Psychological Effects of Low-Grade Abnormal Cervical Smear Results
Author Information
Author(s): Gray N M, Sharp L, Cotton S C, Masson L F, Little J, Walker L G, Avis M, Philips Z, Russell I, Whynes D, Cruickshank M, Woolley C M
Primary Institution: University of Aberdeen and Grampian University Hospitals
Hypothesis
What are the psychological and psychosocial effects on women receiving a low-grade abnormal cervical smear result?
Conclusion
The study found that a significant number of women experience anxiety after receiving a low-grade abnormal cervical smear result, similar to those with high-grade results.
Supporting Evidence
- 23% of women scored 11 or more on the anxiety subscale of the HADS.
- Anxiety levels were similar to those found in women with high-grade smear results.
- Women with children and current smokers were at higher risk of anxiety.
Takeaway
When women get a low-grade abnormal cervical smear result, many feel anxious and worried, just like those who get worse results.
Methodology
The study assessed anxiety levels using the Hospital Anxiety and Depression Scale (HADS) and collected socio-demographic and lifestyle data from participants.
Potential Biases
Potential bias due to the self-reported nature of anxiety and the influence of the recruitment setting on participants' anxiety levels.
Limitations
The study may not account for the anxiety caused by the hospital setting during recruitment and the variability in how smear results are communicated to women.
Participant Demographics
Participants were women aged 20-59, predominantly white, with a mean age of 34 years; 56% had children and 35% were current smokers.
Statistical Information
P-Value
0.010
Confidence Interval
95% CI=0.48–0.97
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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