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Psychological distress and quality of life following positive fecal occult blood testing in colorectal cancer screening.
- Source :
-
Psycho-oncology [Psychooncology] 2020 Jun; Vol. 29 (6), pp. 1084-1091. Date of Electronic Publication: 2020 Apr 14. - Publication Year :
- 2020
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Abstract
- Objective: This study aimed to assess psychological functioning, quality of life, and regret about screening after a positive fecal immunochemical test (FIT) and subsequent colonoscopy, and to evaluate changes over time.<br />Methods: This is a prospective cohort study. Individuals aged 55 to 75 with a positive FIT that were referred for colonoscopy between July 2017 and November 2018, were invited to complete questionnaires related to psychological distress and health-related quality of life at three predefined time points: before colonoscopy, after histopathology result notification, and after 6 months. Four questionnaires were used: the Psychological Consequences Questionnaire (PCQ), the six-item Cancer Worry Scale (CWS), the Decision Regret Scale (DRS), and the 36-item Short-Form (SF-36).<br />Results: A total of 1066 participants out of 2151 eligible individuals were included. Patients with cancer showed a significant increase in psychological dysfunction (P = .01) and cancer worry (P = .008) after colonoscopy result notification, and a decline to pre-colonoscopy measurements after 6 months. In the no-cancer groups, psychological dysfunction and cancer worry significantly decreased over time (P < .05) but there was no ongoing decline. After 6 months, 17% of participants with no cancer experienced high level of cancer worry (CWS ≥ 10). Yet, only 5% reported high level of regret about screening participation (DRS > 25). A good global quality of life was reported in participants with no cancer.<br />Conclusion: Some psychological distress remains up to 6 months after colonoscopy in participants who tested false-positive in the Dutch bowel cancer screening program.<br /> (© 2020 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.)
Details
- Language :
- English
- ISSN :
- 1099-1611
- Volume :
- 29
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Psycho-oncology
- Publication Type :
- Academic Journal
- Accession number :
- 32237002
- Full Text :
- https://doi.org/10.1002/pon.5381