Limits...
The psychological impact of participating in colorectal cancer screening by faecal immuno-chemical testing--the Australian experience.

Bobridge A, Bampton P, Cole S, Lewis H, Young G - Br. J. Cancer (2014)

Bottom Line: Positives experienced heightened CRC risk perception both after result notification and at 1 year follow-up in comparison to negatives, but reported less difficulty participating in ongoing screening.In positives, increased anxiety and doubtfulness about the decision to screen declined over time.Lower CRC risk perception in negatives indicates the need for education to promote CRC screening participation.

View Article: PubMed Central - PubMed

Affiliation: School of Nursing & Midwifery, University of South Australia, Room 44, Level 6, Centenary Building, North Terrace, Adelaide, South Australia 5000, Australia.

ABSTRACT

Background: Occult blood-based colorectal cancer (CRC) screening may result in adverse psychological outcomes for participants. The aims of this study were to measure the psychological consequences of participating in screening at key points along the screening and diagnostic pathway, and examine variation over time within or between test outcome groups.

Methods: A total of 301 people (positives=165, negatives=136) aged 50-76 years were surveyed via validated psychological questionnaires after result notification, post colonoscopy (positives only) and 1 year following result notification.

Results: Negatives scored significantly higher in quality of life domains and lower state anxiety, anger and depression in comparison to positives both after result notification and at 1 year follow-up. Positives had significantly decreased state anxiety and depression at 1 year and improvement in HLoC power and reduced screening decision doubtfulness post colonoscopy. Positives experienced heightened CRC risk perception both after result notification and at 1 year follow-up in comparison to negatives, but reported less difficulty participating in ongoing screening.

Conclusions: In positives, increased anxiety and doubtfulness about the decision to screen declined over time. Lower CRC risk perception in negatives indicates the need for education to promote CRC screening participation.

Show MeSH

Related in: MedlinePlus

Returned questionnaires, study withdrawals and opt-out numbers.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4150276&req=5

fig1: Returned questionnaires, study withdrawals and opt-out numbers.

Mentions: In all 520 questionnaires were sent ARN (positives=305, negatives=215), with 301 questionnaires returned (positives=165, negatives=136; response rate=58% see Figure 1).


The psychological impact of participating in colorectal cancer screening by faecal immuno-chemical testing--the Australian experience.

Bobridge A, Bampton P, Cole S, Lewis H, Young G - Br. J. Cancer (2014)

Returned questionnaires, study withdrawals and opt-out numbers.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150276&req=5

fig1: Returned questionnaires, study withdrawals and opt-out numbers.
Mentions: In all 520 questionnaires were sent ARN (positives=305, negatives=215), with 301 questionnaires returned (positives=165, negatives=136; response rate=58% see Figure 1).

Bottom Line: Positives experienced heightened CRC risk perception both after result notification and at 1 year follow-up in comparison to negatives, but reported less difficulty participating in ongoing screening.In positives, increased anxiety and doubtfulness about the decision to screen declined over time.Lower CRC risk perception in negatives indicates the need for education to promote CRC screening participation.

View Article: PubMed Central - PubMed

Affiliation: School of Nursing & Midwifery, University of South Australia, Room 44, Level 6, Centenary Building, North Terrace, Adelaide, South Australia 5000, Australia.

ABSTRACT

Background: Occult blood-based colorectal cancer (CRC) screening may result in adverse psychological outcomes for participants. The aims of this study were to measure the psychological consequences of participating in screening at key points along the screening and diagnostic pathway, and examine variation over time within or between test outcome groups.

Methods: A total of 301 people (positives=165, negatives=136) aged 50-76 years were surveyed via validated psychological questionnaires after result notification, post colonoscopy (positives only) and 1 year following result notification.

Results: Negatives scored significantly higher in quality of life domains and lower state anxiety, anger and depression in comparison to positives both after result notification and at 1 year follow-up. Positives had significantly decreased state anxiety and depression at 1 year and improvement in HLoC power and reduced screening decision doubtfulness post colonoscopy. Positives experienced heightened CRC risk perception both after result notification and at 1 year follow-up in comparison to negatives, but reported less difficulty participating in ongoing screening.

Conclusions: In positives, increased anxiety and doubtfulness about the decision to screen declined over time. Lower CRC risk perception in negatives indicates the need for education to promote CRC screening participation.

Show MeSH
Related in: MedlinePlus