Krishnamurthy Jayaraman
Debra Jizi
UWRT 1104
11 November 2017
Double Entry Journal
Citation:
Noble, LM, et al. The Impact of Injection Anxiety on Education of Travelers about Common
Travel Risks. Journal of Travel Medicine, vol. 21, no. 2, 2014.
Source: Quote (Page# or Paragraph #)
It is characterized by both psychological
and physiological reactions (eg, feeling
nervous, feeling disgust, and fainting). At the
extreme end of the spectrum, fear of
injections is classied as a specic phobia in
the category of Blood Injection Injury
phobias, where a person experiences fear,
recognized to be excessive, in response to
stimuli related to blood, injury, injections, or
other invasive medical procedures.(Noble
1)
In addition to causing distress, injection
anxiety and needle phobia can lead to
avoidance of medical procedures and failure
to adhere to treatment
recommendations.(Noble 1)
It is difcult to assess prevalence
accurately, partly because of the spectrum
of responses and the lack of standardized
measurement tools, but also because a
proportion of affected individuals avoid
medical treatment that might involve
needles. Nonetheless, it is consistently
Responses
I have a fear of injections too so this is like a
close related feeling to me, my nervousness
of injections isnt about the blood or the
injection itself. I just have a fear of the
stinging or stabbing pain it gives. Even if Ive
had multiple injections in the past and it was
over in a matter of seconds, the fear before I
take one is still the exact same.
This definitely makes sense, everyone has a
phobia of something, but having a specific
phobia may lead to some bad things. It
makes sense that some people skip their
appointments because of injection fear but
this could lead to very bad health problems in
the future.
I dont understand how it is hard to assess the
prevalence of injection anxiety. It seems like
the kind of prevalence that you can determine
just by asking patients whether they have
anxiety of injections, but I do understand
people who may be embarrassed of the idea
to admit a phobia so maybe this makes
found that a proportion of people attending
medical settings experience signicant
anxiety about injections.(Noble 2)
Anxiety can limit the impact of patient
education by adversely affecting patients
ability to concentrate on, understand, and
recall health information(Noble 2)
Health professionals have an important role
in supporting and reassuring travelers who
are afraid of injections, although this
depends on the ability of professionals to
accurately identify an anxious individual,
particularly if the individual does not
spontaneously disclose his/her fear.(Noble
2)
From the Blood Draw Questionnaire,
travelers reported a variety of psychological
and physiological symptoms in response to
injections or having blood taken (Table 2).
These included feeling nervous or afraid,
fear of fainting, actually fainting, and nding
injections painful or disgusting.(Noble 3)
Travelers who reported psychological or
physiological symptoms had higher contact
fear and state anxiety than travelers who did
not report symptoms, and showed a greater
reduction of state anxiety post-
consultation(Noble 4)
The majority of travelers failed to recall
effectiveness of diarrhea medication,
duration of diarrhea symptoms, proportion of
travelers affected by diarrhea, and risky
situations on the roads during a trip.(Noble
4)
sense.
This is a very big claim to make, but it makes
the most sense possible. Pre travel sessions
normally have a session where they give you
a recommended vaccination in preparation to
avoid any sicknesses not commonly found in
your current residence country, but if people
are afraid of the injection and feel nervous for
the time they have to get it, they can tend to
not focus on important information that could
crucial for their trip.
These people seem to be the ones with very
hard jobs in this area of work. Having to
identify who is anxious about getting an
injection seems like a job that relies a lot on
observing people to see any shift in emotion
when an injection is mentioned or for the
lucky few who say that they have a phobia of
injections, but I am interested on how they
find out people who are anxious and what
they do in that scenario.
So people stated a bunch of symptoms
associated with their phobia of injections This
helps the data researchers group up similar
symptoms as well as create a category for
those who have symptoms in the first place.
The data proved that those who stated they
had symptoms of their phobia of injections
such as nervousness, fear of fainting had
more fear and state anxiety than those who
didnt. Which is both understandable as those
who would have those symptoms and that
much fear would have to report it to the
doctors just in case something like those
symptoms actually happened.
So regardless of whether they reported that
they had symptoms or if they were afraid of
injections most of the travelers forgot a
certain portion of the information that they
were taught. This shows that at least
everyone has some sort of anxiety of

Clinicians reported that 46% of travelers
appeared not at all nervous or anxious, 35%
as very little,14% as somewhat, 3% as very,
and 1% as extremely.(Noble 5)
More than one third of travelers reported
that they usually felt nervous or were afraid
of injections, and most of these felt that they
were more afraid than they should
be.(Noble 5)
A small number of travelers had previously
avoided procedures involving needles.
Travelers reports of marked or persistent
fear that is recognized to be unreasonable,
in conjunction with anxiety provoked by
exposure to the feared stimulus and a
strong vasovagal response, are consistent
with criteria for Blood Injection Injury
phobia.(Noble 5)
Addressing anxiety can help with reducing
the experience of pain, which is a particular
feature of injection anxiety. The clinicians
employed a small number of strategies,
mainly using reassurance and distraction to
acknowledge the persons anxiety while
maintaining the routine of the
consultation.(Noble 5)
injections whether it be small.
The majority of travelers were either not
scared of injections or were suppressing their
fear of injections with only a very small
percentage having a high anxiety rate when it
came to injections.
It makes sense that people felt nervous or
were afraid of injections and how they believe
that it shouldnt be frightening at all. It is a
feeling that I can relate to, I shouldnt be
afraid of a simple needle, but I just am.
This is one of the main points of the article
that some people being too afraid of
injections end up avoiding them all together.
Even if it was a small number of travelers who
had previously did that, it should be
understood that the survey size was pretty
tiny in comparison to a whole population.
This makes sense for the most part and helps
support another claim saying that those who
reported their fear were more afraid than
those who didnt.