Psychological effects of colorectal cancer screening: Participants<i>vs</i>individuals not invited

Kirkøen, Benedicte; Berstad, Paula; Botteri, Edoardo; Bernklev, Linn; El-Safadi, Badboni; Hoff, Geir; Lange, Thomas de; Bernklev, Tomm

doi:10.3748/wjg.v22.i43.9631

Cited by 13 publications

(19 citation statements)

References 46 publications

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“…In contrast, in the BCSN pilot study, Kirkoen et al 2016 [35] reported a statistically significant decrease in symptoms of anxiety following receipt of negative flexible sigmoidoscopy or FIT results in participants. In addition, Korfage et al 2012 [17] [46], while there was a statistically significant increase in symptoms of anxiety in individuals with normal results, there were fewer individuals with a clinically significant increase in symptoms of anxiety (i.e., MCID = 1 standard error of measurement) after receiving normal results compared to the number of individuals with an increase in symptoms of anxiety prior to receipt of results.…”

Section: Impact Of Normal Screening Results On Symptoms Of Anxietymentioning

confidence: 90%

Patient-reported outcomes associated with cancer screening: a systematic review

et al. 2022

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Background Multi-cancer early detection tests have been developed to enable earlier detection of multiple cancer types through screening. As reflected by patient-reported outcomes (PROs), the psychosocial impact of cancer screening is not yet clear. Our aim is to evaluate the impact of cancer screening through PRO assessment. Methods A systematic review was conducted using MEDLINE, EMBASE, and reference lists of articles from January 2000 to August 2020 for relevant publications assessing the psychosocial impact of cancer screening before and within 1 year after screening in the general asymptomatic population, including following receipt of results. Studies focused on diagnostic evaluation or involving patients previously diagnosed with cancer were excluded. Results In total, 31 studies (12 randomized controlled trials; 19 observational studies) were included, reflecting PRO assessments associated with lung, breast, colorectal, anal, ovarian, cervical, and prostate cancer screening procedures. The most commonly assessed construct was symptoms of anxiety, using the State-Trait Anxiety Inventory. Cancer-specific distress and worry were also assessed using a broad range of measures. Overall, individuals tolerated screening procedures well with no major psychosocial effects. Of note, increases in symptoms of anxiety and levels of distress and worry were generally found prior to communication of screening results and following communication of indeterminate or positive results that required further testing. These negative psychosocial effects were, however, not long-lasting and returned to baseline relatively soon after screening. Furthermore, individuals with higher cancer risk, such as current smokers and those with a family history of cancer, tended to have higher levels of anxiety and distress throughout the screening process, including following negative or indeterminate results. Conclusions The psychosocial impact of cancer screening is relatively low overall and short-lived, even following false-positive test results. Individuals with a higher risk of cancer tend to experience more symptoms of anxiety and distress during the screening process; thus, more attention to this group is recommended.

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Section: Impact Of Normal Screening Results On Symptoms Of Anxietymentioning

confidence: 90%

Patient-reported outcomes associated with cancer screening: a systematic review

et al. 2022

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“…As CRC screening program is still in its early stages in Malaysia, there has been no previous local survey on the QOL of the population undergoing a CRC screening. Whereas previous studies at the international level regarding the CRC screening were more focused on QOL studies after the screening results were obtained and revealed (Kapidzic et al 2012;Kirkoen et al 2016).…”

Section: Discussionmentioning

confidence: 99%

Quality of Life among Colorectal Cancer Screening Patients in Malaysia

Bakar¹,

Puteh²,

Ismail³

et al. 2019

JSM

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As Malaysia is experiencing a rapid increase in the incidence of colorectal cancer (CRC), the introduction of CRC screening in Malaysia serves to improve the early CRC detection among Malaysian and its treatment outcome. The present study measured Malaysian's perception on the quality of life (QOL) based on screened individuals in Kedah, Malaysia. The study aims to determine QOL among screened individuals based on the CRC screening modalities available in Malaysia. A cross sectional study was conducted from March 2016 to April 2017 in a public tertiary hospital and a district health clinic in the state of Kedah. Three hundred and thirty respondents aged 40 to 70 years old were asked to fill-up a self-reported health survey questionnaire comprised of 36 itemised questions (SF-36). The mean age of respondents was 58.75 ±7.53 years with 52.7% of respondents being male and 47.3% female. The majority of respondents have underlying medical illness. Mean health utility's score in CRC screening IFOBT's only modality was higher compare to other modalities 0.85 (ANOVA F=21.505, p<0.001). For the Physical Composite Score (PCS), IFOBT's only modality also had a higher mean score compared to other modalities of 56.64 (ANOVA F=19.655, p<0.001) in addition to the Mental Composite Score (MCS) 56.37 (ANOVA F=12.033, p<0.001). The CRC screening via IFOBT's only modality had better QOL in health utility, physical health and mental health compared to other modalities. Therefore, the CRC screening program is essential in preserving the QOL of Malaysian population.

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“…However, there seems to be a gap in the scientific literature especially on the psychosocial factors that might influence patient’s decision to undergo or refuse CRC screening. In particular, knowledge of the psychological effects on participating in CRC screening is limited and there are few studies, with mixed and contradictory results, that have tried to aassess which psychological aspects such as fear can affect the probability that patients undergo specific screening and how much participants may experience psychological stress from participation even after a long time [ 30 ].…”

Section: Reasons For Non-adherence To Colorectal Cancer Screeningmentioning

confidence: 99%

Colorectal Cancer Screening: The Role of Psychological, Social and Background Factors in Decision-making Process

Cossu¹,

Saba²,

Minerba³

et al. 2018

Clin. Pract. Epidemol Ment. Health

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Since ColoRectal Cancer (CRC) remains the third cause of cancer death in the world, a better understanding of the reasons underlying poor adherence to and delay in undergoing CRC screening programs is important.CRC screening decision-making process can be conceptualized as the relationship between intention and behavior and needs to be investigated including the impact on patients’ decision of a broad range of psychological factors and personal predisposition as fear of a positive screening test, poor understanding of the procedure, psychological distress, anxiety, anticipation of pain, feelings of embarrassment and vulnerability. Also socioeconomic, ethnic and sociological influences, and organizational barriers have been identified as factors influencing CRC screening adherence. Decision-making process can finally be influenced by the healthcare background in which the intervention is promoted and screening programs are carried out.However, there is still a gap on the scientific knowledge about the influences of diverse elements on screening adherence and this deserves further investigations in order to carry out more focused and effective prevention programs.

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Psychological effects of colorectal cancer screening: Participantsvsindividuals not invited

Cited by 13 publications

References 46 publications

Patient-reported outcomes associated with cancer screening: a systematic review

Patient-reported outcomes associated with cancer screening: a systematic review

Quality of Life among Colorectal Cancer Screening Patients in Malaysia

Colorectal Cancer Screening: The Role of Psychological, Social and Background Factors in Decision-making Process

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