Autonomic, endocrine, and psychological stress responses to different forms of blood draw.

<h4>Background</h4>Although fingerstick is often favorably compared to venipuncture as a less invasive method of drawing blood for clinical labs, there is little empirical research that compares physical and psychological stress responses to fingerstick vs. venipuncture (blood draw using...

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Autor principal:	Tierney K Lorenz
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3e00cf38aa54403f8dc0f3327d190e28
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spelling	oai:doaj.org-article:3e00cf38aa54403f8dc0f3327d190e282021-12-02T20:08:30ZAutonomic, endocrine, and psychological stress responses to different forms of blood draw.1932-620310.1371/journal.pone.0257110https://doaj.org/article/3e00cf38aa54403f8dc0f3327d190e282021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257110https://doaj.org/toc/1932-6203<h4>Background</h4>Although fingerstick is often favorably compared to venipuncture as a less invasive method of drawing blood for clinical labs, there is little empirical research that compares physical and psychological stress responses to fingerstick vs. venipuncture (blood draw using a needle in the arm) within the same person.<h4>Methods and findings</h4>We assessed changes in cortisol (a stress hormone), heart rate variability (a marker of autonomic stress), and psychological stress in 40 healthy women who completed both venipuncture and fingerstick. Contrary to our predictions, there was a significant decline in cortisol across conditions, with greater decline from pre- to post-draw in response to venipuncture than fingerstick. There were similar patterns of rise and fall in heart rate variability in both types of blood draw, suggestive of mild vasovagal responses. Psychological measures of stress (such as negative emotion and perceived stress) were generally stronger predictors of participant's reported pain and blood draw preferences than physical stress measures.<h4>Conclusions</h4>These findings challenge the characterization of fingerstick as necessarily "less invasive" than venipuncture, as participant's stress responses to fingerstick were equivalent to (and for some measures greater than) their response to venipuncture. Heart rate variability response to fingerstick significantly predicted that individual's vasovagal-like responses to venipuncture, suggesting that measuring heart rate variability during pre-donation hemoglobin testing may identify donors at risk for adverse events during venipuncture.Tierney K LorenzPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257110 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tierney K Lorenz Autonomic, endocrine, and psychological stress responses to different forms of blood draw.
description	<h4>Background</h4>Although fingerstick is often favorably compared to venipuncture as a less invasive method of drawing blood for clinical labs, there is little empirical research that compares physical and psychological stress responses to fingerstick vs. venipuncture (blood draw using a needle in the arm) within the same person.<h4>Methods and findings</h4>We assessed changes in cortisol (a stress hormone), heart rate variability (a marker of autonomic stress), and psychological stress in 40 healthy women who completed both venipuncture and fingerstick. Contrary to our predictions, there was a significant decline in cortisol across conditions, with greater decline from pre- to post-draw in response to venipuncture than fingerstick. There were similar patterns of rise and fall in heart rate variability in both types of blood draw, suggestive of mild vasovagal responses. Psychological measures of stress (such as negative emotion and perceived stress) were generally stronger predictors of participant's reported pain and blood draw preferences than physical stress measures.<h4>Conclusions</h4>These findings challenge the characterization of fingerstick as necessarily "less invasive" than venipuncture, as participant's stress responses to fingerstick were equivalent to (and for some measures greater than) their response to venipuncture. Heart rate variability response to fingerstick significantly predicted that individual's vasovagal-like responses to venipuncture, suggesting that measuring heart rate variability during pre-donation hemoglobin testing may identify donors at risk for adverse events during venipuncture.
format	article
author	Tierney K Lorenz
author_facet	Tierney K Lorenz
author_sort	Tierney K Lorenz
title	Autonomic, endocrine, and psychological stress responses to different forms of blood draw.
title_short	Autonomic, endocrine, and psychological stress responses to different forms of blood draw.
title_full	Autonomic, endocrine, and psychological stress responses to different forms of blood draw.
title_fullStr	Autonomic, endocrine, and psychological stress responses to different forms of blood draw.
title_full_unstemmed	Autonomic, endocrine, and psychological stress responses to different forms of blood draw.
title_sort	autonomic, endocrine, and psychological stress responses to different forms of blood draw.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/3e00cf38aa54403f8dc0f3327d190e28
work_keys_str_mv	AT tierneyklorenz autonomicendocrineandpsychologicalstressresponsestodifferentformsofblooddraw
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Autonomic, endocrine, and psychological stress responses to different forms of blood draw.

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