Anxiety in women referred for colposcopy: a prospective observational study.
Anxiety
Cervical cancer screening
Cervical intraepithelial neoplasia
STAI
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
received:
15
06
2021
accepted:
15
11
2021
pubmed:
27
11
2021
medline:
16
3
2022
entrez:
26
11
2021
Statut:
ppublish
Résumé
To evaluate the occurrence of anxiety in women attending a colposcopic examination within the new cervical cancer screening in Germany. One hundred and fifty-six patients were asked to fill out Spielbergers STAI inventory form prior to their colposcopic examination. For the statistical analysis, a two by two between-group design was applied including the following group factors: the repeat factors included patients, who presented to our centre of dysplasia for the first time (new) and patients who have had an examination in our centre before (repeat). Further, the factor diagnosis included two groups: first, patients with cervical dysplasia and second, patients with vulva diseases. The analysis of the STAI results showed that patients presenting with cervical dysplasia for the first time had the highest levels of anxiety, directly followed by new patients in the vulva group. The ANOVA revealed a main effect of the repeat factor, F(1,140) = 7.53, p = 0.007. There was no significant effect of diagnosis. Regardless of the diagnosis, patients being transferred for a colposcopy within the cervical cancer screening program for the first time have very high anxiety levels. The prospect of a potentially painful examination seems to be a key factor. Only a scientific evaluation of the new cervical cancer screening will be able to show if the rising numbers of colposcopic examinations is really worth the risk of exposing so many more women to the emotional distress of a colposcopy.
Identifiants
pubmed: 34825940
doi: 10.1007/s00404-021-06337-8
pii: 10.1007/s00404-021-06337-8
pmc: PMC8918141
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
625-630Informations de copyright
© 2021. The Author(s).
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