Study to Evaluate Anxiety Sensitivity and Somatic Symptoms as Risk Factors for PONV

NCT ID: NCT01875120

Last Updated: 2013-11-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

160 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-10-31

Study Completion Date

2013-10-31

Brief Summary

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This prospective observational study aims to evaluate the influence of somatic symptom load and anxiety sensitivity as risk factors for the occurrence of postoperative nausea and vomiting (PONV). Physiological and psychological variables are assessed in female patients with an increased risk for PONV prior to a planned surgical intervention with a 33-item questionnaire composed of the ASI-3 and the PHQ-15. Postoperative evaluation includes the occurrence of nausea and vomiting in the first 24 hours after surgery. It is hypothesized that patients with high sum scores for somatic symptom load (measured with the Patient Health Questionnaire, PHQ-15) and with increased levels for anxiety sensitivity (measured with the Anxiety Sensitivity Index, ASI-3) experience more frequently postoperative nausea and vomiting (PONV) than patients with low scores in both self-rating instruments.

Detailed Description

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Conditions

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Postoperative Nausea and Vomiting

Keywords

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Anxiety Somatoform Disorders

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Female patients with increased risk to experience PONV.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* female patients 18-75 years
* non-smokers
* must be able to give written informed consent
* planned surgical intervention requiring hospitalisation
* not included in another clinical trial

Exclusion Criteria

* emergency intervention
* total intravenous anesthesia (TIVA) with propofol
* disability to give written informed consent
* physical or psychic disorders requiring permanent psycho-social care
* no German language skills
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Johannes Gutenberg University Mainz

OTHER

Sponsor Role lead

Responsible Party

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Rita Laufenberg-Feldmann, M.D.

Deputy senior physician, head of clinical trial unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Johannes Gutenberg University Medical Center, Department of Anesthesiology

Mainz, Rhineland-Palatinate, Germany

Site Status

Countries

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Germany

References

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Apfel CC, Roewer N, Korttila K. How to study postoperative nausea and vomiting. Acta Anaesthesiol Scand. 2002 Sep;46(8):921-8. doi: 10.1034/j.1399-6576.2002.460801.x.

Reference Type BACKGROUND
PMID: 12190791 (View on PubMed)

Asmundson GJ, Taylor S. Role of anxiety sensitivity in pain-related fear and avoidance. J Behav Med. 1996 Dec;19(6):577-86. doi: 10.1007/BF01904905.

Reference Type BACKGROUND
PMID: 8970916 (View on PubMed)

Barsky AJ, Wyshak G, Klerman GL. The somatosensory amplification scale and its relationship to hypochondriasis. J Psychiatr Res. 1990;24(4):323-34. doi: 10.1016/0022-3956(90)90004-a.

Reference Type BACKGROUND
PMID: 2090830 (View on PubMed)

Kisely S, Goldberg D, Simon G. A comparison between somatic symptoms with and without clear organic cause: results of an international study. Psychol Med. 1997 Sep;27(5):1011-9. doi: 10.1017/s0033291797005485.

Reference Type BACKGROUND
PMID: 9300507 (View on PubMed)

Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999 Nov 10;282(18):1737-44. doi: 10.1001/jama.282.18.1737.

Reference Type BACKGROUND
PMID: 10568646 (View on PubMed)

Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002 Mar-Apr;64(2):258-66. doi: 10.1097/00006842-200203000-00008.

Reference Type BACKGROUND
PMID: 11914441 (View on PubMed)

Lee YY, Kim KH, Yom YH. Predictive models for post-operative nausea and vomiting in patients using patient-controlled analgesia. J Int Med Res. 2007 Jul-Aug;35(4):497-507. doi: 10.1177/147323000703500409.

Reference Type BACKGROUND
PMID: 17697527 (View on PubMed)

Van den Bosch JE, Moons KG, Bonsel GJ, Kalkman CJ. Does measurement of preoperative anxiety have added value for predicting postoperative nausea and vomiting? Anesth Analg. 2005 May;100(5):1525-1532. doi: 10.1213/01.ANE.0000149325.20542.D4.

Reference Type BACKGROUND
PMID: 15845719 (View on PubMed)

Watcha MF, White PF. Postoperative nausea and vomiting. Its etiology, treatment, and prevention. Anesthesiology. 1992 Jul;77(1):162-84. doi: 10.1097/00000542-199207000-00023.

Reference Type BACKGROUND
PMID: 1609990 (View on PubMed)

Laufenberg-Feldmann R, Muller M, Ferner M, Engelhard K, Kappis B. Is 'anxiety sensitivity' predictive of postoperative nausea and vomiting?: A prospective observational study. Eur J Anaesthesiol. 2019 May;36(5):369-374. doi: 10.1097/EJA.0000000000000979.

Reference Type DERIVED
PMID: 30865002 (View on PubMed)

Other Identifiers

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837.327.12 (8428-F)

Identifier Type: -

Identifier Source: org_study_id