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Article: Appraisal theory and emotional sequelae of first visit to colposcopy following an abnormal cervical screening result

TitleAppraisal theory and emotional sequelae of first visit to colposcopy following an abnormal cervical screening result
Authors
Issue Date2004
PublisherThe British Psychological Society. The Journal's web site is located at http://www.bps.org.uk/publications/jHH_1.cfm
Citation
British Journal Of Health Psychology, 2004, v. 9 n. 4, p. 533-555 How to Cite?
AbstractObjectives. Attendance at colposcopy following an abnormal cervical smear is potentially a highly distressing event. This study evaluates the role of cognitive appraisal components (Lazarus, 1991; Smith et al., 1993) in explaining emotional reactions to this event. We also compare the psychological sequelae of immediate treatment at first colposcopy (See and Treat, ST) vs. colposcopy with treatment deferred to a later date (Diagnose and Defer, DD). Method. One thousand and eighty-five women referred for colposcopy completed a questionnaire assessing appraisal and emotion following their attendance. Clinical data were abstracted from medical records and social deprivation scores were estimated from postal code information based on normative data. Results. Diagnosis and cognitive appraisals were each significantly associated with emotion, together accounting for between 3 and 15% of variance in different emotions. Specific patterns of appraisal explained specific emotions in line with theoretical predictions. Women with Cervical Intraepithelial Neoplasia (CIN) 2 or CIN 3 undergoing 'ST' were less anxious, less embarrassed and significantly more relieved compared with a matched sample of women undergoing 'DT', and perceived their first appointment as more motivationally congruent. Conclusion. Diagnosis, motivationally incongruent experiences and low emotion-focused coping potential are the most important determinants of anxiety after colposcopy. 'See and Treat' appears to have a positive psychological impact by increasing motivational congruence.
Persistent Identifierhttp://hdl.handle.net/10722/161392
ISSN
2015 Impact Factor: 2.895
2015 SCImago Journal Rankings: 1.322
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorOrbell, Sen_US
dc.contributor.authorHagger, Men_US
dc.contributor.authorBrown, Ven_US
dc.contributor.authorTidy, Jen_US
dc.date.accessioned2012-08-24T08:31:05Z-
dc.date.available2012-08-24T08:31:05Z-
dc.date.issued2004en_US
dc.identifier.citationBritish Journal Of Health Psychology, 2004, v. 9 n. 4, p. 533-555en_US
dc.identifier.issn1359-107Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/161392-
dc.description.abstractObjectives. Attendance at colposcopy following an abnormal cervical smear is potentially a highly distressing event. This study evaluates the role of cognitive appraisal components (Lazarus, 1991; Smith et al., 1993) in explaining emotional reactions to this event. We also compare the psychological sequelae of immediate treatment at first colposcopy (See and Treat, ST) vs. colposcopy with treatment deferred to a later date (Diagnose and Defer, DD). Method. One thousand and eighty-five women referred for colposcopy completed a questionnaire assessing appraisal and emotion following their attendance. Clinical data were abstracted from medical records and social deprivation scores were estimated from postal code information based on normative data. Results. Diagnosis and cognitive appraisals were each significantly associated with emotion, together accounting for between 3 and 15% of variance in different emotions. Specific patterns of appraisal explained specific emotions in line with theoretical predictions. Women with Cervical Intraepithelial Neoplasia (CIN) 2 or CIN 3 undergoing 'ST' were less anxious, less embarrassed and significantly more relieved compared with a matched sample of women undergoing 'DT', and perceived their first appointment as more motivationally congruent. Conclusion. Diagnosis, motivationally incongruent experiences and low emotion-focused coping potential are the most important determinants of anxiety after colposcopy. 'See and Treat' appears to have a positive psychological impact by increasing motivational congruence.en_US
dc.languageengen_US
dc.publisherThe British Psychological Society. The Journal's web site is located at http://www.bps.org.uk/publications/jHH_1.cfmen_US
dc.relation.ispartofBritish Journal of Health Psychologyen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAffecten_US
dc.subject.meshAgeden_US
dc.subject.meshAttitude To Healthen_US
dc.subject.meshCognitionen_US
dc.subject.meshColposcopy - Psychologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOffice Visitsen_US
dc.subject.meshPsychological Theoryen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshUterine Cervical Neoplasms - Diagnosis - Epidemiologyen_US
dc.titleAppraisal theory and emotional sequelae of first visit to colposcopy following an abnormal cervical screening resulten_US
dc.typeArticleen_US
dc.identifier.emailHagger, M:martin.hagger@nottingham.ac.uken_US
dc.identifier.authorityHagger, M=rp01644en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1348/1359107042304560en_US
dc.identifier.pmid15509360-
dc.identifier.scopuseid_2-s2.0-8444245167en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-8444245167&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume9en_US
dc.identifier.issue4en_US
dc.identifier.spage533en_US
dc.identifier.epage555en_US
dc.identifier.isiWOS:000225023300008-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridOrbell, S=7005545477en_US
dc.identifier.scopusauthoridHagger, M=6602134841en_US
dc.identifier.scopusauthoridBrown, V=7202220124en_US
dc.identifier.scopusauthoridTidy, J=7004190485en_US
dc.identifier.citeulike61676-

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