Pilot Study of a Cognitive Behavioral Intervention for Pelvic Exam Anxiety Among Survivors of Endometrial and Cervical Cancer

J. N. Coleman, S. E. Lachman, S. S. Arthur, J. M. Stalls, Y. Choi, N. Zerubavel, B. Davidson, J. B. Reese, R. A. Shelby

Research output: Contribution to journalArticlepeer-review

Abstract

No evidence-based interventions exist for anxiety related to pelvic exams after cancer treatment. A 3-session cognitive behavioral intervention, Pelvic Examination and Anxiety Coping Skills for Empowerment (PEACE), was developed. We conducted a proof-of concept pilot study (N=16) to evaluate intervention acceptability and feasibility and changes in anxiety and pain symptoms. Participants completed 3 assessments (baseline, post-intervention, post-pelvic exam) and post-exam interviews. Exploratory outcomes included exam-related distress and pain, and intervention mechanisms of change. The mixed methods findings indicated preliminary acceptability (e.g., 71% endorsed PEACE “made things a lot better”) and feasibility (e.g., 87.5% completed the protocol). PEACE shows promise for reducing procedural distress, which may ultimately improve care engagement.

Original languageEnglish
JournalWomen's Reproductive Health
DOIs
StateAccepted/In press - 2024

Keywords

  • anxiety
  • cognitive behavioral therapy
  • pain
  • pelvic exam
  • women’s health

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