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Exploring Reasons for Variations in Anxiety After Testing Positive for Human Papillomavirus with Normal Cytology: A Comparative Qualitative Study

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Exploring Reasons for Variations in Anxiety After Testing Positive for Human Papillomavirus with Normal Cytology: A Comparative Qualitative Study. / McBride, Emily; Marlow, Laura A.V.; Bennett, Kirsty F.; Stearns, Selma; Waller, Jo.

In: Psycho-Oncology, 09.09.2020.

Research output: Contribution to journalArticle

Harvard

McBride, E, Marlow, LAV, Bennett, KF, Stearns, S & Waller, J 2020, 'Exploring Reasons for Variations in Anxiety After Testing Positive for Human Papillomavirus with Normal Cytology: A Comparative Qualitative Study', Psycho-Oncology. https://doi.org/10.1002/pon.5540

APA

McBride, E., Marlow, L. A. V., Bennett, K. F., Stearns, S., & Waller, J. (2020). Exploring Reasons for Variations in Anxiety After Testing Positive for Human Papillomavirus with Normal Cytology: A Comparative Qualitative Study. Psycho-Oncology. https://doi.org/10.1002/pon.5540

Vancouver

McBride E, Marlow LAV, Bennett KF, Stearns S, Waller J. Exploring Reasons for Variations in Anxiety After Testing Positive for Human Papillomavirus with Normal Cytology: A Comparative Qualitative Study. Psycho-Oncology. 2020 Sep 9. https://doi.org/10.1002/pon.5540

Author

McBride, Emily ; Marlow, Laura A.V. ; Bennett, Kirsty F. ; Stearns, Selma ; Waller, Jo. / Exploring Reasons for Variations in Anxiety After Testing Positive for Human Papillomavirus with Normal Cytology: A Comparative Qualitative Study. In: Psycho-Oncology. 2020.

Bibtex Download

@article{f47ae537a1e8464199e00d201a54c921,
title = "Exploring Reasons for Variations in Anxiety After Testing Positive for Human Papillomavirus with Normal Cytology: A Comparative Qualitative Study",
abstract = "Objective: To explore reasons for variations in anxiety in women testing positive for human papillomavirus (HPV) with normal cytology at routine HPV primary cervical cancer screening. Methods: In-depth interviews were conducted with 30 women who had tested HPV-positive with normal cytology, including 15 with low-to-normal anxiety and 15 with high anxiety. Data were analysed using Framework Analysis to compare themes between low and high anxiety groups. Results: Several HPV-related themes were shared across anxiety groups, but only highly anxious women expressed fear and worry, fatalistic cognitions about cancer, fertility-related cognitions, adverse physiological responses and changes in health behaviour(s). In comparison to those with low anxiety, women with high anxiety more strongly voiced cognitions about the 12-month wait for follow-up screening, relationship infidelity, a lower internal locus of control and HPV-related symptom attributions. Conclusions: Receiving an HPV-positive with normal cytology result related to various emotional, cognitive, behavioural and physiological responses; some of which were specific to, or more pronounced in, women with high anxiety. If our observations are confirmed in hypothesis-driven quantitative studies, the identification of distinct themes relevant to women experiencing high anxiety can inform targeted patient communications and HPV primary screening implementation policy.",
keywords = "HPV, anxiety, cancer, cervical cancer, cervical screening, cytology, mental health, oncology, psycho-oncology, psychology",
author = "Emily McBride and Marlow, {Laura A.V.} and Bennett, {Kirsty F.} and Selma Stearns and Jo Waller",
year = "2020",
month = sep,
day = "9",
doi = "10.1002/pon.5540",
language = "English",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Exploring Reasons for Variations in Anxiety After Testing Positive for Human Papillomavirus with Normal Cytology: A Comparative Qualitative Study

AU - McBride, Emily

AU - Marlow, Laura A.V.

AU - Bennett, Kirsty F.

AU - Stearns, Selma

AU - Waller, Jo

PY - 2020/9/9

Y1 - 2020/9/9

N2 - Objective: To explore reasons for variations in anxiety in women testing positive for human papillomavirus (HPV) with normal cytology at routine HPV primary cervical cancer screening. Methods: In-depth interviews were conducted with 30 women who had tested HPV-positive with normal cytology, including 15 with low-to-normal anxiety and 15 with high anxiety. Data were analysed using Framework Analysis to compare themes between low and high anxiety groups. Results: Several HPV-related themes were shared across anxiety groups, but only highly anxious women expressed fear and worry, fatalistic cognitions about cancer, fertility-related cognitions, adverse physiological responses and changes in health behaviour(s). In comparison to those with low anxiety, women with high anxiety more strongly voiced cognitions about the 12-month wait for follow-up screening, relationship infidelity, a lower internal locus of control and HPV-related symptom attributions. Conclusions: Receiving an HPV-positive with normal cytology result related to various emotional, cognitive, behavioural and physiological responses; some of which were specific to, or more pronounced in, women with high anxiety. If our observations are confirmed in hypothesis-driven quantitative studies, the identification of distinct themes relevant to women experiencing high anxiety can inform targeted patient communications and HPV primary screening implementation policy.

AB - Objective: To explore reasons for variations in anxiety in women testing positive for human papillomavirus (HPV) with normal cytology at routine HPV primary cervical cancer screening. Methods: In-depth interviews were conducted with 30 women who had tested HPV-positive with normal cytology, including 15 with low-to-normal anxiety and 15 with high anxiety. Data were analysed using Framework Analysis to compare themes between low and high anxiety groups. Results: Several HPV-related themes were shared across anxiety groups, but only highly anxious women expressed fear and worry, fatalistic cognitions about cancer, fertility-related cognitions, adverse physiological responses and changes in health behaviour(s). In comparison to those with low anxiety, women with high anxiety more strongly voiced cognitions about the 12-month wait for follow-up screening, relationship infidelity, a lower internal locus of control and HPV-related symptom attributions. Conclusions: Receiving an HPV-positive with normal cytology result related to various emotional, cognitive, behavioural and physiological responses; some of which were specific to, or more pronounced in, women with high anxiety. If our observations are confirmed in hypothesis-driven quantitative studies, the identification of distinct themes relevant to women experiencing high anxiety can inform targeted patient communications and HPV primary screening implementation policy.

KW - HPV

KW - anxiety

KW - cancer

KW - cervical cancer

KW - cervical screening

KW - cytology

KW - mental health

KW - oncology

KW - psycho-oncology

KW - psychology

UR - http://www.scopus.com/inward/record.url?scp=85091196322&partnerID=8YFLogxK

U2 - 10.1002/pon.5540

DO - 10.1002/pon.5540

M3 - Article

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

ER -

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