Phuakpoolpol Sasiwimon, Suwannarurk Komsun, Jaisin Kankamol, Punyashthira Awassada, Pattaraarchachai Junya, Bhamarapravatana Kornkarn
Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand. Email:
Asian Pac J Cancer Prev. 2018 Oct 26;19(10):2985-2989. doi: 10.22034/APJCP.2018.19.10.2985.
Background: Colposcopy is the standard investigation for women with abnormal cervical cytology. Waiting time to colposcopy could impact to psychological distress. Data about anxiety and depression in eastern countries patients were limited. Aim of this investigation was to evaluate anxiety and depression status in Thai women who were waiting for colposcopy compared to women who attended gynecology clinic for cervical cancer screening. Materials and methods: This study was conducted at the outpatient gynecology clinic of Thammasat University Hospital between January 2017 to March 2018. A Total of 200 women were recruited into the study. The cases were divided into the study and control group. Study group consisted of one hundred women with abnormal cervical cytology referred to colposcopy. One hundred of women who attended gynecology clinic for cervical cancer screening was classified as control group. The Hospital Anxiety and Depression Scale (HADS) was used to determine anxiety in the participants. Results: Total of 200 women who met criteria of the study were recruited. The mean ages of both groups were 40 years old. Both groups were significantly different when it came to their education, 30 and 59 percent of study and control group had education level more than bachelor (p=0.003). The prevalence of anxiety was statistically significantly higher in study group than the control group (15% and 6%, respectively). There was only one case of depression in study. Waiting time and abnormal cervical cytology severity did not affected to anxiety level. Conclusions: Colposcopy and appointment caused anxiety. However anxiety was not associated with waiting time to colposcopy or Pap result’s severity.
阴道镜检查是宫颈细胞学异常女性的标准检查方法。等待阴道镜检查的时间可能会影响心理困扰。关于东方国家患者焦虑和抑郁的数据有限。本研究的目的是评估等待阴道镜检查的泰国女性与前往妇科诊所进行宫颈癌筛查的女性相比的焦虑和抑郁状况。
本研究于2017年1月至2018年3月在泰国法政大学医院妇科门诊进行。共有200名女性被纳入研究。病例分为研究组和对照组。研究组由100名宫颈细胞学异常并转诊至阴道镜检查的女性组成。100名前往妇科诊所进行宫颈癌筛查的女性被归类为对照组。采用医院焦虑抑郁量表（HADS）来确定参与者的焦虑情况。
共有200名符合研究标准的女性被招募。两组的平均年龄均为40岁。两组在教育程度方面存在显著差异，研究组和对照组分别有30%和59%的人教育水平高于本科（p = 0.003）。研究组焦虑症的患病率在统计学上显著高于对照组（分别为15%和6%）。研究中仅有1例抑郁症病例。等待时间和宫颈细胞学异常严重程度对焦虑水平没有影响。
阴道镜检查及预约会引发焦虑。然而，焦虑与等待阴道镜检查的时间或巴氏涂片结果的严重程度无关。
