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

Maurel, M.; Stoufflet, Audrey; Thorel, Laetitia; Berna, V.; Gislard, Antoine; Letourneux, M.; Pairon, Jean‐Claude; Paris, Christophe

doi:10.1002/ajim.20672

Cited by 19 publications

(28 citation statements)

References 26 publications

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“…1: comparison of PCQ scores at baseline and during follow-up by t-test2: PCQ values greater than the 95 th percentile of the PCQ score distribution in non-exposed subjects (see ref [16]3: among the 661 subjects without an abnormal PCQ score at baseline4: comparison of PCQ scores between variables at each time-point of the study by GLM…”

Section: Resultsmentioning

confidence: 99%

“… a PCQ values greater than the 95 th percentile of the PCQ score distribution in non-exposed subjects (see ref [16]) b Comparison of the PCQ score at baseline (t-test) c Comparison of the proportion of abnormal PCQ scores between T1 and T2 for each HRCT scan result (McNemar test) d ΔPCQ is defined as the PCQ at T2 - PCQ at T1 difference e Comparison between PCQ score at baseline and during follow-up for each HRCT scan result (paired t-test)…”

Section: Resultsmentioning

confidence: 99%

“…This conservative calculation is independent of the distribution function of the score. Subjects were then classified into two categories (normal/abnormal) according to their PCQ global score as previously published [16]. …”

Section: Methodsmentioning

confidence: 99%

“…Evaluation of the psychological impact of CT-scan screening was one of the objectives of the French multiregional asbestos-post exposure survey ordered by national authorities. We recently published a study showing that asbestos-exposed subjects exhibited significantly higher levels of negative psychological impact compared to a control group at baseline of a screening program [16]. …”

Section: Introductionmentioning

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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

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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“…Specifically related to the investigation of asbestos poisoning, the work by Maurel et al (2009), whose components are the self-styled National Network of previous exposure to asbestos, is of great importance. This group developed the so-called "asbestos survey" (APEXS), trying to determine changes in psychological variables of the affected individuals.…”

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confidence: 99%

Social welfare of workers affected by a chronic lung disease

Reig-Botella

Clemente

2018

R Est Inv Psico y Educ

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Se pretende verificar si existen variables de bienestar social capaces de diferenciar pacientes crónicos afectados por intoxicación por amianto de personas sanas. Se utiliza la escala de Hahn, Cella, Bode y Hanharan, desarrollada para medir el bienestar social. Después de revisar la literatura, en primer lugar, se verifican las propiedades psicométricas de la escala previamente mencionada utilizando una muestra de pacientes afectados, 110, así como un grupo de comparación de 70 personas emparejadas por bloques de edad y sexo, que han sido empleados de la mayor Organización naval española, Navantia. Los resultados indican una fiabilidad muy alta del instrumento y una alta validez concurrente del cuestionario SCL-90-R. Luego se realiza una Anova obteniendo que, contrariamente a las expectativas de la literatura, solo se produce una variación en tres variables: compañerismo social negativo, limitaciones y satisfacción. Esta investigación abre la posibilidad de futuras investigaciones que estudien la variable edad como mediador del bienestar social. Finalmente, se discuten las limitaciones del estudio y posibles proyectos futuros.

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The psychological distress and care needs of mesothelioma patients and asbestos‐exposed subjects: A systematic review of published studies

Bonafede

Ghelli

Corfiati

et al. 2018

American J Industrial Med

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This paper highlights the paucity of studies on the psychological distress and care needs of mesothelioma patients and asbestos-exposed subjects. It confirms that malignant mesothelioma is associated with the physical, emotional, and social functioning of patients, while also suggesting that the risk of developing asbestos-related diseases among asbestos-exposed subjects is associated with high levels of psychological distress, despair, and mental health difficulties.

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

Cited by 19 publications

References 26 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

Social welfare of workers affected by a chronic lung disease

The psychological distress and care needs of mesothelioma patients and asbestos‐exposed subjects: A systematic review of published studies

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