Vasovagal Syncope and Blood Donor Return: Examination of the Role of Experience and Affective Expectancies

Abstract

Vasovagal sensations (e.g., dizziness, nausea, and fainting) are one of the main reasons people find blood donation unpleasant. A better understanding of predictors of vasovagal sensations during blood donation could inform interventions designed to increase donor return rates. The present investigation examined the extent to which experience with blood donation and vasovagal sensations during blood donation uniquely predict the likelihood of donor return, even when controlling for affective expectancies. Participants presenting at community blood drives indicated how many times they have given blood and provided ratings of expected anxiety, pain, disgust, as well as fear of fainting before giving blood. After donating, participants completed a measure of vasovagal sensations experienced during blood donation. They also rated the pleasantness of the experience and willingness to donate blood in the future. The findings showed that experience with blood donation and vasovagal sensations during blood donation uniquely predicted willingness to donate blood in the future even when controlling for age and negative affective expectancies about giving blood. This finding suggests that vasovagal sensations and experience with blood donation have unique (and perhaps additive) effects on willingness to donate blood in the future, suggesting that behavior modification interventions that directly target these variables could potentially increase donor retention.

Keywords

blood donation affect vasovagal sensations fear pain disgust

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References

Bonk, V.A. , France, C.R. , & Taylor, B.K. ( 2001). Distraction reduces self-reported physiological reactions to blood donation in novice donors with a blunting coping style. Psychosomatic Medicine, 63, 447-452.

Boulware, L.E. , Ratner, L.E. , Cooper, L.A. , Sosa, J.A. , LaVeist, T.A. , & Powe, N.R. ( 2002). Understanding disparities in donor behavior: race and gender differences in willingness to donate blood and cadaveric organs. Medical Care, 40, 85-95.

Byrne, N. , & Ditto, B. ( 2005). Alexithymia, cardiovascular reactivity, and symptom reporting during blood donation. Psychosomatic Medicine, 67, 471-475.

Deacon, B. , & Abramowitz, J. (2006). Fear of needles and vasovagal reactions among phlebotomy patients. Journal of Anxiety Disorders , 20, 946-960.

Ditto, B. , Adler, P.S. , France, C. , & France, J. ( 1995). Family history of hypertension and vasovagal symptoms during blood donation. Journal of Behavioral Medicine, 18, 331-340.

Ditto, B. , & France, C.R. ( 2006). Vasovagal symptoms mediate the relationship between predonation anxiety and subsequent blood donation in female volunteers. Transfusion, 46, 1006-1010.

Ditto, B. , Wilkins, J.A. , France, C.R. , Lavoie, P. , & Adler, P.S. ( 2003). On-site training in applied muscle tension to reduce vasovagal reactions to blood donation. Journal of Behavioral Medicine, 26, 53-65.

Flevari, P. , Fountoulaki, K. , Leftheriotis, D. , Komporozos, C. , Lekakis, J. , & Kremastinos, D. (2008). Vasodilation in vasovagal syncope and the effect of water ingestion. American Journal of Cardiology, 102, 1060-1063.

Gillespie, T.W. , & Hillyer, C.D. ( 2002). Blood donors and factors impacting the blood donation decision. Transfusion Medicine Reviews, 16, 115-130.

10.

Gillum, F. , Eder, A.F. , & McLaurin-Jones, T.L. (2008). Hispanic ethnicity, race and blood donation in the United States. Transfusion Medicine, 18, 366-370.

11.

Hanson, S.A. , & France, C.R. ( 2009). Social support attenuates presyncopal reactions to blood donation. Transfusion, 49, 843-850.

12.

Hupfer, M.E. , Taylor, D.W. , & Letwin, J.A. ( 2005). Understanding Canadian student motivations and beliefs about giving blood. Transfusion, 45, 149-161.

13.

Khan, W. , & Newman, B.H. ( 1999). Comparison of donor reaction rates in high school, college, and general blood drives. Transfusion, 39, 31S.

14.

Meade, M.A. , France, C.R. , & Peterson, L.M. (1996). Predicting vasovagal reactions in volunteer blood donors. Journal of Psychosomatic Research , 40, 495-501.

15.

Newman, B.H. ( 2002). Vasovagal reactions in high school students: Findings relative to race, risk factor synergism, female sex, and non-high school participants . Transfusion, 42, 1557-1560.

16.

Ownby, H.E. , Kong, F. , Watanabe, K. , Tu, Y. , & Nass, C.C. ( 1999). Analysis of donor return behavior. Retrovirus Epidemiology Donor Study. Transfusion, 39, 1128-1135.

17.

Piliavin, J.A. , & Callero, P.L. ( 1991). Giving blood: The development of an altruistic identity . Baltimore: Johns Hopkins University Press.

18.

Sauer, L.A. , & France, C.R. ( 1999). Caffeine attenuates vasovagal reactions in female first-time blood donors. Health Psychology, 18, 403-409.

19.

Schlumpf, K.S. , Glynn, S.A. , Schreiber, G.B. , Wright, D.J. , Randolph Steele, W. , Tu, Y. , et al. (2008). Factors influencing donor return. Transfusion, 48, 264-272.

20.

Schreiber, G.B. , Sharma, U.K. , Wright, D.J. , Glynn, S.A. , Ownby, H.E. , Tu, Y. , et al. (2005). First year donation patterns predict long-term commitment for first-time donors. Vox Sanguinis, 88, 114-121.

21.

The American Red Cross. (2009). Available from https://www.givelife.org