Illness representations and coping following an abnormal colorectal cancer screening result

Orbell, Sheina; O'Sullivan, Ian; Parker, R.; Steele, Robert; Campbell, Christine; Weller, David

doi:10.1016/j.socscimed.2008.06.039

Cited by 54 publications

(52 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the CSM has been used as the theoretical framework for studying illness representations in many health-related conditions such as colorectal cancer screening (Orbell et al, 2008) and skin cancer risk (Cameron, 2008), only a few studies have been conducted on breast cancer screening practices. For example, Rees, Fry, Cull and Sutton (2004) found that women at increased risk of breast cancer, who were on an annual programme of mammography and clinical breast examination, had a more coherent understanding of breast cancer and viewed the consequences of breast cancer to be more severe than a comparison group of women with no experience of breast cancer in their family, friends, or social network.…”

Section: Introductionmentioning

confidence: 99%

Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

Anagnostopoulos

Dimitrakaki

Fitzsimmons

et al. 2011

J Clin Psychol Med Settings

View full text Add to dashboard Cite

Previous research has shown that, although routine mammography screening can reduce mortality from breast cancer, the use of annual mammography screening remains well under 65%. In an effort to determine the factors that are associated with women's mammography behaviors, this study used the health belief model and the common-sense model of self-regulation as the theoretical frameworks to explore health beliefs, illness representations, and women's mammography practice. Data were obtained from a nationally representative sample of 408 Greek women, 40 years of age or older, with no personal history of cancer. Three dependent variables were considered: recent mammography, repeat mammography, and no mammogram during lifetime. Predictors included socio-demographic and medical variables, perceived benefits of mammography screening, perceived barriers to mammography screening, self-efficacy, as well as illness perceptions. Multivariate analyzes indicated that never having had a mammogram was more likely for women who perceived fewer benefits and more barriers to mammography screening, had more negative emotional representations of breast cancer, and had no private health insurance coverage. Factors associated with recent mammography were younger age, a good knowledge of the recommended mammography screening interval, a family history of breast cancer, and use of patient reminders for next mammogram. Adequate knowledge about the recommended mammography screening interval and higher values for breast cancer worry were associated with an increased number of repeat lifetime mammograms. Implications of the results and suggestions for future research are outlined.

show abstract

Section: Introductionmentioning

confidence: 99%

Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

Anagnostopoulos

Dimitrakaki

Fitzsimmons

et al. 2011

J Clin Psychol Med Settings

View full text Add to dashboard Cite

show abstract

“…14 Among people with a positive FOBT result, there are also broadly reassuring results: a large UK population-based study found no differences in anxiety between people with normal or abnormal FOBT results eight months after their invitation to complete the test, 15 and no short-term impact on quality of life was observed as a result of detection of adenomatous polyps in a small study of colonoscopy screening.…”

mentioning

confidence: 99%

The Psychological Impact of Being Offered Surveillance Colonoscopy following Attendance at Colorectal Screening Using Flexible Sigmoidoscopy

et al. 2009

View full text Add to dashboard Cite

Objectives To examine the psychological impact of being assigned to colonoscopic surveillance following detection of adenomatous polyps at flexible sigmoidoscopy (FS) screening. Setting Participants invited for screening in 12 of the 14 study centres in the UK FS Trial. Methods A postal survey following FS screening assessed bowel cancer worry, psychological distress, generalized anxiety, bowel symptoms, general practitioner (GP) visits, positive emotional consequences of screening, and reassurance among people with no polyps (n ¼ 26,573), lowerrisk polyps removed at FS (n ¼ 7401) and higher-risk polyps who underwent colonoscopy and were either assigned to colonoscopic surveillance (n ¼ 1543) or discharged (n ¼ 183). A subsample (n ¼ 6389) also completed a questionnaire prior to screening attendance that measured bowel cancer worry, generalized anxiety, bowel symptoms and GP visits, making it possible to examine longitudinal changes in this group. Results People offered surveillance reported lower psychological distress and anxiety than those with either no polyps or lower-risk polyps. The surveillance group also reported more positive emotional benefits of screening than the other outcome groups. Post-screening bowel cancer worry and bowel symptoms were higher in people assigned to surveillance, but both declined over time, reaching levels observed in either one or both of the other two groups found to have polyps, suggesting these results were a consequence of polyp detection rather than surveillance per se. Few differences were observed between the group assigned surveillance and the group discharged following colonoscopy. ConclusionThe results of the current study are broadly reassuring and indicate that referral for colonoscopic surveillance is not associated with adverse psychological consequences.

show abstract

“…Research on illness representations, for example, has demonstrated that people ''formulate their own representation of illness'' by prescribing different frequencies, causes, features, and timelines to the disease based on their cultural, social, and personal experiences (Orbell et al, 2008). This helps explain why actual cancer risk and perceived cancer risk are often different; that is, people frequently miscalculate the likelihood that they will contract a certain type of cancer or cancer in general (Leventhal, Kelly, & Leventhal, 1999).…”

mentioning

confidence: 99%

Making sense of cancer news coverage trends: a comparison of three comprehensive content analyses

et al. 2012

View full text Add to dashboard Cite

Abstract:Cancer stories (N = 5,327) in the top 50 U.S. newspapers were analyzed by a team of four coders and the results were compared with the earliest analyses of this type (from 1977 and 1980). Using cancer incidence rates as a comparison, three cancers were found to be consistently underreported (male Hodgkin's, and thyroid) and four cancers were found to be consistently overreported (breast, blood/Leukemia, pancreatic, and bone/ muscle). In addition, cancer news coverage consistently has focused on treatment rather than on other aspects of the cancer continuum (e.g., prevention), portrayed lifestyle choices (e.g., diet, smoking) as the most common cancer risk factor, and rarely reported incidence or mortality data. Finally, the data were compatible with the idea that personalization bias (e.g., celebrity profiles, event coverage) may explain some news coverage distortions.Keywords: cancer, news coverage, content analyses, health communication.In their latest review of cancer trends, Jemal and colleagues (2008) noted that for all cancer sites combined, incidence rates have stabilized and mortality rates continue to decrease. At the site level, however, certain cancers still share a disproportionate amount of the cancer burden. Prostate, breast, lung, and colon cancers account for 50% of new cancer cases as well as 49%-50% of estimated cancer deaths.

show abstract

Illness representations and coping following an abnormal colorectal cancer screening result

Cited by 54 publications

References 32 publications

Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

The Psychological Impact of Being Offered Surveillance Colonoscopy following Attendance at Colorectal Screening Using Flexible Sigmoidoscopy

Making sense of cancer news coverage trends: a comparison of three comprehensive content analyses

Contact Info

Product

Resources

About