Objective To investigate the possible negative psychological impact of screening for prostate cancer with special focus on the impact of false positive and true positive test results.
Subjects and methods As part of an early detection study for prostate cancer psychological and psychophysiological reactions to various phases of the diagnostic procedures were examined in 2400 randomly selected men divided into various groups.
Their psychophysiological reactions were assessed by measurements of serum cortisol and their psychological reactions by questionnaires directed at determining emotional states and sleep disturbance.
In a stratified sample of the population (100 men) measurements were made at the time of the screening examination and again 2 weeks later.
In patients undergoing biopsy (307 men) measurements were made 2 weeks after screening, but before they were informed of the biopsy results.
Results Serum cortisol levels at the screening examination were higher than corresponding levels of a comparable sample of Swedish men during normal daily activity, indicating that an invitation to examination for prostate cancer per se might create emotional stress.
Two weeks after the screening the elevated levels had decreased to normal.
Conclusion In screening programmes for prostate cancer it is important to define clearly the high-risk groups to minimize the risk of adverse psychological reactions in those subjects with a low risk of having the disease.
Mots-clés Pascal : Tumeur maligne, Prostate, Homme, Psychologie, Comportement individuel, Criblage, Négativisme, Faux positif, Faux négatif, Dépistage, Prévention, Prostate pathologie, Appareil urinaire pathologie, Appareil génital mâle pathologie
Mots-clés Pascal anglais : Malignant tumor, Prostate, Human, Psychology, Individual behavior, Screening, Negativism, False positive, False negative, Medical screening, Prevention, Prostate disease, Urinary system disease, Male genital diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0343167
Code Inist : 002B30A03B. Création : 01/03/1996.