Psychological effects of a low-grade abnormal cervical smear test result: anxiety and associated factors

被引:0
作者
N M Gray
L Sharp
S C Cotton
L F Masson
J Little
L G Walker
M Avis
Z Philips
I Russell
D Whynes
M Cruickshank
C M Woolley
机构
[1] University of Aberdeen and Grampian University Hospitals,
[2] National Cancer Registry Ireland,undefined
[3] University of Ottawa,undefined
[4] The Postgraduate Medical Institute,undefined
[5] University of Hull,undefined
[6] in association with Hull York Medical School,undefined
[7] Universtiy of Nottingham,undefined
[8] Queens Medical Centre & City Hospital,undefined
[9] Institute of Medical & Social Care Research,undefined
[10] University of Wales Bangor,undefined
来源
British Journal of Cancer | 2006年 / 94卷
关键词
cervical intraepithelial neoplasia; mass screening; psychological factors; anxiety; questionnaires;
D O I
暂无
中图分类号
学科分类号
摘要
Receipt of an abnormal cervical smear result often generates fear and confusion and can have a negative impact on a woman's well-being. Most previous studies have focussed on high-grade abnormal smears. This study describes the psychological and psychosocial effects, on women, of having received a low-grade abnormal smear result. Over 3500 women recruited to TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) participated in this study. Anxiety was assessed using the Hospital Anxiety and Depression Scale (HADS) at recruitment. Socio-demographic and lifestyle factors, locus of control and factors associated with the psychosocial impact of the abnormal smear result were also assessed. Women reported anxiety levels consistent with those found in previous studies of women with high-grade smear results. Women at highest risk of anxiety were younger, had children, were current smokers, or had the highest levels of physical activity. Interventions that focus particularly on women's understanding of smear results and pre-cancer, and/or directly address their fears about cancer, treatment and fertility might provide the greatest opportunity to reduce the adverse psychosocial impact of receiving a low-grade abnormal cervical smear result.
引用
收藏
页码:1253 / 1262
页数:9
相关论文
共 120 条
  • [1] Beekman ATF(2000)Anxiety and depression in later life: co-occurrence and communality of risk factors Am J Psychiatry 157 89-95
  • [2] de Beurs E(1995)Psychological response to cervical screening Prev Med 24 610-616
  • [3] van Balkom AJLM(2005)Anxiety and depression are associated with unhealthy lifestyle in patients at risk of cardiovascular disease Atherosclerosis 178 339-344
  • [4] Deeg DJH(2001)Normative data for the HADS from a large non-clinical sample Br J Clin Psychol 40 429-434
  • [5] van Dyck R(2002)Exercise therapy and mental health in clinical populations: is exercise therapy a worthwhile intervention? Adv Psyhciatr Treat 8 262-270
  • [6] van Tilbug W(1996)A twin study examining the effect of parity on the prevalence of psychiatric disorder J Affect Disord 38 145-152
  • [7] Bell S(1991)The assessment of the psychological effects of an abnormal cervical smear result and subsequent medical procedures J Psychosom Obstet Gynecol 12 319-324
  • [8] Porter M(2004)Psychological costs of inadequate cervical smear test results Br J Cancer 91 1887-1892
  • [9] Kitchener H(1998)Screening for cervical cancer: a review of women’s attitudes, knowledge, and behaviour Br J Gen Prac 48 1509-1514
  • [10] Fraser C(1995)Emotional reactions in women attending a UK colposcopy clinic J Epidemiol Community Health 49 79-83