Perceived uncertainty, coping strategies, and adaptation in women with human papillomavirus (HPV) on Papanicolaou smear
The overall purpose of this study was to explore, identify and describe the perception of uncertainty over time in a college age group of women experiencing the unexpected event of an abnormal Pap smear. More specifically, the relationship of uncertainty to other concepts such as knowledge, coping strategies, and adaptation as guided by the King Interacting Systems Framework (1981) and the Mishel Uncertainty in Illness Model (1988a) were explored for important linkages through path analysis and correlations. The sample consisted of female patients from the Student Health Service at a large urban university setting in the mid-Atlantic region of the United States. The subjects included 88 nonpregnant women who had human papillomavirus on Papanicolaou smear, had indications for colposcopy, had an ability to communicate in English, and were without history of cancer. The relationship between uncertainty and coping strategies was supported in the emotion-focused path as predicted, but not in the problem-focused path. This held true even when the emotion-focused and problem-focused subscales were examined. Evidence of adaptation to uncertainty through emotion-focused coping was found in the significant relationship between emotion-focused coping and body attitude. Similarly, there was a significant relationship between emotion-focused coping and moods in the path analysis and in correlations with the subcategories of positive and negative moods. The problem-focused indirect path from uncertainty to adaptation did not show any significant relationship. Likewise, uncertainty also had no significant direct effect on body attitude or promptness of follow-up, but did have a direct impact on moods. The direct path from previous knowledge to uncertainty was not supported. This study represents an attempt to test and extend the Model of Uncertainty in Illness by exploring the direct and indirect pathways among knowledge, uncertainty, coping strategies and adaptation in a group of young women experiencing an abnormal Pap smear. Additional studies must be done to further clarify these relationships and to extend the model to deal more effectively with uncertainty over time.
|Year of publication:||
|Authors:||Rubin, Mary M|
|Type of publication:||Other|
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