Psychological response to cervical screening

Prev Med. 1995 Nov;24(6):610-6. doi: 10.1006/pmed.1995.1096.


Background: Few studies have examined the psychological costs of cervical screening, despite expressed concern over possible negative sequelae.

Methods: Seventy-five women with mild or moderately dyskaryotic smears, under cytological surveillance, 75 women referred for colposcopy after a first-ever abnormal smear showing severe dyskaryosis, and 75 controls with recent negative cytology were interviewed at home, and their psychological adjustment was assessed.

Results: Levels of distress were higher among women with an abnormal smear than among controls with a recent negative smear. Anxiety (Hospital Anxiety and Depression Scale range 0-21, "normal" range 0-7) was highest among those referred for colposcopy (mean 8.12, controls 5.88, P < 0.001); afterward, distress fell (mean 6.61, P < 0.001) but more problems of social adjustment were evident (surveillance vs controls, P < 0.01). High anxiety was associated with social maladjustment (colposcopy, P < 0.001; surveillance, P < 0.01) and negative feelings about the self (P < 0.05). Current anxiety was unrelated to knowledge about abnormal smears, but in the surveillance group was related to satisfaction with the explanation provided (P < 0.05).

Conclusion: A positive cervical smear may by psychologically traumatic for a significant minority of women, irrespective of management strategy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Anxiety / psychology*
  • Case-Control Studies
  • Colposcopy
  • Depression / psychology*
  • Female
  • Humans
  • Mass Screening / psychology*
  • Psychiatric Status Rating Scales
  • Self Concept
  • Uterine Cervical Dysplasia / prevention & control
  • Uterine Cervical Dysplasia / psychology*
  • Vaginal Smears / psychology*