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Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis.
Health Psychology Review ( IF 9.638 ) Pub Date : 2020-05-24 , DOI: 10.1080/17437199.2020.1762106
Emily McBride 1 , Ovidiu Tatar 2, 3, 4 , Zeev Rosberger 3, 5 , Lauren Rockliffe 6 , Laura A V Marlow 7 , Rona Moss-Morris 8 , Navdeep Kaur 2 , Kristina Wade 3, 9 , Jo Waller 7
Affiliation  

Tens-of-millions of women every year test positive for human papillomavirus (HPV) at routine cervical screening. We performed a mixed-methods systematic review using a results-based convergent design to provide the first comprehensive overview of emotional response to testing positive for HPV (HPV+). We mapped our findings using the cognitive behavioural framework. Six electronic databases were searched from inception to 09-Nov-2019 and 33 papers were included. Random-effects meta-analyses revealed that HPV+ women with abnormal or normal cytology displayed higher short-term anxiety than those with normal results (MD on State-Trait Anxiety Inventory = 7.6, 95% CI: 4.59-10.60 and MD = 6.33, CI: 1.31-11.35, respectively); there were no long-term differences. Psychological distress (general/sexual/test-specific) was higher in HPV+ women with abnormal cytology in the short-term and long-term (SMD = 0.68, CI: 0.32-1.03 and SMD = 0.42, CI: 0.05-0.80, respectively). Testing HPV+ was also related to disgust/shame, surprise and fear about cancer. Broadly, adverse response related to eight cognitive constructs (low control, confusion, cancer-related concerns, relationship concerns, sexual concerns, uncertainty, stigma, low trust) and six behavioural constructs (relationship problems, social impact, non-disclosure of results, idiosyncratic prevention, indirect clinical interaction, changes to sexual practice). Almost exclusive use of observational and qualitative designs limited inferences of causality and conclusions regarding clinical significance.

中文翻译:

对宫颈癌筛查中人乳头瘤病毒检测呈阳性的情绪反应:混合方法系统评价与荟萃分析。

每年有数以千万计的女性在常规宫颈筛查中检测出人乳头瘤病毒 (HPV) 呈阳性。我们使用基于结果的收敛设计进行了混合方法系统评价,首次全面概述了对 HPV (HPV+) 检测呈阳性的情绪反应。我们使用认知行为框架绘制了我们的发现。从成立到 2019 年 11 月 9 日,共检索了 6 个电子数据库,共收录 33 篇论文。随机效应荟萃分析显示,细胞学异常或正常的 HPV+ 女性比结果正常的女性表现出更高的短期焦虑(状态特征焦虑量表的 MD = 7.6, 95% CI: 4.59-10.60 和 MD = 6.33, CI :分别为 1.31-11.35);没有长期差异。短期和长期细胞学异常的 HPV+ 女性的心理压力(一般/性/特定测试)较高(SMD = 0.68,CI:0.32-1.03 和 SMD = 0.42,CI:0.05-0.80,分别)。检测 HPV+ 也与对癌症的厌恶/羞耻、惊讶和恐惧有关。从广义上讲,不良反应与八种认知结构(低控制、混乱、癌症相关问题、关系问题、性问题、不确定性、污名、低信任)和六种行为结构(关系问题、社会影响、不披露结果、异质性预防、间接临床互动、改变性行为)。几乎完全使用观察和定性设计限制了因果关系的推断和关于临床意义的结论。32-1.03 和 SMD = 0.42,CI:0.05-0.80,分别)。检测 HPV+ 也与对癌症的厌恶/羞耻、惊讶和恐惧有关。从广义上讲,不良反应与八种认知结构(低控制、混乱、癌症相关问题、关系问题、性问题、不确定性、污名、低信任)和六种行为结构(关系问题、社会影响、不披露结果、异质性预防、间接临床互动、改变性行为)。几乎完全使用观察和定性设计限制了因果关系的推断和关于临床意义的结论。32-1.03 和 SMD = 0.42,CI:0.05-0.80,分别)。检测 HPV+ 也与对癌症的厌恶/羞耻、惊讶和恐惧有关。从广义上讲,不良反应与八种认知结构(低控制、混乱、癌症相关问题、关系问题、性问题、不确定性、污名、低信任)和六种行为结构(关系问题、社会影响、不披露结果、异质性预防、间接临床互动、改变性行为)。几乎完全使用观察和定性设计限制了因果关系的推断和关于临床意义的结论。困惑、癌症相关问题、关系问题、性问题、不确定性、耻辱感、低信任度)和六种行为结构(关系问题、社会影响、结果不披露、异质性预防、间接临床互动、性行为改变)。几乎完全使用观察和定性设计限制了因果关系的推断和关于临床意义的结论。困惑、癌症相关问题、关系问题、性问题、不确定性、耻辱感、低信任度)和六种行为结构(关系问题、社会影响、结果不披露、异质性预防、间接临床互动、性行为改变)。几乎完全使用观察和定性设计限制了因果关系的推断和关于临床意义的结论。
更新日期:2020-05-24
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