, Rovereto, Italy
- *Correspondence: Pietro Trabucchi,
| | - Aldo Savoldelli
- Dipartimento Neuroscienze, Biomedicina e Movimento, Università di Verona, Verona, Italy
- Centro di Ricerca “Sport, Montagna e Salute”, Università di Verona, Rovereto, Italy
| | - Laurent Mourot
- Research Unit EA3920 Prognostic Markers and Regulatory Factors of Cardiovascular Diseases and Exercise Performance, Health, Innovation Platform, University of Bourgogne Franche-Comté, Besançon, France
- Division for Physical Education, Tomsk Polytechnic University, Tomsk, Russia
| | - Philippe Vacher
- Research Center for Education Learning and Didactics (EA 3875), University of West Brittany, Brest, France
| | - Barbara Pellegrini
- Dipartimento Neuroscienze, Biomedicina e Movimento, Università di Verona, Verona, Italy
- Centro di Ricerca “Sport, Montagna e Salute”, Università di Verona, Rovereto, Italy
| | - Federico Schena
- Dipartimento Neuroscienze, Biomedicina e Movimento, Università di Verona, Verona, Italy
- Centro di Ricerca “Sport, Montagna e Salute”, Università di Verona, Rovereto, Italy
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4
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Gilchrist PT, Thijsen A, Masser BM, France CR, Davison TE. Improving the donation experience and reducing venipuncture pain by addressing fears among whole-blood and plasma donors. Transfusion 2021; 61:2107-2115. [PMID: 33904178 DOI: 10.1111/trf.16407] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 03/25/2021] [Accepted: 03/25/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Fear of blood donation is implicated in vasovagal reactions, donor recruitment, and retention. This study examined the extent to which fear among donors is associated with various donor outcomes in an Australian sample, and whether fear can be addressed on-site to reduce adverse reactions and improve the donation experience. STUDY DESIGN AND METHODS Six hundred and sixty-four donors (age M = 33.4, SD = 12.7; 55% female) participated in a two-center, pragmatic, parallel group, individually randomized controlled trial. Following donor registration and consent, whole-blood (n = 539) and plasma (n = 125) donors were assigned to one of four Conditions: control; fear assessment; fear assessment + brochure; fear assessment + brochure + tailored conversation focused on any self-reported fear and coping strategies. Post-donation questionnaires assessed the donors' experience including positive support, donor self-efficacy, anxiety, fear, venipuncture pain, and vasovagal reactions. RESULTS Fear among donors predicted higher venipuncture pain, post-donation anxiety, and vasovagal reactions and remained significant after controlling for other established predictors (i.e., total estimated blood volume, age, sex, and donation experience). Mediational analyses showed that exposure to brochures (with or without the tailored conversation) was associated with less pain, with this effect mediated by donor perceptions of more positive support. Venipuncture pain was also associated with vasovagal reactions, reduced likelihood of return within 6 months, and less satisfaction with the donation experience. CONCLUSION The current results underline the importance of interventions to address fear among both whole-blood and plasma donors to secure the safety and well-being of donors and the blood supply.
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Affiliation(s)
- Philippe T Gilchrist
- Department of Psychology, Macquarie University, North Ryde, New South Wales, Australia.,Centre for Emotional Health, Macquarie University, North Ryde, New South Wales, Australia
| | - Amanda Thijsen
- Clinical Services and Research, Australian Red Cross Lifeblood, Melbourne, Victoria, Australia
| | - Barbara M Masser
- Clinical Services and Research, Australian Red Cross Lifeblood, Melbourne, Victoria, Australia.,School of Psychology, The University of Queensland, St Lucia, Queensland, Australia
| | | | - Tanya E Davison
- Clinical Services and Research, Australian Red Cross Lifeblood, Melbourne, Victoria, Australia
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5
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He R, Lin H, Xie S, Lv Q, Kong Y, Li L, Xu H, Wang J, Li W, Fang P, Wu Y, Liu Z. Donor tolerability of convalescent plasma donation. J Clin Apher 2021; 36:429-436. [PMID: 33587767 PMCID: PMC8013347 DOI: 10.1002/jca.21882] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 01/18/2021] [Accepted: 01/22/2021] [Indexed: 11/06/2022]
Abstract
Background Since early 2020, convalescent plasma has been widely used for treating coronavirus disease 2019 (COVID‐19). There is limited information regarding donor tolerability of convalescent plasma donation. In this study, we evaluated the short‐term donor tolerability of convalescent plasma donation. Methods A prospective study of 309 convalescent plasma donation related adverse events were conducted at Wuhan Blood Center of China, from February 12 to April 1, 2020. Additionally, up to 28‐day post‐donation follow‐ups were performed on the donors. Results Sixteen (5.2%) adverse events were reported in 309 donations. All of these were mild vasovagal without loss of consciousness. The frequency of adverse reactions was higher in donors with a per donation volume of >8 mL/kg body weight or ≥ 600 mL, <100 mm Hg in pre‐donation systolic blood pressure, or less than 28 days from the onset of COVID‐19 symptoms. There was no correlation to donation history, weight, sex, ABO blood type, pre‐donation diastolic blood pressure, pulse, or hemoglobin. Conclusion The donation of convalescent plasma is generally safe. Mitigation of risk factors associated with adverse events can further enhance donor tolerability of convalescent plasma donation.
