Date Published: June 12, 2019
Publisher: Public Library of Science
Author(s): Irena Ilic, Goran Babic, Aleksandra Dimitrijevic, Milena Ilic, Sandra Sipetic Grujicic, Cheng-Shi Shiu.
Receiving report of an abnormal finding from a Pap screening test in women often leads to psychological distress.
The purpose of this study was to assess the reliability and validity of the Cervical Dysplasia Distress Questionnaire (CDDQ) among women in Serbia.
In 2017, we conducted a cross-sectional study involving 154 consecutive women attending cervical cancer screening who had received abnormal Pap smear results.
Reliability assessment showed good internal consistency for all CDDQ subscales (Tension and discomfort: Cronbach’s α = 0.844; Embarrassment: α = 0.864; Sexual and reproductive consequences: α = 0.867; and Health consequences: α = 0.913). The test-retest reliability showed that the correlation coefficients (between 0.805 and 0.983) were significant at the 0.01 level for all of the Serbian CDDQ subscales. Principal Axis Factoring with Direct Oblimin rotation indicated four main components that explain 55.0% of variance.
The Serbian version of the CDDQ scale is a valid and reliable instrument for the assessment of psychological distress among women with abnormal Pap smear results.
A substantial decline in cervical cancer mortality rates has been noted following the introduction of high-coverage high-quality screening programs in developed countries . In Serbia, as in other countries with limited resources, less than a third of cervical cancer cases are discovered in the early stage of illness, whilst in most patients later stages are found [2–4]. Achieving high rates of screening coverage is a challenge for both developing and developed countries.
Results showed good validity and reliability of the Serbian version of the CDDQ. The findings suggest that the CDDQ can be used for measuring psychological distress among women with abnormal Pap smear results in Serbia.
The Serbian version of the CDDQ scale is a valid and reliable instrument for the assessment of psychological distress among women with abnormal Pap smear results. Identification of good validity and reliability of this scale among Serbian women expands the overall understanding and improves the evidence base for use of the CDDQ scale in cross-cultural research. Finally, good validity and reliability of the CDDQ allow for the application of this questionnaire to achieve accurate assessment of the psychological impact of cervical screening and a deeper understanding of individuals across different types of cultures.