Conséquences émotionnelles, physiques et sociales du dépistage du cancer du sein: fiabilité et utilisation d’un questionnaire clinique

Maziade, Jean; Thomassin, L.; Morin, R. D.

doi:10.1007/bf03404846

Cited by 4 publications

(2 citation statements)

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“…No changes in our results were observed. Variability in measurement of PCQ score also did not appear to be an explanation, as this score is considered to be reproducible [ 19 , 20 ]. However, anxiety scores may be affected by various other factors, even time, and a longer survey with more complete questionnaires, including general health questionnaires, would be useful.…”

Section: Discussionmentioning

confidence: 99%

“…Initially developed by Cockburn et al [ 19 ]to assess the psychological consequences of breast cancer screening by mammography, the PCQ is a 12-item self-report instrument measuring the effect of screening on the individual's functioning on emotional, physical and social life domains. A French version of this scale has been validated by Maziade et al[ 20 ]. The PCQ was adapted for use in the present study with slight modifications in its published form, as questions were asked in relation to asbestos-related diseases in general (see online additional file 1 ).…”

Section: Methodsmentioning

confidence: 99%

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CT scan screening is associated with increased distress among subjects of the APExS

Paris

Maurel²,

Luc

et al. 2010

BMC Public Health

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BackgroundThe aim of this study was to assess the psychological consequences of HRCT scan screening in retired asbestos-exposed workers.MethodsA HRCT-scan screening program for asbestos-related diseases was carried out in four regions of France. At baseline (T1), subjects filled in self-administered occupational questionnaires. In two of the regions, subjects also received a validated psychological scale, namely the psychological consequences questionnaire (PCQ). The physician was required to provide the subject with the results of the HRCT scan at a final visit. A second assessment of psychological consequences was performed 6 months after the HRCT-scan examination (T2). PCQ scores were compared quantitatively (t-test, general linear model) and qualitatively (chi²-test, logistic regression) to screening results. Multivariate analyses were adjusted for gender, age, smoking, asbestos exposure and counseling.ResultsAmong the 832 subjects included in this psychological impact study, HRCT-scan screening was associated with a significant increase of the psychological score 6 months after the examination relative to baseline values (8.31 to 10.08, p < 0.0001, t-test). This increase concerned patients with an abnormal HRCT-scan result, regardless of the abnormalities, but also patients with normal HRCT-scans after adjustment for age, gender, smoking status, asbestos exposure and counseling visit. The greatest increase was observed for pleural plaques (+3.60; 95%CI [+2.15;+5.06]), which are benign lesions. Detection of isolated pulmonary nodules was also associated with a less marked but nevertheless significant increase of distress (+1.88; 95%CI [+0.34;+3.42]). However, analyses based on logistic regressions only showed a close to significant increase of the proportion of subjects with abnormal PCQ scores at T2 for patients with asbestosis (OR = 1.92; 95%CI [0.97-3.81]) or with two or more diseases (OR = 2.04; 95%CI [0.95-4.37]).ConclusionThis study suggests that HRCT-scan screening may be associated with increased distress in asbestos-exposed subjects. If confirmed, these results may have consequences for HRCT-scan screening recommendations.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

CT scan screening is associated with increased distress among subjects of the APExS

Paris

Maurel²,

Luc

et al. 2010

BMC Public Health

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Factors associated with cancer distress in the Asbestos Post‐Exposure Survey (APEXS)

Maurel¹,

Stoufflet

Thorel

et al. 2009

American J Industrial Med

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In this study, asbestos-exposed subjects experienced a higher significant cancer distress than previously described in literature. These findings may be of potential public health importance. First, the impact of such occupational exposures on quality of life of patients who suffer from cancer related to these exposures has to be appraised. Secondly, the assessment of psychological impact of CT-scan screening programs among asbestos-exposed subjects is also required.

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Impact psychologique du suivi post-professionnel amiante à long terme. Quelles conséquences après la déclaration suivie de la reconnaissance d’une maladie professionnelle chez des sujets de la cohorte SPP-A ?

Riblier-Dehen¹,

Luc

Paris

et al. 2019

Revue des Maladies Respiratoires

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Conséquences émotionnelles, physiques et sociales du dépistage du cancer du sein: fiabilité et utilisation d’un questionnaire clinique

Cited by 4 publications

References 9 publications

CT scan screening is associated with increased distress among subjects of the APExS

CT scan screening is associated with increased distress among subjects of the APExS

Factors associated with cancer distress in the Asbestos Post‐Exposure Survey (APEXS)

Impact psychologique du suivi post-professionnel amiante à long terme. Quelles conséquences après la déclaration suivie de la reconnaissance d’une maladie professionnelle chez des sujets de la cohorte SPP-A ?

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