Document Detail

A longitudinal 2-year follow-up of quality of life in women referred for colposcopy after an abnormal cervical smear.
MedLine Citation:
PMID:  19782459     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the long-term impact on quality of life (QoL) in women referred for colposcopy after an abnormal cervical smear. STUDY DESIGN: One hundred consecutive women referred for colposcopy for the first time subsequent to receiving notification of an abnormal cervical smear. Women in the study group completed the Swedish Health Survey Short Form-36 (SF-36), the State/Trait Anxiety Inventory (STAI, Form Y), and the Montgomery Asberg Depression Rating Scale, Self-rate (MADRS-S). The women had follow-up visits at 6 months and 2 years. RESULTS: The baseline mean for the mental component summary score and for all mental subscale scores on the SF-36 were statistically significantly lower than Swedish normative data for women. At the end of 2 years, the mental component summary scale and vitality were still significantly lower than such data. There were no differences in QoL between women having had treatment with Large Loop Excision of the Transformation Zone (LLETZ) compared to those who did not. When studied separately, non-depressed women felt no impact on QoL whereas women with higher depression scores judged their mental health QoL worse. CONCLUSIONS: Women experienced long-lasting negative effects on their mental health, but not on their physical health after referral for colposcopy. LLETZ had no measurable influence on QoL at any of the visits. This indicates that it is not the severity of the lesions or the treatment itself that affects women but the fact of having had an abnormal cervical smear identified. Depressive mood may be a major variable for the perception of low QoL.
C Hellsten; K Sj??str??m; P G Lindqvist
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Publication Detail:
Type:  Journal Article     Date:  2009-09-25
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  147     ISSN:  1872-7654     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-16     Completed Date:  2010-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  221-5     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Clinical Science, Malm?? University Hospital, Lund University, S-205 02 Malm??, Sweden.
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MeSH Terms
Anxiety / psychology
Colposcopy / psychology*
Depression / psychology
Follow-Up Studies
Longitudinal Studies
Middle Aged
Quality of Life*
Referral and Consultation
Vaginal Smears / psychology*

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