Isaka Yukari, Inada Haruhiko, Hiranuma Yuri, Ichikawa Masao
Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577, Japan.
Int J Clin Oncol. 2017 Feb;22(1):102-106. doi: 10.1007/s10147-016-1023-8. Epub 2016 Jul 27.
While cervical cancer screening is useful for detecting and then treating the disease at an early stage, most women with screen-positive results are free from cervical cancer but nevertheless subject to the unnecessary worry entailed in receiving such results. The purpose of this study was to examine whether receiving a screen-positive result was actually related to psychological distress among Japanese women who underwent cervical cancer screening.
We conducted a questionnaire survey at health facilities in a semiurban city of Ibaraki prefecture, involving 1744 women who underwent cervical cancer screening and 72 who received screen-positive results and then underwent further testing. We used the K6 scale to assess their psychological distress (K6 score ≥5) and performed multiple logistic regression analyses to estimate the relative effect of receiving screen-positive results on psychological distress.
Psychological distress was more prevalent among women with screen-positive results (OR 2.22; 95 % CI 1.32-3.74), while it was also related to history of mental health consultation (OR 2.26; 95 % CI 1.69-3.01) and marital status (OR 1.32; 95 % CI 1.02-1.70).
Receiving a positive cervical cancer screening result was associated with psychological distress. To alleviate this psychological impact, the current form of communicating the screening results should be reconsidered.
虽然宫颈癌筛查有助于在疾病早期进行检测和治疗，但大多数筛查结果呈阳性的女性并未患宫颈癌，却仍会因收到此类结果而承受不必要的担忧。本研究的目的是调查在接受宫颈癌筛查的日本女性中，收到筛查阳性结果是否真的与心理困扰有关。
我们在茨城县一个半城市的医疗机构进行了问卷调查，涉及1744名接受宫颈癌筛查的女性以及72名筛查结果呈阳性并随后接受进一步检查的女性。我们使用K6量表评估她们的心理困扰（K6评分≥5），并进行多因素逻辑回归分析，以估计收到筛查阳性结果对心理困扰的相对影响。
筛查结果呈阳性的女性中，心理困扰更为普遍（比值比2.22；95%置信区间1.32 - 3.74），同时它还与心理健康咨询史（比值比2.26；95%置信区间1.69 - 3.01）和婚姻状况（比值比1.32；95%置信区间1.02 - 1.70）有关。
收到宫颈癌筛查阳性结果与心理困扰有关。为减轻这种心理影响，应重新考虑当前传达筛查结果的方式。
