Abstract
Objectives: Cranial electrotherapy stimulation (CES) is used as a treatment for depression and anxiety, and as an adjunctive intervention for pain management. This prospective study investigated whether CES could decrease preoperative anxiety, the injection pain of rocuronium, postoperative pain and stress hormone levels. Methods: Female patients undergoing thyroidectomy were randomly assigned to two groups, to receive either no pretreatment (control group) or CES pretreatment. Anxiety score, withdrawal response on rocuronium injection, and pain scores at 1, 4, 12 and 24 h post surgery were evaluated. Adrenocorticotrophic hormone (ACTH), cortisol and glucose levels were measured. Patients were blinded to the treatment condition. Results: Fifty patients entered the study (n=25 per group). Anxiety score and withdrawal responses during rocuronium injection were significantly reduced in the CES group compared with the control group. Pain score was significantly lower in the CES group than in the control group, 1 h and 4 h post surgery. There were no significant differences in ACTH, cortisol and glucose levels. Conclusions: CES pretreatment appears to reduce the level of preoperative anxiety, injection pain of rocuronium and postoperative pain. However, CES pretreatment did not affect stress hormone responses.
| Original language | English |
|---|---|
| Pages (from-to) | 1788-1795 |
| Number of pages | 8 |
| Journal | Journal of International Medical Research |
| Volume | 41 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2013 Dec 1 |
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Keywords
- Adrenocorticotrophic hormone
- anxiety
- cortisol
- cranial electrotherapy stimulation
- postoperative pain
ASJC Scopus subject areas
- Biochemistry
- Cell Biology
- Biochemistry, medical
Cite this
Effects of cranial electrotherapy stimulation on preoperative anxiety, pain and endocrine response. / Lee, Se Hwa; Kim, Woon Young; Lee, Chang Hyung; Min, Too Jae; Lee, Yoon Sook; Kim, Jae Hwan; Park, Young Cheol.
In: Journal of International Medical Research, Vol. 41, No. 6, 01.12.2013, p. 1788-1795.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effects of cranial electrotherapy stimulation on preoperative anxiety, pain and endocrine response
AU - Lee, Se Hwa
AU - Kim, Woon Young
AU - Lee, Chang Hyung
AU - Min, Too Jae
AU - Lee, Yoon Sook
AU - Kim, Jae Hwan
AU - Park, Young Cheol
PY - 2013/12/1
Y1 - 2013/12/1
N2 - Objectives: Cranial electrotherapy stimulation (CES) is used as a treatment for depression and anxiety, and as an adjunctive intervention for pain management. This prospective study investigated whether CES could decrease preoperative anxiety, the injection pain of rocuronium, postoperative pain and stress hormone levels. Methods: Female patients undergoing thyroidectomy were randomly assigned to two groups, to receive either no pretreatment (control group) or CES pretreatment. Anxiety score, withdrawal response on rocuronium injection, and pain scores at 1, 4, 12 and 24 h post surgery were evaluated. Adrenocorticotrophic hormone (ACTH), cortisol and glucose levels were measured. Patients were blinded to the treatment condition. Results: Fifty patients entered the study (n=25 per group). Anxiety score and withdrawal responses during rocuronium injection were significantly reduced in the CES group compared with the control group. Pain score was significantly lower in the CES group than in the control group, 1 h and 4 h post surgery. There were no significant differences in ACTH, cortisol and glucose levels. Conclusions: CES pretreatment appears to reduce the level of preoperative anxiety, injection pain of rocuronium and postoperative pain. However, CES pretreatment did not affect stress hormone responses.
AB - Objectives: Cranial electrotherapy stimulation (CES) is used as a treatment for depression and anxiety, and as an adjunctive intervention for pain management. This prospective study investigated whether CES could decrease preoperative anxiety, the injection pain of rocuronium, postoperative pain and stress hormone levels. Methods: Female patients undergoing thyroidectomy were randomly assigned to two groups, to receive either no pretreatment (control group) or CES pretreatment. Anxiety score, withdrawal response on rocuronium injection, and pain scores at 1, 4, 12 and 24 h post surgery were evaluated. Adrenocorticotrophic hormone (ACTH), cortisol and glucose levels were measured. Patients were blinded to the treatment condition. Results: Fifty patients entered the study (n=25 per group). Anxiety score and withdrawal responses during rocuronium injection were significantly reduced in the CES group compared with the control group. Pain score was significantly lower in the CES group than in the control group, 1 h and 4 h post surgery. There were no significant differences in ACTH, cortisol and glucose levels. Conclusions: CES pretreatment appears to reduce the level of preoperative anxiety, injection pain of rocuronium and postoperative pain. However, CES pretreatment did not affect stress hormone responses.
KW - Adrenocorticotrophic hormone
KW - anxiety
KW - cortisol
KW - cranial electrotherapy stimulation
KW - postoperative pain
UR - http://www.scopus.com/inward/record.url?scp=84888224334&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84888224334&partnerID=8YFLogxK
U2 - 10.1177/0300060513500749
DO - 10.1177/0300060513500749
M3 - Article
VL - 41
SP - 1788
EP - 1795
JO - Journal of International Medical Research
JF - Journal of International Medical Research
SN - 0300-0605
IS - 6
ER -