title: Are Histrionic Personality Traits Associated with Irritability during Conscious Sedation Endoscopy?
abstract: Aim. We aimed to evaluate whether histrionic personality traits are associated with irritability during conscious sedation endoscopy (CSE). Materials and Methods. A prospective cross-sectional study was planned. Irritability during CSE was classified into five grades: 0, no response; I, minimal movement; II, moderate movement; III, severe movement; IV, fighting against procedure. Patients in grades III and IV were defined as the irritable group. Participants were required to complete questionnaire sheet assessing the extent of histrionic personality traits, extraversion-introversion, and current psychological status. The present authors also collected basic sociodemographic data including alcohol use history. Results. A total of 32 irritable patients and 32 stable patients were analyzed. The histrionic personality trait score of the irritable group was higher than that of the stable group (9.5 ± 3.1 versus 6.9 ± 2.9; P = 0.001), as was the anxiety score (52.8 ± 8.6 versus 46.1 ± 9.6; P = 0.004). Heavy alcohol use was more frequently observed in the irritable group (65.6% versus 28.1%; P = 0.003). In multivariate analysis, all these three factors were independently correlated with irritability during CSE. Conclusion. This study revealed that histrionic personality traits, anxiety, and heavy alcohol use can affect irritability during CSE.
authors.affiliation: Department of Psychiatry, College of Medicine, Kosin University, Busan 602-702, Republic of Korea.
authors.forename: Sang Shin
authors.initials: SS
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of Korea.
authors.forename: Hyung Hun
authors.identifier: 0000-0002-6781-571X
authors.initials: HH
authors.lastname: Kim
authors.affiliation: Department of Psychiatry, College of Medicine, Kosin University, Busan 602-702, Republic of Korea.
authors.forename: Hyo Jung
authors.initials: HJ
authors.lastname: Park