Psychosocial factors and the grade of cervical intra-epithelial neoplasia: A semi-prospective study

Ellen Stella M Tiersma; Marije L Van Der Lee; Alexander A.w Peters; Adriaan P Visser; Gert Jan Fleuren; Bert Garssen; Karin M Van Leeuwen; Saskia Le Cessie; Karl Goodkin

doi:10.1016/j.ygyno.2003.10.046

Psychosocial factors and the grade of cervical intra-epithelial neoplasia: A semi-prospective study

Ellen Stella M Tiersma, Marije L Van Der Lee, Alexander A.w Peters, Adriaan P Visser, Gert Jan Fleuren, Bert Garssen, Karin M Van Leeuwen, Saskia Le Cessie, Karl Goodkin

Research output: Contribution to journal › Article › Scientific › peer-review

Abstract

Objective.
To study the influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia.

Methods.
The influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia (CIN) was studied in a group of 342 patients with an abnormal cervical smear. Participants completed a set of questionnaires after colposcopy directed biopsy before knowing the biopsy result. Negatively rated life events, social support, and coping style were studied in relation to distress and grade of CIN. Infection with human papillomavirus (HPV) types was controlled for, as well as sick role bias caused by suspicion of having cervical cancer and distress due to the abnormal cervical smear.

Results.
Negatively rated life events, lack of social support, and emotional coping were significant predictors for level of distress. No significant relationship was found, however, between the psychosocial factors and grade of CIN.

Conclusion.
No support was found for an influence of negatively rated life events, social support, coping style, and distress on grade of CIN.

Original language	English
Pages (from-to)	603-610
Journal	Gynecologic Oncology
Volume	92
Issue number	2
DOIs	https://doi.org/10.1016/j.ygyno.2003.10.046
Publication status	Published - 2004
Externally published	Yes

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10.1016/j.ygyno.2003.10.046

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@article{31691a42fb14473eb09fdc7048959189,

title = "Psychosocial factors and the grade of cervical intra-epithelial neoplasia: A semi-prospective study",

abstract = "Objective. To study the influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia.Methods. The influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia (CIN) was studied in a group of 342 patients with an abnormal cervical smear. Participants completed a set of questionnaires after colposcopy directed biopsy before knowing the biopsy result. Negatively rated life events, social support, and coping style were studied in relation to distress and grade of CIN. Infection with human papillomavirus (HPV) types was controlled for, as well as sick role bias caused by suspicion of having cervical cancer and distress due to the abnormal cervical smear.Results. Negatively rated life events, lack of social support, and emotional coping were significant predictors for level of distress. No significant relationship was found, however, between the psychosocial factors and grade of CIN.Conclusion. No support was found for an influence of negatively rated life events, social support, coping style, and distress on grade of CIN.",

author = "Tiersma, {Ellen Stella M} and {Van Der Lee}, {Marije L} and Peters, {Alexander A.w} and Visser, {Adriaan P} and {Jan Fleuren}, Gert and Bert Garssen and {Van Leeuwen}, {Karin M} and {Le Cessie}, Saskia and Karl Goodkin",

year = "2004",

doi = "10.1016/j.ygyno.2003.10.046",

language = "English",

volume = "92",

pages = "603--610",

journal = "Gynecologic Oncology",

issn = "0090-8258",

publisher = "Academic Press Inc.",

number = "2",

}

TY - JOUR

T1 - Psychosocial factors and the grade of cervical intra-epithelial neoplasia

T2 - A semi-prospective study

AU - Tiersma, Ellen Stella M

AU - Van Der Lee, Marije L

AU - Peters, Alexander A.w

AU - Visser, Adriaan P

AU - Jan Fleuren, Gert

AU - Garssen, Bert

AU - Van Leeuwen, Karin M

AU - Le Cessie, Saskia

AU - Goodkin, Karl

PY - 2004

Y1 - 2004

N2 - Objective. To study the influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia.Methods. The influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia (CIN) was studied in a group of 342 patients with an abnormal cervical smear. Participants completed a set of questionnaires after colposcopy directed biopsy before knowing the biopsy result. Negatively rated life events, social support, and coping style were studied in relation to distress and grade of CIN. Infection with human papillomavirus (HPV) types was controlled for, as well as sick role bias caused by suspicion of having cervical cancer and distress due to the abnormal cervical smear.Results. Negatively rated life events, lack of social support, and emotional coping were significant predictors for level of distress. No significant relationship was found, however, between the psychosocial factors and grade of CIN.Conclusion. No support was found for an influence of negatively rated life events, social support, coping style, and distress on grade of CIN.

AB - Objective. To study the influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia.Methods. The influence of psychosocial factors on the grade of cervical intra-epithelial neoplasia (CIN) was studied in a group of 342 patients with an abnormal cervical smear. Participants completed a set of questionnaires after colposcopy directed biopsy before knowing the biopsy result. Negatively rated life events, social support, and coping style were studied in relation to distress and grade of CIN. Infection with human papillomavirus (HPV) types was controlled for, as well as sick role bias caused by suspicion of having cervical cancer and distress due to the abnormal cervical smear.Results. Negatively rated life events, lack of social support, and emotional coping were significant predictors for level of distress. No significant relationship was found, however, between the psychosocial factors and grade of CIN.Conclusion. No support was found for an influence of negatively rated life events, social support, coping style, and distress on grade of CIN.

U2 - 10.1016/j.ygyno.2003.10.046

DO - 10.1016/j.ygyno.2003.10.046

M3 - Article

SN - 0090-8258

VL - 92

SP - 603

EP - 610

JO - Gynecologic Oncology

JF - Gynecologic Oncology

IS - 2

ER -

Psychosocial factors and the grade of cervical intra-epithelial neoplasia: A semi-prospective study

Abstract

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