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Related Experiment Videos

Worry associated with screening for colorectal carcinomas

E Lindholm1, B Berglund, J Kewenter

  • 1Dept. of Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.

Scandinavian Journal of Gastroenterology
|March 1, 1997
PubMed
Summary

Colorectal cancer screening using fecal occult blood testing caused worry in a minority of participants, particularly women. Worry increased with positive results but decreased post-examination, with most appreciating the study.

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Area of Science:

  • Public Health
  • Cancer Screening
  • Psychological Impact

Background:

  • Assessing psychological distress associated with colorectal cancer screening programs.
  • Evaluating worry levels prompted by fecal occult blood testing invitations.

Purpose of the Study:

  • To quantify the extent of worry generated by colorectal cancer screening invitations.
  • To explore factors influencing worry, such as gender and educational level.

Main Methods:

  • Surveying 3,548 participants on worry levels after receiving a Hemoccult II test invitation.
  • Conducting structured telephone interviews with selected participants to assess worry outcomes.
  • Analyzing worry rates based on test results and demographic factors.

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Main Results:

  • 54% reported no worry; 16% experienced severe worry, more in women.
  • Worry increased to 60% with positive Hemoccult II tests, affecting daily life in 15%.
  • Lower education levels correlated with increased worry (P < 0.05).

Conclusions:

  • A minority experienced severe worry, with women reporting higher levels.
  • Worry peaked with positive screening results but diminished post-evaluation.
  • Most participants appreciated the colorectal cancer screening study one year later.