Participation in screening programs for malignant disease may have negative psychologic health effects that could outweigh the beneficial effects of the screening itself.
The present study was designed to investigate the psychologic effect of attending a screening program for detection and removal of colorectal adenomas, which are precursors to colorectal cancer.
In 1983 a prospective, controlled screening study using flexible sigmoidoscopy to detect adenomas was started in Telemark County, Norway.
Four hundred individuals were enrolled as a screening group and 399 as a control group.
In 1996 survivors in both groups were invited to have a colonoscopic screening examination for detection and removal of polyps.
Four hundred and fifty-one individuals (71%) attended ; their mean age was 67.2 years (range, 63-72 years). and 48% were women.
Fourteen days and 3 and 17 months after the examination the attendees received by mail a questionnaire composed of Goldberg's General Health Questionnaire (GHQ-28) and the Hospital Anxiety and Depression Scale (HADS).
The questionnaire was also mailed to an age-and sex-matched group not enrolled in the endoscopic screening study.
Four hundred and nine (95%), 395 (92%), and 389 (91%). respectively, returned the questionnaire.
Of the controls 314 (70%) returned filled-in questionnaires. (...)
Mots-clés Pascal : Carcinome, Côlon, Rectum, Dépistage, Polype, Effet psychologique, Participation, Qualité vie, Etat dépressif, Etude statistique, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Trouble humeur
Mots-clés Pascal anglais : Carcinoma, Colon, Rectum, Medical screening, Polyp, Psychological effect, Participation, Quality of life, Depression, Statistical study, Human, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0141246
Code Inist : 002B30A01A2. Création : 16/11/1999.