Psychological Distress in Women With Abnormal Pap Smear Results Attending Cervical Cancer Screening.

IF 2.4 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
Journal of Lower Genital Tract Disease Pub Date : 2023-10-01 Epub Date: 2023-08-03 DOI:10.1097/LGT.0000000000000761
Irena Ilic, Goran Babic, Aleksandra Dimitrijevic, Sandra Sipetic Grujicic, Milena Ilic
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引用次数: 0

Abstract

Objective: Women often experience psychological distress upon receipt of an abnormal Pap test result. This study aimed to evaluate psychological distress and its correlates among women who received an abnormal Pap screening test result.

Material and methods: A cross-sectional study was performed in a cohort of 172 consecutive women who had attended screening for cervical cancer and who received abnormal Pap smear results and underwent additional diagnostic procedures (colposcopy/biopsy/endocervical curettage). The participants filled out a questionnaire on sociodemographic variables and the Cervical Dysplasia Distress Questionnaire. Multivariate linear regression was used for the analysis of the data. For multiple comparisons, the Bonferroni correction was applied to adjust the level of significance.

Results: In women who received an abnormal Pap smear result, the independent correlate of higher psychological distress (by Cervical Dysplasia Distress Questionnaire score) before diagnostic procedures was lower satisfaction with information/support received from other people ( p = .002). Correlates of psychological distress in women older than 40 years with abnormal Pap smear were anxiety ( p = .042) and worry about having cervical cancer, general health and having sex ( p = .044).

Conclusions: The authors' findings could enable control of factors predictive of psychological distress in women who received a positive Pap smear screening test before undergoing diagnostic procedures, primarily via active provision of targeted information.

子宫颈癌症筛查中巴氏涂片检查结果异常妇女的心理困扰。
目的:女性在收到异常巴氏检测结果后,经常会感到心理困扰。本研究旨在评估接受异常巴氏筛查的女性的心理困扰及其相关性。材料和方法:对172名连续参加癌症宫颈癌筛查、巴氏涂片检查结果异常并接受额外诊断程序(阴道镜检查/活组织检查/宫颈刮除术)的女性进行了横断面研究。参与者填写了一份关于社会人口统计学变量的问卷和宫颈发育不良痛苦问卷。数据分析采用多元线性回归。对于多重比较,应用Bonferroni校正来调整显著性水平。结果:在接受异常巴氏涂片检查的妇女中,诊断程序前较高的心理困扰(通过子宫颈发育不良困扰问卷评分)的独立相关性是对从其他人那里获得的信息/支持的满意度较低(p=.002),一般健康和性生活(p=0.044)。结论:作者的研究结果可以控制在接受诊断程序前接受阳性巴氏涂片筛查的女性的心理痛苦预测因素,主要是通过积极提供有针对性的信息。
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来源期刊
Journal of Lower Genital Tract Disease
Journal of Lower Genital Tract Disease OBSTETRICS & GYNECOLOGY-
CiteScore
6.80
自引率
8.10%
发文量
158
审稿时长
6-12 weeks
期刊介绍: The Journal of Lower Genital Tract Disease is the source for the latest science about benign and malignant conditions of the cervix, vagina, vulva, and anus. The Journal publishes peer-reviewed original research original research that addresses prevalence, causes, mechanisms, diagnosis, course, treatment, and prevention of lower genital tract disease. We publish clinical guidelines, position papers, cost-effectiveness analyses, narrative reviews, and systematic reviews, including meta-analyses. We also publish papers about research and reporting methods, opinions about controversial medical issues. Of particular note, we encourage material in any of the above mentioned categories that is related to improving patient care, avoiding medical errors, and comparative effectiveness research. We encourage publication of evidence-based guidelines, diagnostic and therapeutic algorithms, and decision aids. Original research and reviews may be sub-classified according to topic: cervix and HPV, vulva and vagina, perianal and anal, basic science, and education and learning. The scope and readership of the journal extend to several disciplines: gynecology, internal medicine, family practice, dermatology, physical therapy, pathology, sociology, psychology, anthropology, sex therapy, and pharmacology. The Journal of Lower Genital Tract Disease highlights needs for future research, and enhances health care. The Journal of Lower Genital Tract Disease is the official journal of the American Society for Colposcopy and Cervical Pathology, the International Society for the Study of Vulvovaginal Disease, and the International Federation of Cervical Pathology and Colposcopy, and sponsored by the Australian Society for Colposcopy and Cervical Pathology and the Society of Canadian Colposcopists.
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