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Affiliation(s)
- Rui He
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Hui Lin
- Blood Collection Center, Wuhan Blood Center, Wuhan, Hubei Province, P.R. China
| | - Songli Xie
- Blood Collection Center, Wuhan Blood Center, Wuhan, Hubei Province, P.R. China
| | - Qilu Lv
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Yujie Kong
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Ling Li
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Haixia Xu
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Jue Wang
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Wenjuan Li
- School of Public Health, Anhui Medical University, Hefei, China
| | - Peng Fang
- School of Public Health, Anhui Medical University, Hefei, China
| | - Yanyun Wu
- Clinical Transfusion Center, University of Miami, Miami, Florida, USA
| | - Zhong Liu
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
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6
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van Hoorn AC. Could affect regulation via vagal nerve self- stimulation be a maintaining factor in non-suicidal self-harm? Med Hypotheses 2019; 136:109498. [PMID: 31759305 DOI: 10.1016/j.mehy.2019.109498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Accepted: 11/15/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND Non-suicidal self-injury (NSSI) is a serious and common phenomenon which has been linked with emotion or affect regulation. The capacity for top-down emotion regulation has also been linked to vagal tone. Vagal tone is known to be low in groups with a propensity to engage in NSSI. HYPOTHESIS Some forms of NSSI, both direct and indirect, may result in vagal stimulation. The resulting increase in vagal tone may be linked to activation of prefrontal areas and improved top-down emotion regulation. This may be a maintaining factor in NSSI. EVALUATION Cutting with the sight of blood, the use of ligatures, eating disorders and risky sexual behaviour, behaviours that could be considered direct or indirect forms of NSSI, are all plausible methods of vagal self-stimulation. CONCLUSION NSSI may increase vagal tone. This may result in improved top down emotion regulation and result in a calmer emotional state. These vagal effects may be important maintaining factors in self-harm. This has important implications for the study and possible management of a common and serious issue.
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Affiliation(s)
- Alje C van Hoorn
- University of Exeter Medical School Stocker Road, Exeter EX4 4PY, United Kingdom; Falmouth University Woodlane, Falmouth TR11 4RH, United Kingdom.
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7
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Wang HH, Chen PM, Lin CL, Jau RC, Hsiao SM, Ko JL. Joint effects of risk factors on adverse events associated with adult blood donations. Medicine (Baltimore) 2019; 98:e17758. [PMID: 31689834 PMCID: PMC6946510 DOI: 10.1097/md.0000000000017758] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The process for blood donation is considered safe, but some adverse events have been reported. Risk factors for adverse events were assessed in this study.A retrospective case-control study was conducted to investigate the risk factors for adverse events after blood donation between 2010 and 2013. Variables such as gender, age, body mass index (BMI), donation status, donation volume, donation site, pre-donation systolic blood pressure (SBP), and pre-donation diastolic blood pressure were compared between donors with and without adverse events. Multiple logistic regression analysis was performed to assess the joint effects of age, gender, and donation status on adverse events.The incidence of adverse events among adult blood donations was 1287/1,253,678 (0.1%). On multivariate logistic regression analysis, blood donors aged <35 years (odds ratio [OR], 2.99, 95% confidence interval [CI], 2.57-3.48), of female gender (OR, 3.30, 95% CI, 2.62-4.15), and with first-time donor status (OR, 6.40, 95% CI, 5.17-7.93), donation of 500 mL (OR, 2.22, 95% CI, 1.83-2.69), predonation SBP <124 mm Hg (OR, 1.25, 95% CI,1.05-1.48) and BMI <24 kg/m (OR, 1.67, 95% CI, 1.42-1.96) were associated with increased likelihood of adverse event. Further analysis with joint effects method revealed that first-time female donors aged <35 years are associated with the highest odds of adverse events when compared with repeat male donors aged ≧35 years (OR, 100.57, 95% CI, 48.45-208.75).The findings of our study should prove useful in identifying donors at risk and planning appropriate strategies for the prevention of adverse effects.
