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dc.contributor.authorKOLA, S.
dc.contributor.authorWALSH, J.C.
dc.date.accessioned2018-09-20T16:13:26Z
dc.date.available2018-09-20T16:13:26Z
dc.date.issued2011-11-30
dc.identifier.citationKOLA, S. WALSH, J.C. (2011). Determinants of pre-procedural state anxiety and negative affect in first-time colposcopy patients: implications for intervention. European Journal of Cancer Care 21 (4), 469-476
dc.identifier.issn0961-5423
dc.identifier.urihttp://hdl.handle.net/10379/12295
dc.description.abstractWomen experience significant emotional distress in relation to further diagnostic evaluation of pre-cancerous cell changes of the cervix. However, less is known about the specific variables that contribute to elevated state anxiety and negative affect prior to colposcopy. The study aims to identify psychosocial factors that predict distress in this patient group, which can help in the development of more sophisticated interventions to reduce psychological distress. Socio-demographic variables, scores for state anxiety, negative affect, trait anxiety, fear of pain, coping style, pain-related expectancy and knowledge were assessed in 164 first-time colposcopy patients immediately before the colposcopy examination. Twenty-six per cent of variance in pre-colposcopy state anxiety was significantly explained by marital status, parity, trait anxiety, fear of minor pain and expectations of discomfort. Twenty-nine per cent of variance in pre-colposcopy negative affect was significantly explained by trait anxiety and expectations of pain. Women who are single, have children, are high trait anxious, and anticipate pain and discomfort appear to be at risk for pre-colposcopy distress. Interventions aimed at reducing pre-colposcopy psychological distress should include situation-specific variables that are amenable to change, and trait anxious women are likely to benefit from interventions to reduce distress.
dc.publisherWiley-Blackwell
dc.relation.ispartofEuropean Journal of Cancer Care
dc.subjectcolposcopy
dc.subjectanxiety
dc.subjectnegative affect
dc.subjectcervical screening
dc.subjectpsychology
dc.subjectcervical intraepithelial neoplasia
dc.subjectpsychological reactions
dc.subjectpsychosocial factors
dc.subjectnonclinical sample
dc.subjectdental treatment
dc.subjectwomen
dc.subjectpain
dc.subjectfear
dc.subjectquestionnaire
dc.subjectsurgery
dc.titleDeterminants of pre-procedural state anxiety and negative affect in first-time colposcopy patients: implications for intervention
dc.typeArticle
dc.identifier.doi10.1111/j.1365-2354.2011.01317.x
dc.local.publishedsourcehttp://eprints.hud.ac.uk/id/eprint/11792/1/E_J_Cancer_Care_Kola_7_Walsh.pdf
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