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BJOG. 2008 Jan;115(2):212-8.

A 2-year follow-up study of anxiety and depression in women referred for colposcopy after an abnormal cervical smear.

Author information

1
Department of Obstetrics and Gynaecology, Malmö University Hospital, Lund University, Malmö, Sweden. charlotte.hellsten@med.lu.se

Abstract

OBJECTIVES:

The aim of this study was to determine if there were any long-lasting elevated anxiety levels in women attending colposcopy after an abnormal cervical smear.

DESIGN:

Prospective study.

SETTING:

Department of Obstetrics and Gynaecology, Malmö University Hospital, Sweden.

POPULATION:

One hundred consecutive women were invited to participate when referred for colposcopy.

METHODS:

Women in the study group completed the State-Trait Anxiety Inventory, the Montgomery-Asberg Depression Rating Scale-self-rate (MADRS-S) and had a psychosocial interview prior to colposcopy at their two follow-up visits.

MAIN OUTCOME MEASURES:

State anxiety levels and depression scores at first visit, 6 months and 2 years.

RESULTS:

At follow up, levels of state anxiety and the depression scores of the women studied had decreased and were comparable to those of Swedish normative data. Two variables from the MADRS-S, 'ability to focus on different activities' and 'emotional involvement with others and in activities' were the most prominent for women with moderate to severe depression. At the 2-year visit, 30% of the women still had a fear of cancer.

CONCLUSIONS:

Referral for colposcopy after an abnormal cervical smear does not seem to result in long-lasting anxiety and depression. However, a subgroup of women, with the initially highest depression scores, still had at 2-year state anxiety levels and depression scores significantly higher than normal. Almost one-third of the women still had a fear of cancer in spite of lower 2-year state anxiety levels.

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