Psychological distress among women with abnormal cervical cancer screening results in Poland: Validation of the Polish version of the Cervical Dysplasia Distress Questionnaire (CDDQ-PL)
4 affiliations
- 1University Hospital in Kraków, Clinical Department of Gynecological Endocrinology and Gynecological Oncology, Kopernika, Kraków, Poland
- 2Jagiellonian University Medical College, Faculty of Health Sciences, Institute of Nursing and Midwifery, Department of Maternal and Child Health, Kopernika, Kraków, Poland
- 3Jagiellonian University Medical College, Faculty of Medicine, Chair of Gynecology and Obstetrics, Kopernika, Kraków, Poland
- 4Jagiellonian University Medical College, Faculty of Health Sciences, Institute of Nursing and Midwifery, Kopernika, Kraków, Poland
Abstract
Background: This study evaluated the validity and reliability of the Polish version of the Cervical Dysplasia Distress Questionnaire (CDDQ-PL) in women with abnormal cervical cancer screening results. Methods: A cross-sectional validation study was conducted among 285 women referred to a colposcopy unit following an abnormal cervical cancer screening result. Psychometric evaluation included language and content validity, item analysis, confirmatory factor analysis, internal consistency, and concurrent and convergent validity. Data were collected using a sociodemographic questionnaire, the CDDQ, an anxiety scale, and the Short Form Health Survey (SF-36). Results: The mean age of participants was 38.69 years (SD = 10.77). The mean total CDDQ-PL score was 2.21, with the highest distress observed for health consequences (3.02) and the lowest for embarrassment (1.47). Anxiety significantly decreased after the visit (6.51 ± 2.73 vs. 4.87 ± 2.95). Internal consistency was good, with Cronbach’s alpha coefficients ranging from 0.830 to 0.919 across subscales. Total CDDQ-PL scores showed moderate positive correlations with anxiety before (r = 0.378, p < 0.001) and after the visit (r = 0.381, p < 0.001). Higher distress was associated with poorer quality of life, particularly in emotional well-being, pain, and energy/fatigue domains of the SF-36. Conclusions: The Polish version of the CDDQ demonstrated satisfactory validity and good internal consistency for assessing psychological distress in women with abnormal cervical cancer screening results. Its temporal stability requires confirmation in future test–retest studies.
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BibTeX
@article{szmigielsoja2026psychological,
title = {{Psychological distress among women with abnormal cervical cancer screening results in Poland: Validation of the Polish version of the Cervical Dysplasia Distress Questionnaire (CDDQ-PL)}},
author = {Agata Szmigiel-Soja and Justyna Kot and Klaudia Sieńko-Hans and Iwona Gawron and Robert Jach and Iwona Malinowska-Lipień and Dominika Trojnarska},
journal = {PLOS One},
year = {2026},
month = oct,
doi = {10.1371/journal.pone.0360240},
url = {https://doi.org/10.1371/journal.pone.0360240},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Psychological distress among women with abnormal cervical cancer screening results in Poland: Validation of the Polish version of the Cervical Dysplasia Distress Questionnaire (CDDQ-PL)
AU - Agata Szmigiel-Soja
AU - Justyna Kot
AU - Klaudia Sieńko-Hans
AU - Iwona Gawron
AU - Robert Jach
AU - Iwona Malinowska-Lipień
AU - Dominika Trojnarska
PY - 2026
DA - 2026/10/13
JO - PLOS One
DO - 10.1371/journal.pone.0360240
UR - https://doi.org/10.1371/journal.pone.0360240
AB - Background: This study evaluated the validity and reliability of the Polish version of the Cervical Dysplasia Distress Questionnaire (CDDQ-PL) in women with abnormal cervical cancer screening results. Methods: A cross-sectional validation study was conducted among 285 women referred to a colposcopy unit following an abnormal cervical cancer screening result. Psychometric evaluation included language and content validity, item analysis, confirmatory factor analysis, internal consistency, and concurrent and convergent validity. Data were collected using a sociodemographic questionnaire, the CDDQ, an anxiety scale, and the Short Form Health Survey (SF-36). Results: The mean age of participants was 38.69 years (SD = 10.77). The mean total CDDQ-PL score was 2.21, with the highest distress observed for health consequences (3.02) and the lowest for embarrassment (1.47). Anxiety significantly decreased after the visit (6.51 ± 2.73 vs. 4.87 ± 2.95). Internal consistency was good, with Cronbach’s alpha coefficients ranging from 0.830 to 0.919 across subscales. Total CDDQ-PL scores showed moderate positive correlations with anxiety before (r = 0.378, p < 0.001) and after the visit (r = 0.381, p < 0.001). Higher distress was associated with poorer quality of life, particularly in emotional well-being, pain, and energy/fatigue domains of the SF-36. Conclusions: The Polish version of the CDDQ demonstrated satisfactory validity and good internal consistency for assessing psychological distress in women with abnormal cervical cancer screening results. Its temporal stability requires confirmation in future test–retest studies.
SN - 1932-6203
ER -