TY - JOUR
T1 - Adverse psychological outcomes following colposcopy and related procedures
T2 - A systematic review
AU - O'Connor, M.
AU - Gallagher, P.
AU - Waller, J.
AU - Martin, C. M.
AU - O'Leary, J. J.
AU - Sharp, L.
N1 - Publisher Copyright:
© 2015 Royal College of Obstetricians and Gynaecologists.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Background Although colposcopy is the leading follow-up option for women with abnormal cervical cytology, little is known about its psychological consequences. Objectives We performed a systematic review to examine: (1) what, if any, are the adverse psychological outcomes following colposcopy and related procedures; (2) what are the predictors of adverse psychological outcomes post-colposcopy; and (3) what happens to these outcomes over time. Search strategy Five electronic databases (PubMed, PsychINFO, CINAHL, Web of Science, Scopus) were searched for studies published in English between January 1986 and February 2014. Selection criteria Eligible studies assessed psychological wellbeing at one or more time-points post-colposcopy. Data collection and analysis Two reviewers independently screened titles and abstracts. Full texts of potentially eligible papers were reviewed. Data were abstracted from, and a quality appraisal performed of, eligible papers. Main results Twenty-three papers reporting 16 studies were eligible. Colposcopy and related procedures can lead to adverse psychological outcomes, particularly anxiety. Ten studies investigated predictors of adverse psychological outcomes; management type and treatment had no impact on this. Seven studies investigated temporal trends in psychological outcomes post-colposcopy; findings were mixed, especially in relation to anxiety and distress. Studies were methodologically heterogeneous. Conclusions Follow-up investigations and procedures for abnormal cervical cytology can cause adverse psychological outcomes among women. However, little is known about the predictors of these outcomes or how long they persist. There is a need for a more standardised approach to the examination of the psychological impact of colposcopy, especially longer-term outcomes. Tweetable abstract Follow-up investigations for abnormal cervical cytology can cause adverse psychological outcome among women. Tweetable abstract Follow-up investigations for abnormal cervical cytology can cause adverse psychological outcome among women.
AB - Background Although colposcopy is the leading follow-up option for women with abnormal cervical cytology, little is known about its psychological consequences. Objectives We performed a systematic review to examine: (1) what, if any, are the adverse psychological outcomes following colposcopy and related procedures; (2) what are the predictors of adverse psychological outcomes post-colposcopy; and (3) what happens to these outcomes over time. Search strategy Five electronic databases (PubMed, PsychINFO, CINAHL, Web of Science, Scopus) were searched for studies published in English between January 1986 and February 2014. Selection criteria Eligible studies assessed psychological wellbeing at one or more time-points post-colposcopy. Data collection and analysis Two reviewers independently screened titles and abstracts. Full texts of potentially eligible papers were reviewed. Data were abstracted from, and a quality appraisal performed of, eligible papers. Main results Twenty-three papers reporting 16 studies were eligible. Colposcopy and related procedures can lead to adverse psychological outcomes, particularly anxiety. Ten studies investigated predictors of adverse psychological outcomes; management type and treatment had no impact on this. Seven studies investigated temporal trends in psychological outcomes post-colposcopy; findings were mixed, especially in relation to anxiety and distress. Studies were methodologically heterogeneous. Conclusions Follow-up investigations and procedures for abnormal cervical cytology can cause adverse psychological outcomes among women. However, little is known about the predictors of these outcomes or how long they persist. There is a need for a more standardised approach to the examination of the psychological impact of colposcopy, especially longer-term outcomes. Tweetable abstract Follow-up investigations for abnormal cervical cytology can cause adverse psychological outcome among women. Tweetable abstract Follow-up investigations for abnormal cervical cytology can cause adverse psychological outcome among women.
KW - Adverse psychological outcomes
KW - anxiety
KW - cervix
KW - colposcopy
KW - screening
KW - systematic review
UR - http://www.scopus.com/inward/record.url?scp=84952863806&partnerID=8YFLogxK
U2 - 10.1111/1471-0528.13462
DO - 10.1111/1471-0528.13462
M3 - Review article
C2 - 26099164
AN - SCOPUS:84952863806
SN - 1470-0328
VL - 123
SP - 24
EP - 38
JO - BJOG: An International Journal of Obstetrics and Gynaecology
JF - BJOG: An International Journal of Obstetrics and Gynaecology
IS - 1
ER -