Anxiety associated with prostate cancer screening with special reference to men with a positive screening test (elevated PSA) – Results from a prospective, population-based, randomised study

Carlsson, Sigrid; Aus, Gunnar; Wessman, Catrin; Hugosson, Jonas

doi:10.1016/j.ejca.2007.06.002

Cited by 58 publications

(48 citation statements)

References 26 publications

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“…This may be due to awareness of cancer being raised by the initial PSA result and increasing with each re-test 25 . In contrast, having repeated biopsies did not increase anxiety 25 and although speculative, it is possible that repeated biopsy was viewed as a more thorough test and increased reassurance. Being given cervical HPV results increased anxiety 15 , in part due to poor understanding and confusion about HPV infection, particularly the difference between genital warts and high-risk HPV.…”

Section: Potential Psychosocial Impacts In Anal Cancer Screeningmentioning

confidence: 99%

“…Therefore being able to motivate participants to return is imperative. Finding the balance between reassurance and complacency is essential 25,31 . A concern in the screening process is the phenomenon of "unrealistic optimism" which has been found to hinder protective health behaviours.…”

Section: Supporting Return For Repeat Screeningmentioning

confidence: 99%

“…A number of studies have found that PSA and biopsy results did not increase anxiety, depression or health related quality of life (QOL) using GPQ [23][24][25] . It may be important for future studies to utilize TSPQ.…”

Section: Potential Psychosocial Impacts In Anal Cancer Screeningmentioning

confidence: 99%

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Psychosocial aspects of anal cancer screening: a review and recommendations

Landstra¹,

Ciarrochi²,

Deane³

2012

Sex. Health

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Cancer screening programs have the potential to decrease psychosocial wellbeing. This review investigates the evidence that anal cancer screening has an impact on psychosocial functioning and outlines considerations for supporting participants. The review suggested that screening has no significant effect on general mental health but may increase cancer-specific worry. Having worse anal or HIV symptoms, being younger, higher baseline distress or worse histology results were predictive of greater worry. The findings suggest the need to increase education campaigns, particularly targeting those with HIV infection and men who have sex with men. There is a need to develop a consensus on measuring the psychosocial impact of screening and stepped care approaches for responding to any resulting distress. Abstract:Cancer screening programs have the potential to decrease psychosocial well-being. This review investigates the evidence for anal cancer screening having an impact on psychosocial functioning and outlines considerations for supporting participants. The review suggested that screening has no significant effect on general mental health but may increase cancer-specific worry. Having worse anal or HIV symptoms, being younger, higher baseline distress or worse histology results were predictive of greater worry. The findings suggest the need to increase education campaigns particularly targeting those with HIV infection and men who have sex with men. There is a need to develop a consensus on measuring psychosocial impact of screening and stepped care approaches for responding to resulting distress.3

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Section: Potential Psychosocial Impacts In Anal Cancer Screeningmentioning

confidence: 99%

Section: Supporting Return For Repeat Screeningmentioning

confidence: 99%

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Psychosocial aspects of anal cancer screening: a review and recommendations

Landstra¹,

Ciarrochi²,

Deane³

2012

Sex. Health

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“…Even prior to being diagnosed with CaP, there can be mental anguish and anxiety resulting in a decreased QOL from CaP screening. Carlsson et al [21] evaluated the anxiety levels of nearly 1800 men with PSA ≥3 ng/mL partaking in the European Randomized Study of Screening for Prostate Cancer. The study illustrated that most men have low to moderate anxiety while waiting for further clinical examination for an elevated PSA, and that <5% of men reported high levels of anxiety.…”

Section: Impact Of Screening and Diagnosis On Hrqolmentioning

confidence: 99%

The Quality-of-Life Impact of Prostate Cancer Treatments

2010

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“…In addition, harms of over diagnosis and treatment, stemming from PSA testing include, infection, blood loss requiring transfusion, pneumonia, erectile dysfunction, and incontinence [5]. Furthermore, patient anxiety may result from false-positive results of PSA testing as well as having to undergo prostate biopsy [6].…”

Section: Introductionmentioning

confidence: 99%