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

Hellsten, Charlotte LU ; Sjöström, Karin LU and Lindqvist, Pelle LU (2008) In BJOG : an international journal of obstetrics and gynaecology 115(2). p.212-218
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, Malmö 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... (More)
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, Malmö 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. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Colposcopy: psychology, Anxiety Disorders: etiology, Depressive Disorder: etiology, Uterine Cervical Neoplasms: prevention & control, Vaginal Smears: psychology, Uterine Cervical Neoplasms: psychology
in
BJOG : an international journal of obstetrics and gynaecology
volume
115
issue
2
pages
212 - 218
publisher
Wiley-Blackwell
external identifiers
  • PMID:18081601
  • WOS:000252316100014
  • Scopus:36849060623
ISSN
1471-0528
DOI
10.1111/j.1471-0528.2007.01609.x
language
English
LU publication?
yes
id
b2575e7b-bf8f-4aef-a737-7569c0c2347a (old id 1035262)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18081601?dopt=Abstract
date added to LUP
2008-04-01 13:13:40
date last changed
2017-02-19 04:25:32
@article{b2575e7b-bf8f-4aef-a737-7569c0c2347a,
  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, Malmö 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.},
  author       = {Hellsten, Charlotte and Sjöström, Karin and Lindqvist, Pelle},
  issn         = {1471-0528},
  keyword      = {Colposcopy: psychology,Anxiety Disorders: etiology,Depressive Disorder: etiology,Uterine Cervical Neoplasms: prevention & control,Vaginal Smears: psychology,Uterine Cervical Neoplasms: psychology},
  language     = {eng},
  number       = {2},
  pages        = {212--218},
  publisher    = {Wiley-Blackwell},
  series       = {BJOG : an international journal of obstetrics and gynaecology},
  title        = {A 2-year follow-up study of anxiety and depression in women referred for colposcopy after an abnormal cervical smear.},
  url          = {http://dx.doi.org/10.1111/j.1471-0528.2007.01609.x},
  volume       = {115},
  year         = {2008},
}