Feasibility of familial PSA screening: psychosocial issues and screening adherence.

2.50
Hdl Handle:
http://hdl.handle.net/10541/72577
Title:
Feasibility of familial PSA screening: psychosocial issues and screening adherence.
Authors:
Sweetman, J; Watson, M; Norman, A; Bunstead, Z; Hopwood, Penelope; Melia, J; Moss, S; Eeles, Rosalind; Dearnaley, David P; Moynihan, C
Abstract:
This study examined factors that predict psychological morbidity and screening adherence in first-degree relatives (FDRs) taking part in a familial PSA screening study. Prostate cancer patients (index cases - ICs) who gave consent for their FDRs to be contacted for a familial PSA screening study to contact their FDRs were also asked permission to invite these FDRs into a linked psychosocial study. Participants were assessed on measures of psychological morbidity (including the General Health Questionnaire; Cancer Worry Scale; Health Anxiety Questionnaire; Impact of Events Scale); and perceived benefits and barriers, knowledge; perceived risk/susceptibility; family history; and socio-demographics. Of 255 ICs, 155 (61%) consented to their FDRs being contacted. Of 207 FDRs approached, 128 (62%) consented and completed questionnaires. Multivariate logistic regression revealed that health anxiety, perceived risk and subjective stress predicted higher cancer worry (P = 0.05). Measures of psychological morbidity did not predict screening adherence. Only past screening behaviour reliably predicted adherence to familial screening (P = 0.05). First-degree relatives entering the linked familial PSA screening programme do not, in general, have high levels of psychological morbidity. However, a small number of men exhibited psychological distress.
Affiliation:
Academic Department of Radiotherapy, Institute of Cancer Research and Royal Marsden NHS Trust, Downs Road, Sutton, Surrey SM2 5PT, UK.
Citation:
Feasibility of familial PSA screening: psychosocial issues and screening adherence. 2006, 94 (4):507-12 Br. J. Cancer
Journal:
British Journal of Cancer
Issue Date:
27-Feb-2006
URI:
http://hdl.handle.net/10541/72577
DOI:
10.1038/sj.bjc.6602959
PubMed ID:
16434991
Type:
Article
Language:
en
ISSN:
0007-0920
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorSweetman, J-
dc.contributor.authorWatson, M-
dc.contributor.authorNorman, A-
dc.contributor.authorBunstead, Z-
dc.contributor.authorHopwood, Penelope-
dc.contributor.authorMelia, J-
dc.contributor.authorMoss, S-
dc.contributor.authorEeles, Rosalind-
dc.contributor.authorDearnaley, David P-
dc.contributor.authorMoynihan, C-
dc.date.accessioned2009-07-06T11:35:51Z-
dc.date.available2009-07-06T11:35:51Z-
dc.date.issued2006-02-27-
dc.identifier.citationFeasibility of familial PSA screening: psychosocial issues and screening adherence. 2006, 94 (4):507-12 Br. J. Canceren
dc.identifier.issn0007-0920-
dc.identifier.pmid16434991-
dc.identifier.doi10.1038/sj.bjc.6602959-
dc.identifier.urihttp://hdl.handle.net/10541/72577-
dc.description.abstractThis study examined factors that predict psychological morbidity and screening adherence in first-degree relatives (FDRs) taking part in a familial PSA screening study. Prostate cancer patients (index cases - ICs) who gave consent for their FDRs to be contacted for a familial PSA screening study to contact their FDRs were also asked permission to invite these FDRs into a linked psychosocial study. Participants were assessed on measures of psychological morbidity (including the General Health Questionnaire; Cancer Worry Scale; Health Anxiety Questionnaire; Impact of Events Scale); and perceived benefits and barriers, knowledge; perceived risk/susceptibility; family history; and socio-demographics. Of 255 ICs, 155 (61%) consented to their FDRs being contacted. Of 207 FDRs approached, 128 (62%) consented and completed questionnaires. Multivariate logistic regression revealed that health anxiety, perceived risk and subjective stress predicted higher cancer worry (P = 0.05). Measures of psychological morbidity did not predict screening adherence. Only past screening behaviour reliably predicted adherence to familial screening (P = 0.05). First-degree relatives entering the linked familial PSA screening programme do not, in general, have high levels of psychological morbidity. However, a small number of men exhibited psychological distress.en
dc.language.isoenen
dc.subjectHealth Behaviouren
dc.subjectProstatic Canceren
dc.subject.meshAged-
dc.subject.meshAnxiety-
dc.subject.meshHealth Behavior-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMass Screening-
dc.subject.meshMiddle Aged-
dc.subject.meshMorbidity-
dc.subject.meshPatient Compliance-
dc.subject.meshPrognosis-
dc.subject.meshProstate-Specific Antigen-
dc.subject.meshProstatic Neoplasms-
dc.subject.meshPsychometrics-
dc.subject.meshStress, Psychological-
dc.titleFeasibility of familial PSA screening: psychosocial issues and screening adherence.en
dc.typeArticleen
dc.contributor.departmentAcademic Department of Radiotherapy, Institute of Cancer Research and Royal Marsden NHS Trust, Downs Road, Sutton, Surrey SM2 5PT, UK.en
dc.identifier.journalBritish Journal of Canceren

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