Universität zu Köln

Thangarajah, Fabinshy, Einzmann, Thomas, Bergauer, Florian, Patzke, Jan, Schmidt-Petruschkat, Silke, Theune, Monika, Engel, Katja, Puppe, Julian, Richters, Lisa, Mallmann, Peter and Kirn, Verena (2016). Cervical screening program and the psychological impact of an abnormal Pap smear: a self-assessment questionnaire study of 590 patients. Arch. Gynecol. Obstet., 293 (2). S. 391 - 399. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-0711

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Abstract

Invasive cervical cancer is today the fourth most common cancer of women in western civilization. Screening programs have led to a continuously decrease. Nevertheless, both screening and a positive test result are known to be associated with a negative psychological impact. Screening programs in European countries differ and thus psychological impact might as well. The aim of this study was to evaluate the psychological impact of women with an abnormal Pap smear in a German cohort. Between July 2013 and May 2014, a self-assessment questionnaire was distributed to 595 patients that were referred to a special clinic for cervical dysplasia for further evaluation of an abnormal Pap smear. Patients were recruited in five different centers. Most patients (45.9 %) were informed about the test result via phone call by their doctor. 68.8 % of the patients felt anxious and 26.3 % even felt panic. After having talked to their physician, 51.4 % of our cohort still felt worried and only 24.4 % felt reassured. Concerning disease management, 48.4 % underwent a control Pap smear in 6 months. The preferred information source was the physician (63.9 %). Compared to the results in other European countries, our study cohort showed differences concerning age distribution, patients living in a partnership, number of children and especially disease management. Cancer screening itself and abnormal test results have an impact on patient's feelings. To reduce the psychological impact, patients need to be better informed about the risks and benefits of cancer screening programs and in case of cervical cancer screening about the meaning of an abnormal test result. Our results underline the importance of a trustful physician-patient relationship in that matter.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Thangarajah, Fabinshy UNSPECIFIED UNSPECIFIED UNSPECIFIED Einzmann, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Bergauer, Florian UNSPECIFIED UNSPECIFIED UNSPECIFIED Patzke, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt-Petruschkat, Silke UNSPECIFIED UNSPECIFIED UNSPECIFIED Theune, Monika UNSPECIFIED UNSPECIFIED UNSPECIFIED Engel, Katja UNSPECIFIED UNSPECIFIED UNSPECIFIED Puppe, Julian UNSPECIFIED UNSPECIFIED UNSPECIFIED Richters, Lisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Mallmann, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Kirn, Verena UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-285981
DOI:	10.1007/s00404-015-3821-z
Journal or Publication Title:	Arch. Gynecol. Obstet.
Volume:	293
Number:	2
Page Range:	S. 391 - 399
Date:	2016
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-0711
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; HUMAN-PAPILLOMAVIRUS; WOMEN; PREVENTION; COLPOSCOPY Multiple languages Obstetrics & Gynecology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28598