文章：

因宫颈癌筛查阳性需接受额外诊断程序的女性心理社会负担

Psychosocial Burden of Women Who Are to Undergo Additional Diagnostic Procedures Due to Positive Screening for Cervical Cancer

原文发布日期：20 October 2024

DOI: 10.3390/cancers16203541

类型: Article

开放获取: 是

英文摘要：

Background/Objectives: This study aimed to evaluate psychosocial burden and its associated factors in women who were referred for additional diagnostic procedures following receipt of a positive cervical-cancer-screening smear result.Methods: A cross-sectional study was performed in a consecutive cohort of only women who received an abnormal Papanicolaou screening result and therefore presented to a gynecologist for additional diagnostic examinations (colposcopy/biopsy/endocervical curettage) at the Clinic for Gynecology and Obstetrics of the Clinical Center. Multivariate linear regression was used for data analysis, with Bonferroni correction applied for multiple comparisons.Results: Significant independent predictors for the occurrence of psychosocial burden–worry in women with a positive Papanicolaou screening test before diagnostic procedures were the use of oral contraceptives (β = −0.174,p< 0.001), alcohol consumption (β = 0.188,p< 0.001), anxiety (β = −0.189,p= 0.001), high burden of depressive symptoms (β = 0.191,p= 0.001) and insufficient knowledge of the meaning of the term dysplasia/precancerous (β = −0.187,p< 0.001), according to the multivariate linear regression. The significant independent predictor for the occurrence of psychosocial burden–satisfaction with information/support in women with a positive Papanicolaou screening test before diagnostic procedures was psychological distress (β = −0.210,p= 0.001).Conclusions: Providing information in order to improve understanding of the term dysplasia/precancerous, as well as identifying which women are at risk of psychosocial burden, may help protect against this potential harm among women who receive a positive cervical-cancer-screening result and may facilitate their intention to undergo further diagnostic procedures.

摘要翻译： 

背景/目的：本研究旨在评估在接受宫颈癌筛查涂片阳性结果后被转诊进行额外诊断程序的女性所面临的心理社会负担及其相关因素。 方法：本研究采用横断面设计，连续纳入在临床中心妇产科诊所因巴氏涂片筛查结果异常而接受妇科医生额外诊断检查（阴道镜/活检/宫颈管搔刮术）的女性队列。数据分析采用多元线性回归，并对多重比较进行Bonferroni校正。 结果：根据多元线性回归分析，在诊断程序前巴氏涂片筛查阳性的女性中，心理社会负担——担忧发生的显著独立预测因素包括：口服避孕药使用（β = −0.174, p < 0.001）、饮酒（β = 0.188, p < 0.001）、焦虑状态（β = −0.189, p = 0.001）、抑郁症状高负担（β = 0.191, p = 0.001）以及对"异型增生/癌前病变"术语含义认知不足（β = −0.187, p < 0.001）。而心理社会负担——信息/支持满意度的显著独立预测因素为心理困扰（β = −0.210, p = 0.001）。 结论：通过提供信息以提升对"异型增生/癌前病变"术语的理解，并识别存在心理社会负担风险的女性群体，有助于预防宫颈癌筛查阳性女性可能遭受的潜在伤害，并可促进其接受进一步诊断程序的意愿。

原文链接：

Psychosocial Burden of Women Who Are to Undergo Additional Diagnostic Procedures Due to Positive Screening for Cervical Cancer