{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T13:44:15Z","timestamp":1793454255794,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","award":["LP140100034"],"award-info":[{"award-number":["LP140100034"]}],"id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Fear is a recognized predictor of vasovagal reactions (VVRs) in blood donors. However, less is known about the role of other emotions, including positive emotions, that donors might experience. The aim of this study was to identify the emotions experienced in center that predict onsite VVRs, and to determine at what point during the donation appointment, the experience of these emotions is most influential.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design and methods<\/jats:title><jats:p>A sample of 442 first\u2010time whole\u2010blood donors (57.7% female; mean\u2009\u00b1\u2009SD age 30.7\u2009\u00b1\u200911.7\u2009years) completed a survey in the waiting area and before venepuncture in the donation chair to assess their current emotional experience. The survey data were matched with routinely\u2010collected demographic, donation, and donor adverse event information. A generalized estimating equations model was used to identify emotions associated with the occurrence of a VVR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 56 (12.7%) participants experienced a VVR. The occurrence of a VVR was significantly associated with lower <jats:italic>love\/closeness\/trust<\/jats:italic> (OR: 0.53, 95%CI: 0.34\u20130.82) and higher <jats:italic>scared\/fearful\/afraid<\/jats:italic> (OR: 1.96, 95%CI: 1.18\u20133.25) states<jats:italic>.<\/jats:italic> Significant interaction effects suggested that the effect of <jats:italic>scared\/fearful\/afraid<\/jats:italic> decreased while <jats:italic>stressed\/nervous\/overwhelmed<\/jats:italic> increased from the waiting area to before venepuncture on the likelihood of a VVR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>To effectively reduce donor VVR risk, blood collection agencies need to address a broader range of emotions at different points during the donation process.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.17169","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T07:02:22Z","timestamp":1667199742000},"page":"163-170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Beyond fear: A longitudinal investigation of emotions and risk of a vasovagal reaction in first\u2010time whole\u2010blood donors"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3310-2703","authenticated-orcid":false,"given":"Amanda","family":"Thijsen","sequence":"first","affiliation":[{"name":"Clinical Services and Research Australian Red Cross Lifeblood  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9385-6497","authenticated-orcid":false,"given":"Barbara","family":"Masser","sequence":"additional","affiliation":[{"name":"School of Psychology The 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