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Related Experiment Videos

Screening for abdominal aortic aneurysms does not increase psychological morbidity

H S Khaira1, L M Herbert, M C Crowson

  • 1Department of Surgery, Good Hope Hospital NHS Trust, Sutton Coldfield, West Midlands.

Annals of the Royal College of Surgeons of England
|December 16, 1998
PubMed
Summary

Abdominal aortic aneurysm (AAA) screening does not increase anxiety or depression. A study using the Hospital Anxiety and Depression Scale (HADS) found no significant psychological effects in men undergoing AAA screening.

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Area of Science:

  • Vascular Surgery
  • Public Health Screening
  • Psychological Impact Assessment

Background:

  • Screening programs face opposition due to potential negative psychological effects.
  • Concerns exist regarding the psychological impact of abdominal aortic aneurysm (AAA) screening.

Purpose of the Study:

  • To investigate the psychological effects of AAA screening.
  • To determine if AAA screening increases anxiety and depression in the screened population.

Main Methods:

  • Applied the Hospital Anxiety and Depression Scale (HADS) questionnaire.
  • Compared anxiety and depression levels in men undergoing AAA screening versus controls.
  • Included men with no AAA, small aneurysms, and those awaiting surgery.

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Main Results:

  • No significant differences in anxiety or depression were found across groups.
  • The HADS questionnaire showed comparable psychological states between screened individuals and controls.
  • The study found no evidence of increased psychological distress due to AAA screening.

Conclusions:

  • Abdominal aortic aneurysm (AAA) screening does not appear to cause increased anxiety or depression.
  • The findings counter arguments against AAA screening based on psychological harm.
  • AAA screening can be implemented without significant adverse psychological consequences.