Impact of cervical intraepithelial neoplasia diagnosis and treatment on self-esteem and body image

Thomas W. McDonald, James Neutens, Lynn M. Fischer, Denise Jessee

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

Most women commonly take an abnormal Pap smear to be indicative of invasive cancer. This fear can permeate their life-style to the degree that it may influence receptivity to medical procedures as well as promote cervical intraepithelial neoplasia (CIN) to invasive squamous cell carcinoma of the cervix. This longitudinal study was undertaken to provide baseline data on self-esteem and body image as the patient progresses from the initial visit through the postsurgery visit. Twenty patients ranging in age from 15 to 40 years were followed through diagnosis and treatment with colposcopic biopsy showing 25% CIN I, 45% CIN II, and 30% CIN III. Concern for cancer overrode all other concerns except during the postsurgery visit, at which time loss of attractiveness was paramount. Loss of sexual functioning ranked high in all visits. Self-esteem was lowest and anxiety highest during the initial and postsurgery visits. Positive body image was greatest when the results of the biopsy were received and during the postsurgery visit. Patients and sexual partners exhibited similar patterns of anxiety about the medical condition. Psychological repercussions from CIN occurred even prior to diagnosis.

Original languageEnglish (US)
Pages (from-to)345-349
Number of pages5
JournalGynecologic Oncology
Volume34
Issue number3
DOIs
StatePublished - Jan 1 1989

Fingerprint

Cervical Intraepithelial Neoplasia
Body Image
Self Concept
Anxiety
Biopsy
Therapeutics
Papanicolaou Test
Sexual Partners
Cervix Uteri
Fear
Longitudinal Studies
Life Style
Squamous Cell Carcinoma
Neoplasms
Psychology

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology
  • Oncology

Cite this

Impact of cervical intraepithelial neoplasia diagnosis and treatment on self-esteem and body image. / McDonald, Thomas W.; Neutens, James; Fischer, Lynn M.; Jessee, Denise.

In: Gynecologic Oncology, Vol. 34, No. 3, 01.01.1989, p. 345-349.

Research output: Contribution to journalArticle

McDonald, Thomas W. ; Neutens, James ; Fischer, Lynn M. ; Jessee, Denise. / Impact of cervical intraepithelial neoplasia diagnosis and treatment on self-esteem and body image. In: Gynecologic Oncology. 1989 ; Vol. 34, No. 3. pp. 345-349.
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