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Is knowing your cholesterol number harmful?

M J Irvine1, A G Logan

  • 1Department of Psychiatry, University of Toronto, Ontario, Canada.

Journal of Clinical Epidemiology
|February 1, 1994
PubMed
Summary
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Screening for high cholesterol (hypercholesterolemia) in working men showed no adverse psychological effects. However, denial of the condition was common and hindered health behavior changes.

Area of Science:

  • Psychological Medicine
  • Cardiovascular Health
  • Occupational Health

Background:

  • Screening for hypercholesterolemia is common in occupational health settings.
  • Understanding the psychological impact of diagnosis and management is crucial.

Purpose of the Study:

  • To evaluate the psychological effects of hypercholesterolemia screening in working men.
  • To investigate the relationship between denial, mental health, and health behavior change.

Main Methods:

  • 287 hypercholesterolemic men and 236 controls completed psychological questionnaires at baseline and 1-year follow-up.
  • Participants were assessed for mental health, negative affect, and acceptance of the hypercholesterolemia diagnosis.
  • Health behavior changes and cholesterol levels were monitored.

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Main Results:

  • Hypercholesterolemic men initially showed better mental health and lower negative affect than controls.
  • No adverse psychological changes were observed at follow-up, regardless of treatment allocation.
  • Approximately half of diagnosed men denied having hypercholesterolemia; these individuals exhibited better mental health but resisted dietary changes.

Conclusions:

  • Hypercholesterolemia screening and treatment programs do not appear to cause adverse psychological effects in working adults.
  • Denial of hypercholesterolemia is a significant barrier to adopting healthier behaviors, potentially linked to better baseline mental health.
  • The complex interplay between cholesterol levels, mental well-being, and denial warrants further investigation.