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Affiliation(s)
- Hsuan-Hui Wang
- Institute of Medicine, Chung Shan Medical University, Taichung
- Taichung Blood Center, Taiwan Blood Services Foundation
| | - Po-Ming Chen
- Institute of Medicine, Chung Shan Medical University, Taichung
| | - Chi-Ling Lin
- Taichung Blood Center, Taiwan Blood Services Foundation
| | | | - Sheng-Mou Hsiao
- Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei
- Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei
- Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan
| | - Jiunn-Liang Ko
- Institute of Medicine, Chung Shan Medical University, Taichung
- Department of Medical Oncology and Chest Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan
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8
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Gilchrist PT, Masser BM, Horsley K, Ditto B. Predicting blood donation intention: the importance of fear. Transfusion 2019; 59:3666-3673. [DOI: 10.1111/trf.15554] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 08/31/2019] [Accepted: 08/31/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Philippe T. Gilchrist
- Department of PsychologyMacquarie University North Ryde New South Wales Australia
- MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, Strangeways Research LaboratoryUniversity of Cambridge Cambridge United Kingdom
| | - Barbara M. Masser
- School of PsychologyUniversity of Queensland St Lucia Queensland Australia
- Clinical Services and ResearchAustralian Red Cross Blood Service Brisbane Queensland Australia
| | - Kristin Horsley
- Behavioural Medicine Lab, Department of PsychologyMcGill University Montréal Québec Canada
| | - Blaine Ditto
- Behavioural Medicine Lab, Department of PsychologyMcGill University Montréal Québec Canada
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9
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Factors that contribute to blood donation behavior among primary healthcare users: A structural approach. Transfus Apher Sci 2019; 58:663-668. [DOI: 10.1016/j.transci.2019.08.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Revised: 07/30/2019] [Accepted: 08/02/2019] [Indexed: 11/20/2022]
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10
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Serrano MÁ, Rosell-Clari V, García-Soriano G. The Role of Perceived Control in the Psychophysiological Responses to Disgust of Subclinical OCD Women. SENSORS 2019; 19:s19194180. [PMID: 31561601 PMCID: PMC6806286 DOI: 10.3390/s19194180] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 09/13/2019] [Accepted: 09/24/2019] [Indexed: 12/27/2022]
Abstract
Obsessive‒compulsive disorder (OCD), and especially contamination obsessions and washing compulsions, has been related to disgust. However, when its cardiovascular correlates have been studied, contradictory results have been found, including heart rate accelerations and decelerations. The aim of this study is to analyze emotional, cognitive, and cardiovascular responses in nonclinical (control) and subclinical participants with obsessive‒compulsive contamination/washing symptoms when confronted with a disgusting stimulus. Twenty-seven participants (14 subclinical OCD) completed a behavioral avoidance task with a contamination-based stimulus while their heart rate and subjective variables were measured. Results showed heart rate reductions in both samples, whereas subjective measures reflected higher disgust, anxiety, dirtiness, and emotional valence in the subclinical sample. However, at the same time, the sense of dominance was lower in the control group. In conclusion, our results support a heart rate deceleration during exposure to a disgusting stimulus dissociated from the subjective experience.
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Affiliation(s)
- Miguel Ángel Serrano
- Departamento de Psicobiología, Facultad de Psicología, Universitat de València, 46010 Valencia, Spain.
| | - Vicent Rosell-Clari
- Departamento de Psicología Básica, Facultad de Psicología, Universitat de València, 46010 Valencia, Spain.
| | - Gemma García-Soriano
- Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Facultad de Psicología, Universitat de València, 46010 Valencia, Spain.
