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A 2-year follow-up study of anxiety and depression in women referred for colposcopy after an abnormal cervical smear.

https://arctichealth.org/en/permalink/ahliterature85180
Source
BJOG. 2008 Jan;115(2):212-8
Publication Type
Article
Date
Jan-2008
Author
Hellsten C.
Sjöström, K.
Lindqvist P G
Author Affiliation
Department of Obstetrics and Gynaecology, Malmö University Hospital, Lund University, Malmö, Sweden. charlotte.hellsten@med.lu.se
Source
BJOG. 2008 Jan;115(2):212-8
Date
Jan-2008
Language
English
Publication Type
Article
Keywords
Adult
Anxiety Disorders - etiology
Colposcopy - psychology
Depressive Disorder - etiology
Female
Follow-Up Studies
Humans
Middle Aged
Prospective Studies
Referral and Consultation
Uterine Cervical Neoplasms - prevention & control - psychology
Vaginal Smears - psychology
Abstract
OBJECTIVES: The aim of this study was to determine if there were any long-lasting elevated anxiety levels in women attending colposcopy after an abnormal cervical smear. DESIGN: Prospective study. SETTING: Department of Obstetrics and Gynaecology, Malm�?�¶ University Hospital, Sweden. POPULATION: One hundred consecutive women were invited to participate when referred for colposcopy. METHODS: Women in the study group completed the State-Trait Anxiety Inventory, the Montgomery-Asberg Depression Rating Scale-self-rate (MADRS-S) and had a psychosocial interview prior to colposcopy at their two follow-up visits. MAIN OUTCOME MEASURES: State anxiety levels and depression scores at first visit, 6 months and 2 years. RESULTS: At follow up, levels of state anxiety and the depression scores of the women studied had decreased and were comparable to those of Swedish normative data. Two variables from the MADRS-S, 'ability to focus on different activities' and 'emotional involvement with others and in activities' were the most prominent for women with moderate to severe depression. At the 2-year visit, 30% of the women still had a fear of cancer. CONCLUSIONS: Referral for colposcopy after an abnormal cervical smear does not seem to result in long-lasting anxiety and depression. However, a subgroup of women, with the initially highest depression scores, still had at 2-year state anxiety levels and depression scores significantly higher than normal. Almost one-third of the women still had a fear of cancer in spite of lower 2-year state anxiety levels.
PubMed ID
18081601 View in PubMed
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A longitudinal study of sexual functioning in women referred for colposcopy: a 2-year follow up.

https://arctichealth.org/en/permalink/ahliterature85211
Source
BJOG. 2008 Jan;115(2):205-11
Publication Type
Article
Date
Jan-2008
Author
Hellsten C.
Lindqvist P G
Sjöström K.
Author Affiliation
Department of Obstetrics and Gynaecology, Clinical Science, Malmö University Hospital, Lund University, Malmö, Sweden. charlotte.hellsten@med.lu.se
Source
BJOG. 2008 Jan;115(2):205-11
Date
Jan-2008
Language
English
Publication Type
Article
Keywords
Adult
Anxiety - etiology
Arousal - physiology
Coitus - physiology
Colposcopy - psychology
Female
Humans
Longitudinal Studies
Middle Aged
Questionnaires
Referral and Consultation - statistics & numerical data
Sexual Dysfunctions, Psychological - etiology
Uterine Cervical Neoplasms - prevention & control - psychology
Vaginal Smears - psychology
Abstract
OBJECTIVE: To elucidate psychosexual problems in women referred for colposcopy after an abnormal cervical smear and a 6-month and 2-year follow up. DESIGN: Prospective study. SETTING: Department of Gynaecology, Malmö University Hospital, Sweden. POPULATION: One hundred consecutive women referred for colposcopy for the first time subsequent to receiving notification of an abnormal cervical smear. METHODS: The women completed the State-Trait Anxiety Inventory, a psychosexual questionnaire and had one psychosocial interview prior to colposcopy at all three visits. MAIN OUTCOME MEASURES: Depending upon the result of the cervical biopsy, women had either a loop electrosurgical excision procedure (LEEP) or not. Psychosexual variables, anxiety measures, and psychosocial variables were used to estimate sexual functioning at the beginning of the study and at follow up. Differences in sexual functioning between LEEP and non-LEEP groups were estimated. RESULTS: 'Spontaneous interest in sex', 'frequency of intercourse', and 'sexual arousal' were reported to be statistically significant lower at 6 months compared with the first visit, and at 2 years, 'spontaneous interest in sex' and 'frequency of intercourse' still remained low. There was no difference in sexual functioning between the LEEP and non-LEEP groups at follow up. CONCLUSIONS: Two years after referral for colposcopy, women still had an effect on sexual functioning, that is, lesser 'spontaneous interest' and decreased 'frequency of intercourse'. We found no support for a relationship between treatment of cervical intraepithelial neoplasia by LEEP and deterioration in sexual functioning.
PubMed ID
17903228 View in PubMed
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A prospective Swedish cohort study on psychosocial factors influencing anxiety in women referred for colposcopy.

https://arctichealth.org/en/permalink/ahliterature79104
Source
BJOG. 2007 Jan;114(1):32-8
Publication Type
Article
Date
Jan-2007
Author
Hellsten C.
Sjöström K.
Lindqvist P G
Author Affiliation
Department of Obstetrics and Gynaecology, Malmö University Hospital, Lund University, Malmö, Sweden. charlotte.hellsten@med.lu.se
Source
BJOG. 2007 Jan;114(1):32-8
Date
Jan-2007
Language
English
Publication Type
Article
Keywords
Adult
Aged
Anxiety - etiology
Colposcopy - psychology
Depressive Disorder - etiology
Female
Humans
Middle Aged
Prospective Studies
Referral and Consultation
Regression Analysis
Risk factors
Social Support
Sweden
Uterine Cervical Neoplasms - diagnosis - psychology
Vaginal Smears - psychology
Abstract
OBJECTIVES: To elucidate risk factors for high state anxiety in women referred for colposcopy. DESIGN: Prospective cohort study. SETTING: Department of Gynaecology, Malmö University Hospital, Sweden. POPULATION: A total of 100 consecutive women referred for colposcopy for the first time after an abnormal cervical smear. METHODS: Women in the study group completed prior to colposcopy the State-Trait Anxiety Inventory, the Montgomery-Asberg Depression Rating Scale-self-rate, and were interviewed about their psychosocial situation. MAIN OUTCOME MEASURES: Variables related to high state anxiety were determined in bivariate and multiple logistic regression analysis. RESULTS: High depression scores and the wording of the referral letter for colposcopy were related to high state anxiety in a multivariate analysis. Women with high depression scores had a nine-fold risk for higher levels of state anxiety and did not respond with lower state anxiety levels after information and examination. Women who received a letter stating 'some changes' were at a five-fold increased risk for high levels of state anxiety than those who received a letter stating 'light changes'. CONCLUSION: A depressive mood and the wording of the referral letter for colposcopy after an abnormal smear were predictive of high state anxiety levels.
PubMed ID
17233857 View in PubMed
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