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A prospective Swedish cohort study on psychosocial factors influencing anxiety in women referred for colposcopy.

Hellsten, Charlotte LU ; Sjöström, Karin LU and Lindqvist, Pelle LU (2007) In BJOG: An International Journal of Obstetrics & Gynaecology 114(1). p.32-38
Abstract
Objectives To elucidate risk factors for high state anxiety in women referred for colposcopy. Design Prospective cohort study. Setting Department of Gynaecology, Malmo 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... (More)
Objectives To elucidate risk factors for high state anxiety in women referred for colposcopy. Design Prospective cohort study. Setting Department of Gynaecology, Malmo 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. (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
abnormal cervical smear, colposcopy, depression, STAI, MADRS-S, anxiety
in
BJOG: An International Journal of Obstetrics & Gynaecology
volume
114
issue
1
pages
32 - 38
publisher
Wiley-Blackwell
external identifiers
  • wos:000243227100007
  • scopus:33845525430
ISSN
1471-0528
DOI
10.1111/j.1471-0528.2006.01161.x
language
English
LU publication?
yes
id
98b35571-e477-454d-a63b-9e34b1c4ec85 (old id 164788)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17233857&dopt=Abstract
date added to LUP
2007-07-23 14:48:02
date last changed
2017-09-03 04:27:08
@article{98b35571-e477-454d-a63b-9e34b1c4ec85,
  abstract     = {Objectives To elucidate risk factors for high state anxiety in women referred for colposcopy. Design Prospective cohort study. Setting Department of Gynaecology, Malmo 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.},
  author       = {Hellsten, Charlotte and Sjöström, Karin and Lindqvist, Pelle},
  issn         = {1471-0528},
  keyword      = {abnormal cervical smear,colposcopy,depression,STAI,MADRS-S,anxiety},
  language     = {eng},
  number       = {1},
  pages        = {32--38},
  publisher    = {Wiley-Blackwell},
  series       = {BJOG: An International Journal of Obstetrics & Gynaecology},
  title        = {A prospective Swedish cohort study on psychosocial factors influencing anxiety in women referred for colposcopy.},
  url          = {http://dx.doi.org/10.1111/j.1471-0528.2006.01161.x},
  volume       = {114},
  year         = {2007},
}