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    The psychosocial impact of human papillomavirus testing in primary cervical screening-a study within a randomized trial.

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    Authors
    Kitchener, Henry C
    Fletcher, I
    Roberts, Caleb
    Wheeler, P
    Almonte, M
    Maguire, Peter
    Affiliation
    Division of Human Development, Academic Unit of Obstetrics and Gynaecology, University of Manchester, Manchester, United Kingdom. henry.kitchener@cmmc.nhs.uk
    Issue Date
    2009-04-01T22:53:34Z
    
    Metadata
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    Abstract
    The purpose of the study was to assess the psychosocial impact of human papillomavirus (HPV) testing as an adjunct to cytology in routine primary cervical screening. A controlled study of the psychosocial impact of HPV testing within a randomized trial of HPV testing to assess its efficacy in cervical screening was carried out. The trial provides a randomized setting of revealed HPV results versus concealed results permitting valid comparisons for assessing true psychosocial impact. The setting comprised a large number of general practices in primary care. Women aged 20-64 years who underwent routine cervical screening participated in the study. The intervention was a revealed high-risk HPV test result in addition to cervical cytology. The main outcome was measured using General Health Questionnaire (GHQ-28), Spielberger State-Trait Anxiety Inventory, and Sexual Rating Scale (SRS). Among women with either mildly abnormal or normal cytology, receiving an HPV(+ve) result did not impact significantly on GHQ caseness and mean scores or on Spielberger State and Trait scores when compared with women in whom the HPV(+ve) test result was concealed. Among women with normal cytology, receiving an HPV(+ve) result was associated with a reduction in the Sexual Rating Scale compared with similar women whose HPV(+ve) result was concealed. HPV testing does not add significant psychologic distress when combined with cytology in routine primary cervical screening.
    Citation
    The psychosocial impact of human papillomavirus testing in primary cervical screening-a study within a randomized trial., 18 (4):743-8 Int. J. Gynecol. Cancer
    Journal
    International Journal of Gynecological Cancer
    URI
    http://hdl.handle.net/10541/58676
    DOI
    10.1111/j.1525-1438.2007.01113.x
    PubMed ID
    17944916
    Type
    Article
    Language
    en
    ISSN
    1525-1438
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1525-1438.2007.01113.x
    Scopus Count
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