Schwartz R W, Stewart N B
JAMA. 1977 Jan 17;237(3):252-4.
The psychological response of daughters and their mothers to discovery of in utero diethylstilbestrol (DES) exposure was studied. At the DES Colposcopy Clinic, 41 daughters and 20 mothers were extensively interviewed. Twelve patients with abnormal cytology tests were controls. Initial anxiety was usually followed by acceptance of the condition after examination and counseling. Patients responded best when informed of their problem by their mothers and when the relationship between mother and daughter was good. The majority of patients found colposcopy to be unpleasant; they tended to be disturbed in proportion to the degree of being upset about DES exposure. The most common problem among mothers was guilt. A questionnaire survey of physicians showed that they had less concern for psychological problems than patients or mothers did. Sensitivity and good communication on the part of medical personnel are recommended.
对女儿及其母亲发现子宫内己烯雌酚（DES）暴露后的心理反应进行了研究。在DES阴道镜诊所，对41名女儿和20名母亲进行了广泛访谈。12名细胞学检查异常的患者作为对照。最初的焦虑通常在检查和咨询后会被对病情的接受所取代。当母亲告知女儿她们的问题且母女关系良好时，患者的反应最佳。大多数患者觉得阴道镜检查不愉快；她们因对DES暴露感到不安的程度不同而受到不同程度的困扰。母亲们最常见的问题是内疚。对医生的问卷调查显示，他们对心理问题的关注不如患者或母亲。建议医务人员保持敏感并进行良好的沟通。
