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🧑🏼‍💻 Research - November 1, 2024

Detecting the impact of diagnostic procedures in Pap-positive women on anxiety using artificial neural networks.

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⚡ Quick Summary

This study utilized artificial neural networks (ANN) to predict anxiety levels in women with abnormal Pap smear results, revealing that anxiety increased from 50.0% prior to 61.6% after diagnostic procedures. The ANN models demonstrated impressive accuracy rates of 76.47% and 85.30% for pre- and post-diagnostic anxiety predictions, respectively.

🔍 Key Details

  • 👩‍🔬 Participants: 172 women with abnormal Pap results
  • 📋 Assessment Tools: Hospital Anxiety and Depression Scale (HADS)
  • ⚙️ Technology Used: Feedforward back-propagation multilayer perceptron model
  • 📈 Anxiety Rates: 50.0% pre-diagnostics, 61.6% post-diagnostics
  • 🏆 Prediction Accuracy: 76.47% (pre), 85.30% (post)

🔑 Key Takeaways

  • 📊 High anxiety levels are common in women with abnormal Pap results.
  • 💡 ANN models can effectively predict anxiety levels before and after diagnostic procedures.
  • 🏥 Identifying at-risk women can lead to targeted psychological support.
  • 🌍 Rural residence and history of spontaneous abortion are significant predictors of post-diagnostic anxiety.
  • 🧠 Psychological support may improve adherence to follow-up diagnostics.
  • 📉 Reducing anxiety could lead to better health outcomes and timely treatment.

📚 Background

Anxiety is a prevalent issue among women receiving abnormal results from Pap smear tests, often leading to non-compliance with follow-up procedures. Understanding the psychological impact of these diagnostic processes is crucial for improving patient care. The integration of artificial intelligence in predicting anxiety can provide valuable insights into patient needs and enhance support systems.

🗒️ Study

The study involved 172 women who received abnormal Pap smear results. Participants completed a questionnaire assessing their socio-demographic characteristics and anxiety levels using the Hospital Anxiety and Depression Scale (HADS) before and two to four weeks after undergoing diagnostic procedures such as colposcopy, biopsy, or endocervical curettage. The researchers employed a feedforward back-propagation multilayer perceptron model to analyze the data.

📈 Results

The findings revealed that 50.0% of women experienced anxiety prior to diagnostic procedures, which increased to 61.6% afterward. The ANN models demonstrated a high level of accuracy in predicting anxiety, achieving 76.47% accuracy before diagnostics and 85.30% after. Key predictors of anxiety included the use of sedatives, worry scores, and health concerns prior to diagnostics, while post-diagnostic anxiety was influenced by factors such as rural residence and history of spontaneous abortion.

🌍 Impact and Implications

The implications of this study are significant for women’s health. By identifying women at risk of developing anxiety following abnormal Pap results, healthcare providers can implement targeted psychological support strategies. This proactive approach could enhance patient compliance with follow-up diagnostics, ultimately leading to timely treatment and improved health outcomes. The integration of artificial intelligence in healthcare settings represents a promising avenue for addressing mental health concerns in medical contexts.

🔮 Conclusion

This study highlights the potential of artificial neural networks in predicting anxiety among women with abnormal Pap smear results. By recognizing the psychological impact of diagnostic procedures, healthcare professionals can better support their patients, improving adherence to follow-up care and reducing the risk of complications. Continued research in this area is essential for developing effective interventions that prioritize both physical and mental health.

💬 Your comments

What are your thoughts on the use of artificial intelligence in predicting anxiety for women undergoing diagnostic procedures? We would love to hear your insights! 💬 Share your comments below or connect with us on social media:

Detecting the impact of diagnostic procedures in Pap-positive women on anxiety using artificial neural networks.

Abstract

INTRODUCTION: Women who receive a result of an abnormal Papanicolaou (Pap) smear can fail to participate in follow up procedures, and this is often due to anxiety. This study aimed to apply artificial neural networks (ANN) in prediction of anxiety in women with an abnormal Pap smear test, prior to and following diagnostic procedures.
METHODS: One hundred-seventy two women who received an abnormal Pap screening result took part in this study, completing a questionnaire about socio-demographic characteristics and Hospital Anxiety and Depression Scale (HADS), right before and two to four weeks after diagnostics (i.e. colposcopy/biopsy/endocervical curettage). A feedforward back-propagation multilayer perceptron model was applied in analysis.
RESULTS: Prior to diagnostic procedures 50.0% of women experienced anxiety, while after diagnostics anxiety was present in 61.6% of women. The correlation-based feature selection showed that anxiety prior to diagnostic procedures was associated with the use of sedatives, worry score, depression score, and score for concern about health consequences. For anxiety following diagnostics, predictors included rural place of residence, depression score, history of spontaneous abortion, and score for tension and discomfort during colposcopy. The ANN models yielded highly accurate anxiety prediction both prior and after diagnostics, 76.47% and 85.30%, respectively.
CONCLUSION: The presented findings can aid in identification of those women with a positive Pap screening test who could develop anxiety and thus represent the target group for psychological support, which would consequently improve adherence to follow-up diagnostics and enable timely treatment, finally reducing complications and fatal outcome.

Author: [‘Ilic I’, ‘Babic G’, ‘Dimitrijevic A’, ‘Grujicic SS’, ‘Jakovljevic V’, ‘Macuzic IZ’, ‘Ilic M’]

Journal: PLoS One

Citation: Ilic I, et al. Detecting the impact of diagnostic procedures in Pap-positive women on anxiety using artificial neural networks. Detecting the impact of diagnostic procedures in Pap-positive women on anxiety using artificial neural networks. 2024; 19:e0312870. doi: 10.1371/journal.pone.0312870

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