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11
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Thijsen A, Gemelli CN, Davison TE, O'Donovan J, Bell B, Masser B. Does using applied muscle tension at strategic time points during donation reduce phlebotomist- and donor-reported vasovagal reaction rates? A three-armed randomized controlled trial. Transfusion 2018; 58:2352-2359. [DOI: 10.1111/trf.14940] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 08/02/2018] [Accepted: 08/02/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Amanda Thijsen
- Clinical Services and Research; Australian Red Cross Blood Service; Sydney Australia
| | - Carley N. Gemelli
- Clinical Services and Research; Australian Red Cross Blood Service; Melbourne Australia
| | - Tanya E. Davison
- Clinical Services and Research; Australian Red Cross Blood Service; Melbourne Australia
| | - Justine O'Donovan
- Clinical Services and Research; Australian Red Cross Blood Service; Sydney Australia
| | - Barbara Bell
- Clinical Services and Research; Australian Red Cross Blood Service; Sydney Australia
| | - Barbara Masser
- Clinical Services and Research; Australian Red Cross Blood Service; Brisbane Australia
- School of Psychology; The University of Queensland; Brisbane Australia
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12
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Thijsen A, Masser B. Vasovagal reactions in blood donors: risks, prevention and management. Transfus Med 2017; 29 Suppl 1:13-22. [DOI: 10.1111/tme.12488] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Revised: 09/19/2017] [Accepted: 10/16/2017] [Indexed: 11/29/2022]
Affiliation(s)
- A. Thijsen
- Clinical Services and ResearchAustralian Red Cross Blood Service Sydney New South Wales Australia
| | - B. Masser
- Clinical Services and ResearchAustralian Red Cross Blood Service Brisbane Queensland Australia
- School of PsychologyThe University of Queensland Brisbane Queensland Australia
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13
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Diehl RR. The target of vasovagal syncope is hemostasis and not heart protection. Clin Auton Res 2017; 27:215-217. [PMID: 28699049 DOI: 10.1007/s10286-017-0450-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Accepted: 07/04/2017] [Indexed: 01/10/2023]
Affiliation(s)
- Rolf R Diehl
- Department of Neurology, Alfried Krupp Krankenhaus, Alfried-Krupp-Straße 21, 45131, Essen, Germany.
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14
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Kozela M, Pająk A, Micek A, Besala A, Kubinova R, Malyutina S, Tamosiunas A, Pikhart H, Peasey A, Nikitin Y, Marmot M, Bobak M. Impact of perceived control on all-cause and cardiovascular disease mortality in three urban populations of Central and Eastern Europe: the HAPIEE study. J Epidemiol Community Health 2017; 71:771-778. [PMID: 28515210 PMCID: PMC5537505 DOI: 10.1136/jech-2017-208992] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 04/03/2017] [Accepted: 04/20/2017] [Indexed: 01/10/2023]
Abstract
Background Inverse associations between perceived control and cardiovascular disease (CVD) have been reported in studies from Western Europe and the USA. To assess this relationship across different populations, we investigated the association between perceived control and all-cause and CVD mortality in three population-based cohorts of Eastern European countries. Methods We analysed data from a prospective cohort study in random population samples in Krakow (Poland), Novosibirsk (Russia) and six Czech towns. Baseline survey included structured questionnaire and objective examination in a clinic. Perceived control was assessed using an 11-item scale developed by the MacArthur Foundation Programme on Successful Midlife. Information on vital status was obtained from death registers. Effect of perceived control on mortality was assessed using Cox proportional hazards models. Results A total of 2377 deaths (1003 from CVD) occurred among 27 249 participants over a median 7-year follow-up. In the Czech and Polish cohorts, perceived control was inversely associated with mortality; the adjusted HRs for the lowest versus highest control quintiles were 1.71 (1.34 to 2.19) in men and 1.63 (1.14 to 2.35) in women for all-cause mortality and 2.31 (1.48 to 3.59) and 5.50 (2.14 to 14.13) for CVD deaths. There was no association between perceived control and mortality in Russia; the adjusted HRs for all-cause mortality were 1.03 (0.79 to 1.34) in men and 1.29 (0.82 to 2.02) in women. Conclusions Low perceived control was associated with increased risk of all-cause and CVD mortality in Czech and Polish cohorts but not in Russia. It is possible that this inconsistency may partly reflect a different sociocultural understanding of the concept of control in Russia.
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Affiliation(s)
- Magdalena Kozela
- Chair of Epidemiology and Population Studies, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Andrzej Pająk
- Chair of Epidemiology and Population Studies, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Agnieszka Micek
- Chair of Epidemiology and Population Studies, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Agnieszka Besala
- Chair of Epidemiology and Population Studies, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | | | - Sofia Malyutina
- Institute of Internal and Preventive Medicine, Novosibirsk, Russia.,Novosibirsk State Medical University, Novosibirsk, Russia
| | - Abdonas Tamosiunas
- Institute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Hynek Pikhart
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Anne Peasey
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Yuri Nikitin
- Institute of Internal and Preventive Medicine, Novosibirsk, Russia
| | - Michael Marmot
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Martin Bobak
- Department of Epidemiology and Public Health, University College London, London, UK
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15
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Oar EL, Farrell LJ, Ollendick TH. One Session Treatment for Specific Phobias: An Adaptation for Paediatric Blood-Injection-Injury Phobia in Youth. Clin Child Fam Psychol Rev 2016; 18:370-94. [PMID: 26374227 DOI: 10.1007/s10567-015-0189-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Blood-injection-injury (BII) phobia is a chronic and debilitating disorder, which has largely been neglected in the child literature. The present paper briefly reviews the aetiology of specific phobias with particular attention to BII and provides an integrated developmental model of this disorder in youth. Evidence-based treatments for child-specific phobias are discussed, and the development of a modified one session treatment (OST) approach to enhance treatment outcomes for BII phobia in children and adolescents is described. This approach is illustrated in two children with a primary diagnosis of BII phobia. The cases illustrate the unique challenges associated with treating BII in youth and the need for a modified intervention. Modifications included addressing the role of pain (e.g., psychoeducation, more graduated exposure steps) and disgust (e.g., disgust eliciting exposure tasks) in the expression of the phobia and fainting in the maintenance of this phobia. Moreover, it is recommended that parents be more actively involved throughout treatment (e.g., education session prior to OST, contingency management training, guidance regarding planning exposure tasks following treatment) and for families to participate in a structured e-therapy maintenance programme post-treatment.
