O'Connor, M;
O'Brien, K;
Waller, J;
Gallagher, P;
D'Arcy, T;
Flannelly, G;
Martin, CM;
... Irish Cervical Screening Research Consortium (CERVIVA), .; + view all
(2017)
Physical after-effects of colposcopy and related procedures and their inter-relationship with psychological distress: a longitudinal survey.
BJOG: An International Journal of Obstetrics & Gynaecology
, 124
(9)
pp. 1402-1410.
10.1111/1471-0528.14671.
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Abstract
OBJECTIVES: To estimate prevalence of post-colposcopy physical after-effects and investigate associations between these and subsequent psychological distress. DESIGN: Longitudinal survey. SETTING: Two hospital-based colposcopy clinics. POPULATION: Women with abnormal cytology who underwent colposcopy (+/- related procedures). METHODS: Questionnaires were mailed to women 4-, 8- and 12-months post-colposcopy. Details of physical after-effects (pain, bleeding and discharge) experienced post-colposcopy were collected at 4-months. Colposcopy-specific distress was measured using the Process Outcome Specific Measure at all time-points. Linear mixed effects regression was used to identify associations between physical after-effects and distress over 12-months, adjusting for socio-demographic and clinical variables. MAIN OUTCOME MEASURES: Prevalence of post-colposcopy physical after-effects. Associations between presence of any physical after-effects, awareness of after-effects and number of after-effects and distress. RESULTS: 584 women were recruited (response rate=73%, 59% and 52% at 4, 8 and 12-months, respectively). 82% of women reported one or more physical after-effect(s). Multiple physical after-effects were common (two after-effects=25%; three after-effects=25%). Psychological distress scores declined significantly over time. In adjusted analyses, women who experienced all three physical after-effects had on average a 4.58 (95% CI 1.10 to 8.05) higher distress scored than those who experienced no after-effects. Women who were unaware of the possibility of experiencing after-effects scored significantly higher for distress during follow-up. CONCLUSIONS: Prevalence of physical after-effects of colposcopy and related procedures is high. The novel findings of inter-relationships between awareness of the possibility of after-effects, and experiencing multiple after-effects, and post-colposcopy distress may be relevant to the development of interventions to alleviate post-colposcopy distress.
| Type: | Article |
|---|---|
| Title: | Physical after-effects of colposcopy and related procedures and their inter-relationship with psychological distress: a longitudinal survey |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/1471-0528.14671 |
| Publisher version: | http://dx.doi.org/10.1111/1471-0528.14671 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Longitudinal survey, colposcopy, physical after-effects, post-colposcopy distress |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1549782 |
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