Department of Behavioural and Social Sciences, University of Huddersfield, Queensgate, Huddersfield, UK.
Eur J Cancer Care (Engl). 2012 Jul;21(4):469-76. doi: 10.1111/j.1365-2354.2011.01317.x. Epub 2011 Nov 30.
Women experience significant emotional distress in relation to further diagnostic evaluation of pre-cancerous cell changes of the cervix. However, less is known about the specific variables that contribute to elevated state anxiety and negative affect prior to colposcopy. The study aims to identify psychosocial factors that predict distress in this patient group, which can help in the development of more sophisticated interventions to reduce psychological distress. Socio-demographic variables, scores for state anxiety, negative affect, trait anxiety, fear of pain, coping style, pain-related expectancy and knowledge were assessed in 164 first-time colposcopy patients immediately before the colposcopy examination. Twenty-six per cent of variance in pre-colposcopy state anxiety was significantly explained by marital status, parity, trait anxiety, fear of minor pain and expectations of discomfort. Twenty-nine per cent of variance in pre-colposcopy negative affect was significantly explained by trait anxiety and expectations of pain. Women who are single, have children, are high trait anxious, and anticipate pain and discomfort appear to be at risk for pre-colposcopy distress. Interventions aimed at reducing pre-colposcopy psychological distress should include situation-specific variables that are amenable to change, and trait anxious women are likely to benefit from interventions to reduce distress.
女性在进一步诊断宫颈癌前细胞病变时会经历明显的情绪困扰。然而，对于哪些特定变量会导致阴道镜检查前的状态焦虑和负性情绪升高，人们了解得较少。本研究旨在确定预测该患者群体困扰的心理社会因素，这有助于开发更复杂的干预措施来减轻心理困扰。本研究在阴道镜检查前，对 164 名首次接受阴道镜检查的患者进行了社会人口学变量、状态焦虑评分、负性情绪、特质焦虑、对疼痛的恐惧、应对方式、与疼痛相关的预期和知识评估。在阴道镜检查前状态焦虑的 26%方差可以由婚姻状况、产次、特质焦虑、对轻度疼痛的恐惧和对不适的预期显著解释。在阴道镜检查前负性情绪的 29%方差可以由特质焦虑和对疼痛的预期显著解释。单身、有孩子、特质焦虑高、预期疼痛和不适的女性似乎有阴道镜检查前困扰的风险。旨在减轻阴道镜检查前心理困扰的干预措施应包括可改变的特定情境变量，而特质焦虑的女性可能会受益于减轻困扰的干预措施。