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Affiliation(s)
- Ella L Oar
- School of Applied Psychology, Behavioural Basis of Health and Menzies Health Institute, Griffith University, Gold Coast Campus, Southport, QLD, 4222, Australia.
| | - Lara J Farrell
- School of Applied Psychology, Behavioural Basis of Health and Menzies Health Institute, Griffith University, Gold Coast Campus, Southport, QLD, 4222, Australia
| | - Thomas H Ollendick
- Child Study Centre, Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, VA, 24060, USA
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16
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Berge KG, Agdal ML, Vika M, Skeie MS. High fear of intra-oral injections: prevalence and relationship to dental fear and dental avoidance among 10- to 16-yr-old children. Eur J Oral Sci 2016; 124:572-579. [PMID: 27689943 DOI: 10.1111/eos.12305] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2016] [Indexed: 12/19/2022]
Affiliation(s)
- Karin G. Berge
- Oral Health Centre of Expertise in Western Norway; Hordaland Bergen Norway
- Department of Clinical Dentistry; Faculty of Medicine and Dentistry; University of Bergen; Bergen Norway
| | - Maren L. Agdal
- Oral Health Centre of Expertise in Western Norway; Hordaland Bergen Norway
| | - Margrethe Vika
- Oral Health Centre of Expertise in Western Norway; Hordaland Bergen Norway
| | - Marit S. Skeie
- Department of Clinical Dentistry; Faculty of Medicine and Dentistry; University of Bergen; Bergen Norway
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17
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Yoshida M, Ando SI, Eura E, Hayashi A, Kawamura N, Narita S, Matsumoto M, Momii H, Kadokami T, Kiyokawa H. Hemodynamic response during standing test after blood donation can predict the late phase vasovagal reaction. Heart Vessels 2016; 31:1997-2003. [DOI: 10.1007/s00380-016-0829-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Accepted: 03/25/2016] [Indexed: 11/28/2022]
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18
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Vallerand AH, Crawley J, Pieper B, Templin TN. The Perceived Control Over Pain Construct and Functional Status. PAIN MEDICINE 2016; 17:692-703. [PMID: 26350223 DOI: 10.1111/pme.12924] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Belief in one's ability to control pain is a significant predictor of health outcomes and is related to improved functional status. The purpose of this study was to introduce a novel formulation of the construct, Perceived Control Over Pain and to test its effects on functional status. METHODS Participants (N = 301) were primarily African American (92%); and were adults with low income attending a primary care clinic and reporting pain within the past 2 weeks. A cross-sectional design was used with confirmatory factor analysis and structural equation modeling. The Perceived Control Over Pain construct consisted of four measures-two specific measures of control over pain and two general measures of control over life events. Perceived Control Over Pain has not been defined in this way previously. RESULTS Mean worst pain scores for the past week were 8.4, where "0" (no pain) to "10" (pain as bad as you can imagine). The model demonstrated good construct validity for the components of pain, Perceived Control Over Pain and functional status. Mediation by Perceived Control Over Pain was partial but strong, accounting for a reduction of 29% in the effect of pain on functional status. DISCUSSION In minority populations with low income, factors such as perceived control over pain and its effect on the outcome of patient function need to be considered. Improving Perceived Control Over Pain has the potential for improving patients' feelings of life control and purpose or meaning in life, and psychological and physical functioning for adults living with pain.
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Affiliation(s)
| | - Jamie Crawley
- University of Windsor, Faculty of Nursing, Windsor, Canada
| | - Barbara Pieper
- *Wayne State University, College of Nursing, Detroit, Michigan, USA
| | - Thomas N Templin
- *Wayne State University, College of Nursing, Detroit, Michigan, USA
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