Cervical cancer - Behavioral factors related to screening, diagnosis, and survivors' quality of life
Cervical cancer - Behavioral factors related to screening, diagnosis, and survivors' quality of life
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DOI：
10.1002/cncr.11681
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发表时间：
2003-11-01
期刊：
影响因子：
6.2
通讯作者：
Bodurka, DC
中科院分区：
文献类型：
--
作者：
Basen-Engquist, K;Paskett, ED;Bodurka, DC
行为和心理社会因素影响宫颈癌控制的各个方面，从预防到治疗后康复。行为科学家聚集在第二届国际宫颈癌会议（休斯顿，德克萨斯州，2002年4月11日至14日）审查了与宫颈癌相关的行为因素的选定研究，包括妇女对新兴宫颈癌筛查和诊断技术的接受程度，影响遵守后续阴道镜检查建议的因素，以及宫颈癌幸存者的生活质量。研究人员报告说，在使用新技术进行检查时减少痛苦可能会提高对宫颈癌筛查建议的依从性。在新技术成为主流之前，研究表明，当医疗保健提供者将干预措施与患者的信息处理风格相匹配时，痛苦会减少，依从性会提高。对幸存者生活质量的调查报告了相互矛盾的结果，但研究表明，幸存者对生殖损失感到愤怒，对性失去兴趣，与其他癌症幸存者相比，可能更容易发生性功能障碍。幸存者还报告需要治疗后支持计划。宫颈癌的一级预防应该仍然是一个优先事项，因为行为干预和筛查障碍的研究，特别是在弱势群体中，向前推进。(C)2003年美国癌症协会。
Behavioral and psychosocial factors affect all aspects of cervical cancer control, from prevention to posttreatment rehabilitation. Behavioral scientists gathered at the Second International Conference on Cervical Cancer (Houston, TX, April 11-14, 2002) reviewed selected studies of behavioral factors related to cervical cancer, including women's receptivity to emerging cervical cancer screening and diagnostic technologies, factors that influence adherence to follow-up colposcopy recommendations, and cervical cancer survivors' quality of life. Researchers reported that reduced distress during examinations with new technology may improve adherence to cervical cancer screening recommendations. Until new technology becomes mainstream, research shows that distress is reduced and adherence improves when health care providers match interventions to patients' informational processing styles. Investigations of survivors' quality of life report conflicting findings, but studies indicate that survivors experience anger over reproductive loss, loss of interest in sex, and perhaps a greater vulnerability to sexual dysfunction compared with survivors of other cancers. Survivors also report a need for posttherapy support programs. Primary prevention of cervical cancer should remain a priority as research in behavioral interventions and barriers to screening, especially among vulnerable populations, moves forward. (C) 2003 American Cancer Society.