Psychosocial factors and the grade of cervical intra-epithelial neoplasia: A semi-prospective study

Ellen Stella M. Tiersma, Marije L. Van Der Lee, Alexander A.W. Peters, Adriaan P. Visser, Gert Jan Fleuren, Bert Garssen, Karin M. Van Leeuwen, Saskia Le Cessie, Karl Goodkin

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)603-610
Number of pages8
JournalGynecologic Oncology
Volume92
Issue number2
DOIs
StatePublished - Feb 2004

Keywords

  • Adaptation psychological
  • Cervical intra-epithelial neoplasia
  • Health behavior
  • Life change events
  • Psychology
  • Psychoneuroimmunology
  • Social support

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Psychosocial factors and the grade of cervical intra-epithelial neoplasia: A semi-prospective study'. Together they form a unique fingerprint.

  • Cite this

    Tiersma, E. S. M., Van Der Lee, M. L., Peters, A. A. W., Visser, A. P., Fleuren, G. J., Garssen, B., Van Leeuwen, K. M., Le Cessie, S., & Goodkin, K. (2004). Psychosocial factors and the grade of cervical intra-epithelial neoplasia: A semi-prospective study. Gynecologic Oncology, 92(2), 603-610. https://doi.org/10.1016/j.ygyno.2003.10.046