TY - JOUR
T1 - Psychosocial factors and the grade of cervical intra-epithelial neoplasia
T2 - A semi-prospective study
AU - Tiersma, Ellen Stella M.
AU - Van Der Lee, Marije L.
AU - Peters, Alexander A.W.
AU - Visser, Adriaan P.
AU - Fleuren, Gert Jan
AU - Garssen, Bert
AU - Van Leeuwen, Karin M.
AU - Le Cessie, Saskia
AU - Goodkin, Karl
N1 - Funding Information:
The study was supported by the Dutch Cancer Society (NKB); grant HDI 95-892.
PY - 2004/2
Y1 - 2004/2
N2 - Objective. To study the influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia. Methods. The influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia (CIN) was studied in a group of 342 patients with an abnormal cervical smear. Participants completed a set of questionnaires after colposcopy directed biopsy before knowing the biopsy result. Negatively rated life events, social support, and coping style were studied in relation to distress and grade of CIN. Infection with human papillomavirus (HPV) types was controlled for, as well as sick role bias caused by suspicion of having cervical cancer and distress due to the abnormal cervical smear. Results. Negatively rated life events, lack of social support, and emotional coping were significant predictors for level of distress. No significant relationship was found, however, between the psychosocial factors and grade of CIN. Conclusion. No support was found for an influence of negatively rated life events, social support, coping style, and distress on grade of CIN.
AB - Objective. To study the influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia. Methods. The influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia (CIN) was studied in a group of 342 patients with an abnormal cervical smear. Participants completed a set of questionnaires after colposcopy directed biopsy before knowing the biopsy result. Negatively rated life events, social support, and coping style were studied in relation to distress and grade of CIN. Infection with human papillomavirus (HPV) types was controlled for, as well as sick role bias caused by suspicion of having cervical cancer and distress due to the abnormal cervical smear. Results. Negatively rated life events, lack of social support, and emotional coping were significant predictors for level of distress. No significant relationship was found, however, between the psychosocial factors and grade of CIN. Conclusion. No support was found for an influence of negatively rated life events, social support, coping style, and distress on grade of CIN.
KW - Adaptation psychological
KW - Cervical intra-epithelial neoplasia
KW - Health behavior
KW - Life change events
KW - Psychology
KW - Psychoneuroimmunology
KW - Social support
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U2 - 10.1016/j.ygyno.2003.10.046
DO - 10.1016/j.ygyno.2003.10.046
M3 - Article
C2 - 14766254
AN - SCOPUS:0842267356
SN - 0090-8258
VL - 92
SP - 603
EP - 610
JO - Gynecologic Oncology
JF - Gynecologic Oncology
IS - 2
ER -