Distinct Illness Representation Profiles Are Associated With Anxiety in Women Testing Positive for Human Papillomavirus.
Background: Testing positive for human papillomavirus (HPV) at cervical cancer screening has been associated with heightened anxiety. To date, the cognitive determinants of heightened anxiety remain unclear, making it difficult to design effective interventions.Purpose: This study investigated laten...
| Publicado en: | Annals of Behavioral Medicine Vol. 56; no. 1; pp. 78 - 89 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Jan2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=154337965&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154337965 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08836612 H5U jtl: Annals of Behavioral Medicine issn: 08836612 maglogo: N pubinfo: dt: Jan2022 vid: 56 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 154337965 154337965 NLM33881145 154337965 10.1093/abm/kaab022 NLM33881145 154337965 ppf: 78 ppct: 11 formats: tig: atl: Distinct Illness Representation Profiles Are Associated With Anxiety in Women Testing Positive for Human Papillomavirus. aug: au: McBride, Emily Marlow, Laura A V Chilcot, Joseph Moss-Morris, Rona Waller, Jo affil: Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London , London , UK sug: subj: Vertebrate Viruses Papillomavirus Infections Prevention and Control Cervix Neoplasms Diagnosis Papillomavirus Infections Diagnosis Cross Sectional Studies Female Aged Anxiety Diagnosis Cervical Smears Psychosocial Factors Young Adult Health Screening Psychosocial Factors Human Adult Early Detection of Cancer Psychosocial Factors Papillomaviruses Middle Age Comparative Studies Multicenter Studies Evaluation Research Validation Studies State-Trait Anxiety Inventory Funding Source Psychological Tests Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Background: Testing positive for human papillomavirus (HPV) at cervical cancer screening has been associated with heightened anxiety. To date, the cognitive determinants of heightened anxiety remain unclear, making it difficult to design effective interventions.Purpose: This study investigated latent illness representation profiles in women testing positive for HPV with no abnormal cells (normal cytology) and explored associations between these profiles and anxiety.Methods: Women aged 24-66 (n = 646) who had tested HPV-positive with normal cytology at routine HPV primary screening in England completed a cross-sectional survey shortly after receiving their result.Results: Latent profile analysis identified three distinct profiles of illness representations (termed "adaptive," "negative," and "negative somatic"), which differed significantly in their patterns of illness perceptions. Hierarchal linear regression revealed that these latent illness representation profiles accounted for 21.8% of the variance in anxiety, after adjusting for demographic and clinical characteristics. When compared with adaptive representations (Profile 1), women with negative representations (Profile 2) and negative somatic representations (Profile 3) had significantly higher anxiety, with clinically meaningful between-group differences (mean difference [MD] = 17.26, confidence interval [CI]: 14.29-20.22 and MD = 13.20, CI: 9.45-16.96 on the S-STAI-6, respectively).Conclusion: The latent illness representation profiles identified in this study provide support for the role of negative beliefs contributing to anxiety in women testing HPV-positive with normal cytology. Characteristics specific to subgroups of highly anxious women (Profiles 2 and 3) could be used by policymakers to target information in routine patient communications (e.g., test result letters) to reduce unnecessary burden. Future research should adopt longitudinal designs to understand the trajectory of illness representations from HPV diagnosis through to clearance versus persistence. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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